Learning Outcome Peg Feeding Nursing Essay

Learning Outcome Peg Feeding Nursing EssayIn this forgeive essay I am spill to discuss a learning turn upcome in which I have become adequate to example. To reflect on my learning outcome I am going to use Gibbs reflective vex (1988). The Gibbs reflective model is a puff up known and used model in reflective practice. It consists six go which I leave behinding describe step by step as my essay will progress. In the nursing c be process it is a responsibility of a check to provide holistic care to the diligent who is under our care. Our focus is to enable them to cope, prevent, solve or alleviate the problem from which they are suffering and not able to exonerate out their general life. Our aim is to help and teach patients how to meet their effortless needs in separate ways. The learning outcome I have chosen to reflect is spliff sustenance which is an alternative way to provide support to a patient who is not able to obtain nutrition by dint of the mouth.The g et-go step of Gibbs reflective cycle per second is a description of the event. One dish user in my placement area whom I will gripe Mrs. P to maintain her self-assurediality (NMC 2008) is suffering from progressive supranuclear palsy, a specification in which as the condition progresses patient losses abilities i.e. Swallowing, speech, maintaining balance, eye movement. As a result of this condition she developed dysphagia and it was not possible to maintain her nutrition via oral intake. Thus, multidisciplinary team and family conciliated to place her on joystick aliment. control stick tubing is more appropriate than nasogastric tube for long term melt downing as it avoids delays in feeding and discomfort associated with displacement (National Collaborating internality for subtle Care 2006). During my placement one of the nurses asks me to go and give her water through with(predicate) the PEG tube. Although I did it before in my country I was well-known(prenominal) w ith it but I didnt practice for a long time and as I have seen the condition of Mrs. P. I wasnt confident to carry out the task. I discussed it with my learn and we decide that I can take it as a learning outcome during my training to make myself competent with PEG feeding skill.As I am going into the second portray of Gibbs reflective model (1988) in which I will discuss nigh my vox populis and feelings. When the nurse asked me to give the water via PEG tube, at first I was feeling myself stupid to ask for help thinking that what impression I will make on that nurse. This feeling came into my mind as a result of a thought that I am a registered nurse in my country so I should know this. But I lost my confidence when I went in Mrs.Ps room and ascertained her condition i.e. Slurring speech, problem with balance, mobility problem and pain in her neck. So I decide to ask the nurse to perform the task and I also observed it. While she was giving her feed, I strand that she was cou ghing a visual modality and wasnt comfortable. Which I thought was due to her position and the nurse explained me and justify my thought that it is because of her condition. I was not satisfied with her accountings and as a supervised practice nurse I wasnt able to oppose her. I decide to call for more approximately the PEG feeding and discussed it with my mentor.The third stage of the Gibbs model (1988) of reflection is an evaluation which requires the practitioner to consider the good and bad things close to the event. The patient should be positioned where the patient can sit up as much as possible in a supported mid inventione position (Dougherty and lister 2008) while giving PEG feeding. The nurse who gave feeding didnt correct Mrs. Ps position as she was in a fishing rig upright position. Furthermore, before starting and at the end of the feeding, she didnt clean the current of air of the tube. The tip of the tube should be cleaned daily with water and a secondary brus h (Loser et al.2005). However, the good practice I observed that nurse communicate the purpose to Mrs. P which is important concord to the NMC (2008) to make her see the procedure and give her consent. In addition, to avoid tube adhering to the stoma skin outflank it 360 degree (Bumpers et al, 2003). The other important thing my mentor discussed with me was administration of music through the PEG tube. According to BAPEN (2003a), never add medication promptly to the eternal feed to avoid interaction between medicine and feed and flush the tube after administration to avoid tube blockage. During the password near PEG feeding with my mentor I found that other things to consider with PEG feedings are management of the tube, patient position and checks to carry out before feed and it is very important to avoid complications. In my placement area only Mrs. P has got PEG tube. So my mentor discussed with me that there are many indications for PEG tube insertion according to the pa tients conditions so it is important to learn about the specific needs of that patient before performing the procedure. She discussed some scenario cases with me to understand more about it. This helped me to understand different aspects of the PEG tubeThe next stage of the Gibbs reflective cycle (1988) is an analysis of the event where reflector has to make sense of the event. I will analyze it by exploring the skill and looking into the evidence. The PEG feeding is a method of giving nutrients to maintain an optimal nutritional support (National Collaborating Centre for Acute Care 2006). Clinical trials have proven that there are very rare complications with PEG tubes, such as leakage (Riera et al. 2002). through evaluation of this event I have been competent to give PEG feeding and care of the tube. The reasons for Mrs. Ps coughing explained by the nurse was from her daily experience working with her which could be right but what I found from the references was different and evi dence based. So I learned from experience and through experience (Burnard 2002). It has boosted my confidence to challenge others views regarding my practice.According to stage five of Gibbs model (1988), I conclude from that every nurse does not find the selfsame(prenominal) evidence based reasons for the problem but if I am practicing gumshoe and based on evidence then my practice is safe. In the futurity I will make sure that I am confident and competent to perform the task and have evidence based explanation of the situations. From this particular learning outcome I have learned about a PEG feeding procedure and the care of the PEG tubeThe last stage of Gibbs reflective model (1988) is the action plan. My action plan for the approaching practice is to read more references and literatures regarding PEG feeding. There will be many different conditions regarding PEG tube in my future practice so it is necessary for me to look for more information on this particular subject to m ake myself excel. I also request my mentor to book me for a study day to learn more about this skill.