 mae gwwled yn 25 ymlaen, oeddeni gynnwys i'w ddweud. Felly, y dyma'n 8 yn ymlaen, rydyn ni'n sicr, 4.45 am yn y ddweud, rydyn ni'n gweithio'n gwahodd o'r blasemydau i'w 12, 5.50 ti'n gyhoedd. Heid. Rydyn ni'n gweithio, rydyn ni'n heid. Rydyn ni'n gweithio'n gwahodd, rydyn ni'n gweithio i'r blasemydau, rydyn ni'n gweithio, rydyn ni'n gweithio'n gweithio. ac rwy'n gilydd i gynnwch i'w i fynd y bus yn dweud y peth. Rwy'n gilydd i'r bus ar y cwylwr i'ch bod y cwylwr i'u ei dweud mewn bus. Rydyn i'n 15 minu iawn am y bus. A'r hynny'n cael ei gydag. Rwy'n gwybod i'r moedd gwaith. Rhyw pwysredinol, rydyn i'r holl. Rydyn i'r bwysredinol, rydyn i'r staf. Caer ddraeio a'n case i ddegu. Rydyn i ddau'n cael holl. Rydyn i'r holl boeth yn fawr. I'll see you all at 8pm when I finish. I've arrived, so far the place looks really nice, it's a really small area, it looks really friendly, all the staff seem nice so far, but I'm here early, half an hour earlier so I'm going to go and have a cup of tea and settle in and hopefully meet my mentor and hopefully have a great day, so I'll see you all later. I don't know if you have told you all but this is a dementia rehabilitation ward, it's very much community feeling and community based, so there is I think 18 beds or was it 16 beds, I think there's 18 beds, so all of the patients they do have dementia and they are there either because they're a step down from the ward before they go back into the home, sort of just to get them back up and motivated and mobilised again before they go home. Also we get people for respite so people will book the sort of family members in for respite, like for a week or two weeks let's say, so for example if the family are their primary carers and they're going on holiday they can't take the patient with them then the patient will come to us and stay with us for a week or two while they go off on holiday. And to be honest I think that's really really important because if you're caring for someone 24-7 you need, I think you need that break, you need that for you as the carer and the patient needs that to sort of get out of that situation and go to somewhere else where they can see new faces, new conversations and it's like a mini holiday for them as well. I think that's really important just for everybody to have that time out and then come back, refreshed, recharged and back to it. So that's basically the sort of patients we have and we have a few nurses, healthcare assistants, there's housekeeping, there's the reception, there's ward clerks, there's matrons, there's bed managers, there's advanced nurse, practitioners who can prescribe and there's no doctor but there is an on-call doctor there. So if there's anything that's going down, the doctor gets called and the layout of the ward is very much community feel so you have got a proper kitchen area, you've got a dining room where all the residents go down and they go to the dining room to eat together and they've got a TV room so they can all go to the TV room and watch TV together if they want to. And then you've got three bays with four beds in each bay and then you've got a set amount of side rooms, private rooms for patients and you've got the male and female bays separate as well. So it's really like I'm one of these people that I like a good layout when I go into a workplace or a ward or a conference or event or something like that. Like I'm all about layouts and this one is really nice. I really really like it. It's got big open windows, the light comes in, the bays are lovely, the side rooms are lovely, there's loads of space considering it's classed as a ward. There's loads of space to move around which is a massive massive big thing for wards because you've got hoists and wheelchairs and forever knocking water bottles off, water jugs off the tables. So this is really nice. I feel really comfortable in this place and it's really easy to find your way around. So I really like that about the place and it's got a garden. It's got a garden that the residents can go and sit in and enjoy the sunshine and the fresh air. What ward has that? I mean they do have sort of I suppose outside areas but this has got a really nice garden. So I'm planning to take residents out there and encourage them to get some fresh air and sunshine because it can make a world of difference. So yeah, so that's basically the ward and the layout. Yesterday was a really good day. It was a lot quieter and a lot slower than a regular ward which threw me because I'm used to being really busy and getting on and doing things. So I was sort of walking around like what can I do now? What can I do now? What's to do? Tell me what to do. I need to do something. So it was a little bit slow but it was really really nice because you could take that time out to sort of find your feet and get to know the patients, talk to the patients, talk to the staff, get to know the staff, get to know the routine of the ward properly rather than just being thrown in and everything going to mush. So from that aspect it was really really good. All of the staff were absolutely amazing. They're so so lovely and the patients are so lovely. If I haven't already told you yet it's dementia rehabilitation. So it's just, I mean I love the elderly and I love dementia so it is right up my street and I knew