Preview

A Reflective Essay on Surgical and Anaesthetics Roles of Odp for an Abdominal Hysterectomy

Best Essays
Open Document
Open Document
3293 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
A Reflective Essay on Surgical and Anaesthetics Roles of Odp for an Abdominal Hysterectomy
REFLECTIVE ESSAY
ON THE
LEARNING CONTRACT CONSIDERING THE SURGICAL AND ANAESTHETICS ROLES OF ODP FOR AN ABDOMINAL HYSTERECTOMY. By AKINYEMI AKINTARO
0711964

Dip of HE (ODP)
Enhanced Theatre Practice
OPE09-1

REFLECTION ON THE LEARNING CONTRACT.
This is a reflective essay based on my experience of participating in delivery of anaesthetic and surgical care to a patient undergoing abdominal hysterectomy under general and regional anaesthesia. I will be describing the process involved, my participation and contributions, what I learnt during the experience and how this gained knowledge will improve my professional competency.
Reflection is a way in which health professionals can bring theory into practice because reflection has a potential to uncover knowledge and promote action. Reflection also promotes better clinical judgement. Dyke (1999) emphasised that reflection is a vital part of the practitioner’s daily work.
Johns(2000) also described reflection as a window through which the practitioner can view and focus self within the context of his/her own lived experience in a way that enable him/her to confront, understand and work towards resolving the contradictions within him/her between what is desirable and actual practice.
The use of a recognised frame work allows for a more structured interpretation when reflecting upon practice (Dyke, 1999). For the purpose of this essay I am going to use Gibbs’ (1998) mode of reflecting. This is a reflective cycle which provides a straight forward and structured framework and encourages a clear description of the situation, analysis to make sense of the experience, conclusion where other options are considered and reflection upon experience to examine what the professional would do should the situation arise again. It must be noted however that any reflective practice is reliant on memory and interpretation of events - selective memory is a particular problem especially following a negative event



References: Alexander. M, Fawcett. N, & Runciman. P,(1994), Nursing Practice - Hospital and Home - The Adult. Churchill Livingstone: London. Casey, W (2000) Spinal Anaesthesia- A practical guide (page I).Nda[online] Available at : http://www.nda.ox.ac.uk/wfsa (Accessed: 31 Feb, 2008). Chang, A., Ip, W., T.H. Cheung, T. (2004), ‘Patient - controlled analgesia versus conventional intramuscular injection: a cost effectiveness analysis’ Journal of Advanced Nursing 46(5) pp. 531 – 541. Cooley. C, (2000) Communication skills in palliative care. Professional Nurse.15(9) 603-605. DeLamar, L.(2007) ‘ Anaesthesia’ in Rothrock J (ed) Alexander’s care of the patient in surgery. 13th edn. Missouri: Mosby. Pp.120 – 122. Dyke, M (1999) ‘Reflection on perioperative practice: When is it right to say no?’ British Journal of Theatre Nursing,9(12)pp.584 – 587. Dunscombe,A. (2007) ‘Sutures, needles and instrument’,in Rothrock J (ed)Alexander’s care of the patient in surgery. 13th edn. Missouri: Mosby. pp. 158 - 181. Fischer, B. & Chaudhari, M.(2006) ‘Techniques of Epidural block’ Anaesthesia and Intensive Care Medicine, 7(11)pp. 422 - 426. Gilmour,D.(2008)‘Instrument integrity and sterility: the operative practitioner’s responsibilities’ . Journal of perioperative practice. 18(7) pp.292 – 296. Glaze,J(1999)The reflective practitioner, British journal of Theatre Nursing.9(1)pp. 30 – 34. Griffiths, R (2000), ‘Anaesthesia: circulation and invasive monitoring’ BJPN, 10(3) pp 167- 171. Harvey, P.(2005) ‘The role of the ODP in Obstetric Haemorrhage’ JOODP.1(11)pp.16-19. Johns, C.(2000) ‘Becoming a reflective practitioner’ Blackwell Science, Oxford. Reed, J. Proctor, S. (1993) Nurse Education - a Reflective Approach, Edward Arnold, London. Taylor, M. and Campbell, C.(1999) ‘Back to basics - Communication Skills in the Operating Department’. British Journal of Theatre Nursing 9(5) pp.217 – 221. Visser, L (2001) ‘Epidural Anaesthesia’ Update in Anaesthesia, 13(11) pp 1- 4.Nda[online] Available at : http://www.nda.ox.ac.uk/wfsa (Accessed: 21 March, 2008). McEwen, D. (2007) ‘Gynaecologic and Obstetric Surgery’ in Rothrock J(ed) Alexander’s care of the patient in surgery... 13th edn. Missouri: Mosby . pp. 411 - 465. Kumar, B. (1998) Working in the operating department. 2nd edn. Edinburgh: Churchill Livingstone. Pp. 125 - 144. Gwinnutt, C.L. (1996) Clinical Anaesthesia, 1st edn. Oxford, Blackwell. Mrcogn, R.et al (1995) ‘Bone loss after Hysterectomy with ovarian conservation’ Obs & Gyn. 86(1) pp. 72-77. Walsgrove, H. (2001) ‘Hysterectomy’, Nursing Standard, 15 (29) pp. 47 – 53. Wu, S. et al (2005) ‘Decision - making tree for women considering hysterectomy’ Journal of Advanced Nursing 51 (4) pp. 361 – 368.

