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Putting it into practice

All posts from: September 2012

Why do mentors pass failing students?

24 September, 2012 Posted by: -

  • Article: Veeramah V (2012) What are the barriers to good mentoring? Nursing Times; 108: 39, 12-15.

Key points

  • Lack of time and the demands of patient care are two key barriers to successful mentoring
  • Inadequate preparation and support can result in mentors passing students they should fail
  • Mentors need more help and educational guidance in completing education institutions’ assessment documentation
  • Mentors should have regular updates and relevant in-service training
  • Practice development managers and clinical practice facilitators should work with link lecturers to support mentors

Let’s discuss

  • Why do you think mentors pass failing students?
  • What preparation should nurses have to be an effective mentor?
  • What can healthcare organisations do to support mentors to carry out their role?
  • What are the characteristics of a good mentor?
  • You have assessed a student you are mentoring as failing. What action should you take?

Comments (7)

When it is appropriate to use sedation in palliative care?

17 September, 2012 Posted by: -

  • Article: Beland P (2012) Ethical issues around continuous deep sedation without hydration. Nursing Times; 108: 38, 24-27.

Key points

  • Patients dying of cancer may require continuous deep sedation to alleviate symptoms at the end of life
  • Such patients, being unable to drink, could be artificially hydrated to lengthen survival and limit thirst
  • The issue of artificial hydration for such patients arouses highly divergent opinions
  • Failing to hydrate sedated patients can be likened to “slow euthanasia”, but there are arguments for such practice
  • Artificially hydrating these patients might improve or worsen symptoms - but a lack of reliable evidence makes it impossible to know

Let’s discuss

The author of this article poses this question: “When terminally ill patients are given continuous deep sedation without hydration, should we call it a form of palliative care, or is it in fact slow euthanasia? What do you think?

When it is appropriate to use sedation in palliative care?

The author of this article explains why relatives may express concern when a patient does not drink during the terminal phase, or if fluids are withheld while deep sedation is required for symptom control. How would you explain the rationale for withholding artificial hydration to a relative?

Why do some relatives see failure to give artificial hydration as abandonment?

Artificial hydration in the terminal phase of life may cause complications. Outline what these are and how they can affect patients’ condition.

Comments (14)

How can student nurses with dyscalculia be supported?

10 September, 2012 Posted by: -

  • Article: Kirk K, Payne B (2012) Dyscalculia: awareness and student support. Nursing Times; 108: 37, 16-18.

Key points

  • Dyscalculia is a difficulty with the concept of numbers
  • The condition has significant implications for pre-registration nurse education
  • Students with dyscalculia need to be identified and have their learning needs assessed
  • Through reasonable adjustments, a person with dyscalculia can successfully train to become a nurse
  • Ongoing mentorship helps dyscalculic nurses cope with learning

Let’s discuss

  • Define dyscalculia and outline how it affects people in their personal life.
  • How does dyscalculia affect student nurses’ ability to provide patient care? List the activities that could be a problem in your area of practice.
  • What reasonable adjustments should be made to support a student with dyscalculia?
  • What responsibilities do potential employers have to ensure nurses with dyscalculia are supported in their area of practice?

Comments (353)

How can nurses aid focus on daily experiences in dementia care?

3 September, 2012 Posted by: -

  • Article: Durgahee T, Durgahee A (2012) Dementia care: focusing on daily experiences. Nursing Times; 108: 36, 12-14.

Key points

  • The number of people living with dementia is steadily rising
  • Dementia care should be guided by a model such as Kitwood Plus, making personhood, relationships and daily experiences key priorities
  • This model redefines dementia care as “no yesterday, no tomorrow, but today” to make care practice enjoyable and uplifting
  • Carers need a toolkit to connect with residents before they offer care and support to make care practice meaningful
  • Four key anchors modernise dementia care practice: stability; learning culture; practice reinforcement; and reflective carers

Let’s discuss

Think about a patient you are care for with dementia.

  • How has dementia affected their interaction with other people?
  • How has it affected their ability to carry out activities of daily living?

The authors of this paper define dementia as “no yesterday, no tomorrow, but today”. How could you use this definition to inform your practice?

Smile, touch, eye contact and positive talk (STEP) are outlined as the basic tools needed to care for people with dementia. How could you incorporate these into a patients care plan?

After reading this article how could you use the Kitwood Plus model in your area to improve the care of people with dementia?

How would you explain the model to a healthcare assistant and help them to connect and interact with people with dementia?

Comments (2)

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