The aim of this assignment is to produce a critically reflective portfolio extract related to one of the NMC (2004) standards of proficiency for pre-registration nursing education, allowing the integration of theory with practice. The standard which is going to be explored will be to Create and utilise opportunities to promote health and well-being of patients, clients and groups (NMC 2004). The author will reflect on a situation which occurred whilst on a community placement, and also include a brief overview of the topic going to be discussed. For the purpose of this assignment, the author will focus on smoking as the main topic explored, due to the word limit, using the nursing process of assessment, planning, implementation …show more content…
Jacks respiratory rate was quite high of 21 breaths per minute, which is just outside the normal range for an adult (Dougherty and Lister 2008). The Nurse should take into account Jack may have been aware of the respiratory assessment so subconsciously may have been affected by nerves (Moore 2007). It is the nurse’s role and responsibility to promote health and well being and it was apparent that the reason for Jack’s breathlessness was due to his smoking. Jack was informed by the nurse that if he were to stop smoking, it would prevent any further damage, would relieve any symptoms, would slow down the progression of his COPD, would save him money, would improve his breathing, and he would enjoy his food a lot more. The NICE guidelines (2007) state reducing levels of smoking will help reduce some illnesses and conditions (such as cardiovascular disease and respiratory …show more content…
NHS Lothian (2002) supports making a date to stop and then sticking to it. Jack was encouraged to keep a diary to record his progress or setbacks and to write down his thoughts. Jack had decided to try the nicotine patch as he believed these were easier to use and could be kept on at all times. Stop smoking (2006) suggests patches can provide a steady stream of nicotine release, and can decrease the amount of nicotine gradually. Jack was taught how to use NRT safely as recommended by the NHS Stop Smoking Services (NHS 2006a) as being effective and cost effective. He was also shown vividly with the use of the visual aids, the negative side of being a smoker, for example damaged lungs, CHD and the risk of