You May Also Find These Documents Helpful

  • Good Essays

    I have chosen to present my reflective report using Driscoll’s model (2007) of reflection because it is a developmental model that includes all the core skills of reflection: description, self-awareness, critical analysis, evaluation and synthesis; it consists in three stages in reflecting on one’s practice: ‘what?’ ‘so what?’ ‘now what?’. These trigger questions give a broad and substantial reflective process by challenging a more in depth examination, resulting in an action plan for the future (Bulman & Schutz,…

    • 908 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    DESCRIPTION OF OPERATION: Patient was brought to the operating room and identified by name and bracelet. General endotracheal anesthesia was administered in the supine position. Patient was then flipped into the prone position on a Jackson table with a Wilson frame. Neurophysiologic monitoring was applied to the patient.…

    • 613 Words
    • 3 Pages
    Powerful Essays
  • Good Essays

    Epidural anesthesia is preferred by some clinicians. Epidural anesthesia and analgesia requires placing a specially designed needle (Hustead, Tuohy, or Crawford) into the epidural space. Drugs may be injected directly through the needle or an epidural catheter may be inserted. Subsequent postoperative analgesia may utilize continuous drug infusion or injection of a single drug. A variety of other agents have been added to epidural infusions Epinephrine can induce a synergistic analgesic on the spinal cord as well as elicit vasoconstriction on the blood vessels for decreased absorption of local anesthetic36. Other multimodal approaches have utilized small doses of ketamine, an NMDA antagonist in the spinal cord, for sensory blockade and prevention of central sensitization of nociceptors37.…

    • 345 Words
    • 2 Pages
    Good Essays
  • Good Essays

    In present days, anesthesiology is a very complex, yet everyday practice for putting people under while they undergo a surgery. In the 1860s this practice had just been developed; therefore, the simplicity was very evident. The most common use of anesthesia was through the use of chloroform, which was used in 75% of all operations. A chloroform soaked cloth was held over a patient’s nose and mouth until the patient was unconscious. The surgeon would perform surgery with the patient still unconscious, and soon after the surgery the patient would regain consciousness. It was not as efficient as the way doctors now use anesthesiology, but it was still very efficient in regards to the time period and only had a mortality rate of 0.4%.…

    • 979 Words
    • 4 Pages
    Good Essays
  • Best Essays

    Case Study, Care Plan

    • 3343 Words
    • 14 Pages

    Graber O’Brien,P., & Thompson, j. ( 2010). Health and physical examination. In Brown, D. & Edwards, H Medical-surgical nursing: assessment and management of clinical problems (3rd ed) ( pp 36-47). Sydney: Elsevier Mosby.…

