Assignment: Reflective journal reporting the written health

Assignment: Reflective journal reporting the written health history of an adult friend or family member and demonstrating knowledge on performing vital signs with a written interpretation of vital sign data collected. The submitted assignment includes a reflective journal of the experience of performing vital signs. The learner will present the client profile, B/P, SPO2 and a brief overview of the interpretation of normal and abnormal values and will use Gibbs’ Reflective Cycle to reflect on the competencies required to perform the skill competently, safely, and efficiently. Using Gibb’s Reflective Cycle, the learner will describe that they are competently and efficiently able to take the following vital signs: Describe the skill, the areas of improvement and add a citation from the literature on the importance of being competent with each component. Gibb’s step 1: Description of introduction, explaining the procedure, obtaining consent, and performing vital signs (BP, pulse and respiratory rate) with cited works (5 points) Gibbs step 2: Emotive and Cognitive (5 points) Gibbs step 3: Evaluation (5 points) Gibbs step 4: Description (5 points) Gibbs step 5: Conclusion with cited works (5 points) Currently this is where I am at on my paper. I have written the pt’s health history and this is the information I have obtained from vital sign measurements: BP: 134/92 (pt has had hypertension in the past and family history of it) Pulse: 72 Respiratory rate: 19 Summary of history: Pt is 30 years old, active, but stressed and worried as they are a nursing student, therefore dealing with anxiety. Here is the info I found on possible normal/abnormal findings for the Pulse: Normal: 60-100BPM Bradycardia: <50 BPM due to sinus node or AV node dysfunction, well trained athlete Tachycardia: >100BPM due to fever, volume depletion, anxiety, exercise, heart failure, hypotension, hypoxemia Weak: Due to lower cardiac output like heart disease, volume depletion Bounding: Due to high cardiac output like anxiety, pain, hyperthyroidism. Respiration: Normal: 10-20 Breaths per minute Tachypnea: >24 breath per min caused by anxiety, pain, exercise Bradypnea: <10 breath per min caused by narcotics, partial pressure, increased of CO2 Abnormal: Fast and deep, fast and shallow, slow and shallow, periods of no breath (apnea). Check for usage of accessory muscles. Blood Pressure Normal: 120mm Hg/ 80 mm Hg Orthostasis: Falls 15 mmHg below standard BP due to dehydration, hemorrhage, or sepsis. Pulsus paradoxus: Falls 5 mm Hg below standard BP during inspiration but decrease >10 mm Hg is due to severe asthma, cardiac tamponade, pericardial effusions, constrictive pericarditis Factors that also affect BP: Age, Sex, Ethnocultural, diurnal rhythm, weight, exercise, emotions, stress Errors that I can do while measuring pt’s: taking it when pt is anxious, angry or just exercised, faulty arm position, pt supports own arm, inaccurate cuff size, overinflation of cuff, deflating cuff too quickly or too slowly, difficulty hearing and defective equipment. I think I need help putting it all together. I am in my first year and do not really understand the reflecting part using the Gibbs cycle on these measurements. While I do feel confident in my measurements performed on my pt, it is still unnerving fully understanding what we are doing so it is hard to reflect. We have only been practicing these measurements on peers and without guidance, it is all on us to practice on ourselves, which is where my uncertainty stems from. Any guidance and help would be greatly appreciated Image transcription text Description What happened? Action Plan Feelings It if arose again. What were you 1what would thinking and you do? feeling? Gibbs Reflective Cycle Evaluation What 1was good and had about the experience? Conclusion What else couid … Show more SCIENCE HEALTH SCIENCE NURSING NUR1 324

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."