24 Days of #carehomenurse #skills have passes & there's some key themes ... building relationships, noticing people & keeping people in the place they call home. And yes, we have many of the same clinical skills as our hospital colleagues too! If in doubt about what we do...ask!
#carehomenurse #skills Day 24: Yes we can take bloods - venepuncture, sometimes with the worst veins! We will also advocate for the resident, particularly those who taking blood causes great distress, whether the bloods are really necessary.
#carehomenurse #skills Day 23: Emotional resilience and empathy - relationships are the bedrock of our work, enabling trusting, person centred care. But relationships have consequences and we are strong in the face of the rollercoaster of emotions experienced each day.
#carehomenurse #skills Day 22: Record keeping & regulatory compliance - lots of documenting whether that be resident welfare, staffing or health & safety. There's a talent in balancing 'being with' & 'writing about'...until oversight bodies recognise which is most important!
#carehomenurse #skills Day 21: Delivering nutritional support & hydration - identifying likes & dislikes to encourage intake, knowledge of specialised diets, awareness of signs of dysphagia & dehydration, assessing risk of malnutrition. Knowing food delivers more than nutrients
#carehomenurse #skills Day 20: Stress & distress- de-escalation of distress with patience & kindness. Noticing the people/items/need/ situations that cause distress & working with the resident/family/staff to reduce these. Learning from each behaviour. Explaining before doing!
#carehomenurse #skills Day 19: Emergency responses. Yes we do very occasionally have to carry out CPR, to deal with someone who is choking. Life threatening events do occur in care homes and treatment is not age defined.
#carehomenurse #skills Day 18: Leadership - working with autonomy as sometimes you are the only nurse on duty. Bringing people along on your journey to provide great care - all the staff in the home from domestics to admin to care! Advocating for what's right in adversity.
#carehomenurse #skills Day 17: Multidisciplinary teamwork - building trusting relationships to ensure people receive the right care, at the right time, in the right place and by the right person. This needs mutual respect.
#carehomenurse #skills Day 16: Communication - it's key to understanding, empowering, good care. Communication with residents, families & professionals. Ensuring use of communication aids, being innovative to get the message across. Noticing non verbal communication & lost words
#carehomenurse #skills Day 15: Working with people living with a dementia or cognitive impairment. Managing stress & distress, it can be detective work - trying to identify triggers. Entering another person's reality on a daily basis, reaching them through approaches like namaste
#carehomenurse #skills Day 14: Assessing how someone moves from one place to another, overcoming their fear of hoists, encouraging body movement on a daily basis - even if a person cannot walk. Enabling recognition of mobility aids & encouraging their use.
#carehomenurse #skills day 13: Falls risk assessment - not all falls can be prevented because life is about choices, but we can encourage physical exercise, boost confidence, provide walking aids & alerts where appropriate. We can get to know people's patterns & help them.
#carehomenurse #skills Day 12: Enteral feeding management - replacing & maintaining feeding tubes, delivering nutrition through these tubes, observing position of resident to reduce risk of aspiration. Also ensuring oral comfort & that people feel included around meals.
#carehomenurse #skills day 11: Catheter care (urethral & suprapubic), ensuring these are not used for convenience, monitoring for signs of infection, ensuring comfort & dignity in use and when replacing these.
#carehomenurse #skills Day 9: Infection prevention & control - following current guidance to prevent infections, to identify infections which sometimes don't follow regular patterns, caring for people who don't always understand infection control procedures in a sensitive way.
#carehomenurse #skills Day 9: Assessing pain is about noticing & listening, sometimes in people who can't verbally express that pain, when you rely on behaviour, on body language. Knowing that not all pain is physical.
#carehomenurse #skills Day 8: Palliative and end-of-life care is part of life. We work with people to plan their future needs, not just at the time of death but regarding treatment beforehand. We support people through anticipatory grief, through loss of a person they knew.
#carehomenurse #skills Day 7: Assessment of residents’ needs - knowing that wellbeing contributes to resilience during illness means ensuring a holistic assessment of needs. Clinical needs & fundamental psychological needs, the needs of residents & needs of family considered.
#carehomenurse #skills Day 5: Recognizing & responding to deterioration - knowing a person well enough to notice soft signs that someone isn't well as well as the more obvious signs. Someone not reading their paper, not joining in activities. Being unusually animated or quiet...
#carehomenurse #skills day 5: Writing care plans and documentation that are person centred, written with all people involved, outcome led. Taking time to get to know people, build relationships, share their story.
#carehomenurse #skills day 4: Safeguarding & protection of vulnerable adults - noticing people at risk, understanding legal powers, protecting choice, balancing the dynamics of communal living.
#carehomenurse #skill 3: Monitoring vital signs - there's a talent in recording observations in people who don't always understand what you're doing, making people feel safe in the process. What else do you see in those moments though, emotions are #vital signs too!
#carehomenurse #skill 2: Wound care - assessment of wounds, prevention of wounds, reducing risk of infection in wounds & ensuring comfort and appropriateness of dressings to the resident. We've all known an unwrapper! Wounds such as pressure ulcers, skin tears, leg ulcers...
#carehomenurse #skill 1: Medication administration. It's not just managing a large drug round, probably the biggest any nurse does - it's #knowledge of each medicine, giving #parkinsons meds timely, combatting polypharmacy by advocating for needs, monitoring the impact of meds...
After a tough couple of weeks, this wee gesture from a relative made me smile today. It's lovely to feel appreciated 😊
#carehomenurse
Looking forward to #qnis #carehomenurse meeting this afternoon. Everyone has the opportunity to make a poster about where they're at, what interests them, what they've been working on. I used findings from our #studentnurse feedback to highlight the need for care home placements.
Arrived safely in North Ayrshire my home for the next three days. It was a very early start to get here and as expected the last 14 miles was an adventure after taking a wrong turn. #NationalWork #RoadTrip #CareHomeNurse
A walk to clear the head before another 4 hours of reading and writing up. It’s been a productive morning though as I do feel like this chapter is nearly there #PhDLife #ConstructivistGroundedTheory #CGT #Balance #NurseResearch #CareHomeNurse #CPD
After a beautiful day at the Daffodil Festival yesterday, today it’s all about Constructivist Grounded Theory. PhD life is all about time and balance #PhDLife #CareHomeNurse #NurseResearch #CGT