    • 3343 Words
    • 14 Pages
    Best Essays
  • Powerful Essays

    Nurse anesthetists were one of the earliest advanced practice roles in the United States (Blais & Hayes, 2011, pg. 449). Individuals in this career field have an extensive amount of classroom and laboratory instruction in the delivery of anesthesia to patients in a variety of different healthcare settings. Some of a CRNA’s tasks and duties include “performing physical assessment, participating in preoperative teaching, preparing for anesthetic management, administering anesthesia to keep the patient free of pain, maintaining anesthesia intraoperative, overseeing recovery from anesthesia, and following the patient’s postoperative course from recovery room to patient care unit” (Blais & Hayes, 2011, pg. 451). The crucial priority of the CRNA is to provide the most optimal care to ensure the health and safety of all patients undergoing…

    • 1296 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    Critiquing Research Papers

    • 4050 Words
    • 17 Pages

    Smeltzer, S. C., Bare, B. G., Hinkle, J. L. and Cheever, K. H. (2008) Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 11th ed. Philadelphia: Lippincott Williams and Wilkins.…

    • 4050 Words
    • 17 Pages
    Powerful Essays
  • Best Essays

    John B. Pollard, Ann L. Zboray, Richard I Mazze. The International Anesthesia Research Society. (1996).…

    • 1782 Words
    • 8 Pages
    Best Essays
  • Satisfactory Essays

    Anesthesia has been an ever-changing item in medicine since the 19th century. It started out that the only…

    • 453 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Standard one of the American Association of Nurse Anesthesia Standards for Nurse Anesthesia Practice maintains that an in-depth preanesthesia assessment and evaluation is completed and documented. The goal is to provide optimal care and administer anesthetics in a style that decreases morbidity and mortality. Further diagnostic tests, labs, and preoperative consultations are appropriate based off of information gathered from reviewing a patient’s health history and thorough physical examination. Findings during the preoperative evaluation help steer care in order to allow for a safe provision of anesthesia. Although all patients must have a preoperative evaluation, it is important to recognize the special considerations the older adult requires…

    • 113 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    The African American population contributes to over twelve percent of the entire United States population (U.S. Census Bureau, 2007). Within this population stems poverty, lower socioeconomic status and health issues (Edelman & Mandle, 2002). The health issues among African Americans have become an ongoing debate. Why is it that African Americans have a higher mortality rate than the average Americans? According to statistics in 1999, Americans could expect to live 77.8 years while the life expectancy of an African American was approximately 73.1 (CDC, 2007). African Americans have become susceptible to many diseases and health problems throughout the last number of years. The male and female citizens of the African American population have been struggling with high rates of cardiovascular disease, hypertension, cancer rates, stroke, diabetes, asthma and HIV/AIDS just to name a few. The African American woman is more likely to be a single mother and more…

