Complex Nursing Care

Running head: COMPLEX NURSING CARE
COMPLEX NURSING CARE
Name of the Student
Name of the University
Author note

1COMPLEX NURSING CARE
Section 1- Self-Reflection
For writing the self-reflection I chose the western nursing g graduate programme for
managing the western health. The western health provide the services in different fields like
pregnancy and care of the new born babies, the health of the children and the adolescents, the
care of the aged person, the care for the cardiac patients, the patients suffering from the renal
diseases, the palliative care, surgical care and medical care. The aim of the graduate nursing
program is to facilitate the professional development continuously of the nurses for providing
high delivery nursing care. This programme help in facilitating the consolidation of the
preparation of the undergraduate nurses particularly it helps in the integration of theory into
practices and in further development of the professional skills, clinical skills and competency
skills. For assisting this, they support through two six months rotation. The rotations offers a
large area of clinical exposure with the chance to consolidate in the consistent environment. The
participants can choose from a vast area of the clinical care units. The areas are acute aged care,
the speciality clinics for the adults, oncology, orthopaedics, paediatrics, neurology, plastics,
radiology, nephrology and other different clinical care units. I want to apply there because this
programme involves giving training in all the core clinical areas. I will choose the paediatric
section as my professional area of choice because I always wanted to take the care of children. I
will be joining this programme because after a certain period of time I will become very
confident and efficient about my job responsibilities. I will become much more conscious about
my role of a nurse. Though I will work in the paediatric section, but my knowledge will not be
limited to this extent only. The educators from all the clinical areas do not hesitate in providing
knowledge. Only one day in a week for the professional section and on the rest of the days the
nurses can visit other areas also. There are regular specific sessions for the graduate nurses. The

2COMPLEX NURSING CARE
educators in different clinical areas are different. So the educators were very specific and
accurate in teaching us.
Section 2 – Clinical question
For doing the clinical questions I want to move with the third case. In this case scenario,
the patient has been admitted to the hospital as he is suffering from Malaena. This disease refers
to the very dark, black faeces and also the faeces are tarry which are associated with the bleeding
in the upper intestinal region (Sankey et al., 2015). The black colour and the odour which is very
specific because the haemoglobin in the blood of the person gets altered by the digestive
enzymes and the bacteria present in the intestine. The iron supplements turns the stools greyish
black which can be distinguished from malaena. This is due to the black colour is formed by
various medicines like bismuth subsalicylate (Mahsud, Din & Khan, 2017). Malaena can be
caused by a number of causes, the most common cause is the disease peptic ulcer but any
bleeding from the upper intestinal tract and the ascending colon can cause malaena. The causes
of bleeding in the upper intestinal tract include malignant tumours which may affect the
oesophagus, stomach and the small intestine. This disease is considered to be an emergency
condition as it normally arises because of the much significant amount of bleeding. Before
analysing about the cause of the disease, the past medical history of the patient and his family
must also be analysed (Tan, 2016). Often the bleeding stops on its own but if it does not stop on
its own the bleeding to be stopped. If the bleeding is occurring on the upper intestinal tract the
intravenous drug can be given. The drug is known as proton pump inhibitor which supresses the
production of acid in the stomach. The taking of the fluids is completely dependent on the
amount of blood that is lost. On how much the blood is lost and whether the person need to bleed
or not we require the fluids. In the present case scenario, the patient is already in fluids and has