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Reflection, Activities of Daily Living

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Reflection, Activities of Daily Living
For the purpose of this essay the Kolb’s model of reflection (1984) has been chosen as a guide to reflect on administration of oxygen therapy. Administration of oxygen therapy is the aspect of nursing practice that I selected as a result of completing the case-based learning scenarios. I will explain how the administration of oxygen therapy can have an effect on a patient’s activities of daily living (ADL), including some of the psychological and ethical issues. Breathing is the selected ADL that has been chosen to demonstrate how I implemented the aspect of nursing practice on clinical placement. Changes have been made to protect the anonymity and maintain confidentiality of the patient and clinical placement, in accordance with the NMC (2008, 2009f).

After reading the adult case based learning material, I chose to write and reflect on the administration of oxygen therapy .Oxygen therapy was widely used on my clinical placement as a treatment to help patients who were suffering from shortness of breath. (NICE, 2010). On my recent clinical placement, my mentor asked me to administer two litres of oxygen to a patient who was suffering from shortness of breath. The patient had been prescribed the oxygen therapy due to deterioration in their breathing ability (Higgins, 2005). The patient in question had been diagnosed with Chronic Obstructive Pulmonary Disease (COPD). COPD comprises of a number of illnesses including chronic bronchitis and emphysema; in each of the conditions there is an obstruction to airflow (NICE 2010). COPD is a long term condition that is usually progressive and

cannot be reversed, however in some cases there can be a degree of reversibility in a patients airways. The predominant cause of COPD is smoking (NICE 2010).
The patients’ oxygen was to be administered via a nasal cannula, which seems to be the preferred choice of administering oxygen therapy. (Dougherty et al , 2011). A nasal cannula is less restrictive than other oxygen delivery

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