    • 2986 Words
    • 12 Pages
    Better Essays
  • Powerful Essays

    mechanics, and gas exchange during general anesthesia. Anesth Analg; 1998, 87:654-60. 58. DIXON BJ, DIXON JB, CARDEN JR, BURN AJ, SCHACHTER LM, PLAYFAIR JM, LAURIE CP, O’BRIEN PE: Preoxygenation is more effective in the 25 degrees head-up position than in the supine position in severely obese patients: a randomized controlled study. Anesthesiology; 2005, 102:1110-5, discussion 5A. 59. PASSANNANTE AN, ROCK P: Anesthetic management of patients with obesity and sleep apnea. Anesthesiol Clin North America; 2005, 23:479-91, vii. 60. COUSSA M, PROIETTI S, SCHNYDER P, FRASCAROLO P, SUTER M, SPAHN DR, MAGNUSSON L: Prevention of atelectasis formation during the induction of general anesthesia in morbidly obese patients. Anesth Analg; 2004, 98:1491-5, table of contents. 61. PELOSI P, RAVAGNAN I, GIURATI G, PANIGADA M, BOTTINO N, TREDICI S, ECCHER G, GATTINONI L: Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis. Anesthesiology; 1999, 91:1221-31. 62. DODDS C: Sleep apnoea and anaesthesia. Recent Advances in Anaesthesia and Analgesia; 1994, 18:179-85. 63. REEDER MK, GOLDMAN MD, LOH L, MUIR AD, CASEY KR, LEHANE JR: Late postoperative nocturnal dips in oxygen saturation in patients undergoing major abdominal vascular surgery. Predictive value of pre-operative overnight pulse oximetry. Anaesthesia; 1992, 47:110-5. 64. KNILL RL, MOOTE CA, SKINNER MI, ROSE EA: Anesthesia with abdominal surgery leads to intense REM sleep during the first postoperative week. Anesthesiology; 1990, 73:52-61. 65. BENUMOF JL: Policies and procedures needed for sleep apnea patients, APSF Newsletter; Fall 2002. 66. DEUTSCHER R BD, SHARMA S: OSA Protocol promotes safer care, APSF Newsletter, Winter 2002. 67. GAL TJ, COOPERMAN LH: Hypertension in the immediate postoperative period. Br J Anaesth; 1975, 47:70-4. 68. RENNOTTE MT, BAELE P, AUBERT G, RODENSTEIN DO: Nasal continuous positive airway pressure in the perioperative management of patients with obstructive sleep apnea submitted to surgery. Chest; 1995, 107:367-74. 69. TERRIS DJ, FINCHER EF, HANASONO MM, FEE WE JR, ADACHI K: Conservation of resources: indications for intensive care monitoring after upper airway surgery on patients with obstructive sleep apnea. Laryngoscope; 1998, 108:784-8. 70. LAMARCHE Y, MARTIN R, REIHER J, BLAISE G: The sleep apnoea syndrome and epidural morphine. Can Anaesth Soc J; 1986, 33:231-3. 71. VANDERCAR DH, MARTINEZ AP, DE LISSER EA: Sleep apnea syndromes: a potential contraindication for patient-controlled analgesia. Anesthesiology; 1991, 74:623-4. 72. PELLECCHIA DJ, BRETZ KA, BARNETTE RE: Postoperative pain control by mans of epidural narcotics in a patient with obstructive sleep apnea. Anesth Analg; 1987, 66:280-2.…

    • 5463 Words
    • 22 Pages
    Powerful Essays
  • Best Essays

    Reflective Practitioner

    • 2842 Words
    • 12 Pages

    The ‘reflective practice’ model term was proposed or introduced by Schon in 1983. He has divided a reflection process into two different ways which are ‘reflection in-action’ and ‘reflection on-action’ (Finlay, 2008). The difference between these two ways of reflection is the…

    • 2842 Words
    • 12 Pages
    Best Essays
  • Better Essays

    Reflection on Action

    • 1452 Words
    • 6 Pages

    Reflection now a days is very important in health practises as it allows the practitioners to gain understandings from their professional and personal experiences .It has proven to be an essential utensil for development in their area. Reflection is seen as an influential resource of seeing accustomed events as fresh and inspiring. It is a way for critical thinking and learning. Thinkers have warned of the dangers of a life spent without reflection, but what creates reflective inquiry - and why it's necessary in our lives ?( Nona Lyons, 2010).Reflection on action signifies the information one gathers through personal or professional experiences and converting them into knowledge to use it in their practical experiences, which enhance their skills. Likewise there is a part of us that is known to others and not to us which is an important aspect of reflection, where they give feedbacks of our practice and suggestions for improvement. Reflection discusses the urgency for skillful support, high quality mentoring and the necessity for good support networks. The reflective diary I have made is not alike other related works. I have done this essay on the model outlines by Gibbs (Gibbs model of reflection-1988).It is applied here in order to enable serious thoughts and relating the theories to my practices I had got. I have tried to discuss my reflection skills and recognize my capability to reveal what I have gained for personal and professional improvement. Understanding of facts frequently arises from practices. So it is essential to permit the experiences to occur first and reflect upon them.…

    • 1452 Words
    • 6 Pages
    Better Essays
  • Best Essays

    Gibbs Reflection

    • 3124 Words
    • 13 Pages

    References: Alexander M, Fawcett J, Runciman P. (2006). Nursing practice: hospital and home: the adult: 3rd edition. Oxford, UK, Churchill Livingstone. P969.…

    • 3124 Words
    • 13 Pages
    Best Essays