I would like it but the night before the week leading up to placement I was a bit nervous about it because it's a new placement. It's the fear of the unknown that we all have when we go to placement. We all get scared basically and until you've done that first shift you're going to be scared to death about placement. But it was good. It was a really good day. I learned, actually I learned something. No I didn't learn something new. I did something new. So yesterday if you remember for those of you that watched previous vlogs, one of our last modules of second year was all about writing a care plan. I was really excited because I haven't done a care plan previously like this before if that makes sense. So when I worked in elderly people's homes years ago we always did care plans for everything so their personal hygiene, their mobility, all think they would be separate care plans for everything and you would sign each day to say you followed that care plan. So since then I haven't done anything. You don't get anything like that on the wards usually. It's normally tick boxes and sign sheets, assessment charts, things like that. But these were proper care plans so you'd have your problem that you've identified so if a patient can't wash themselves properly, if they need encouragement, motivation. And then you'll have the goal. Okay what is your goal for that problem when you want it to be achieved by and the intervention on how you're going to do that. So yesterday I sat down and looked at it and I was like I'm going to do a care plan for the first time in forever. The first time ever as a student nurse doing a care plan we've done it in the module so I should have some knowledge behind it and I can put it into practice. Yes, put in the theory to practice. This is what I love about placement. So I sat down and I got a few out. So I got personal care, I got oral care and a blank one. So I did three for this one patient so I did with personal care because she needs encouragement and she needs a lot of help with her personal care. And one of the things that the son had actually said to me was while she's here could you clean her nails and cut her nails because she won't let anybody do it. So I was like okay don't know how this is going to work but we'll give it a go because we have to try. So if you don't try you don't know. So I sat there and I thought okay problem identifying the patient's nails are quite dirty, they're quite long and because she clenches her fists it's sort of a hazard so we don't want that to happen so we want to get those nails short. What's my problem and then the goal is to try and encourage patient to clean and cut nails but she can't do it herself so I'm going to have to distract her, I'm going to have to motivate her, I'm going to have to use different techniques and it's probably going to take me a whole day to do this. It's not going to be a quick problem to solve. It is going to be a massive challenge but I'm going to try it because it needs to be done and it's quite important. Nail care is often forgotten and it's really nice. It was one of the things I love as well as cleaning dentures. One of the things I love is doing people's nails and feet and getting them clean. But anyway that was the goal. Intervention is gain consent from the patient, try and do the nail care, try and cut the nails if not get Adie that comes to cut nails so see if she will do it, if she won't accept me to do it or if she won't accept another member of staff. Try different members of staff because sometimes it's just a different face that helps and a different approach and a different way of saying things to the patient. You have to try everything possible to finally get your result and your goal but we'll see. She's with us for a week so we'll see by next week I'm praying I've done those nails because that is my target and that's what I'm going to do and I've promised the son that I will try so I'm going to do that. So yeah so that was really really good to do those care plans. Oh and the blank one I put activities. This was something I personally put into place when I was asking about the patient's history and what she liked to do before. Activities wise like what were her hobbies, what did she do and you made a comment that she used to love bingo but she doesn't do it anymore and she doesn't do anything. The only thing she likes to do is listen to the radio. She'll listen to radio too but she used to watch Coronation Street and things like that but she just doesn't watch a telly anymore because their attention span just isn't there. So I thought okay well do you know what let's try and do something because I want her to have a sense of belonging. What sort of quality of life is that if you're just sitting there listening to the radio and I felt a little bit sad by that. Obviously it can't be helped it's the nature of dementia unfortunately you do become unaware of things and sort of I don't want to offend anyone by saying this but you sort of become in your little bubble and that's your bubble and you're happy just being in that bubble I think just from what I know. I hope I've explained that right but I wanted to put something in place to get this patient to partake in activities for someone to encourage this patient to get out of her room even to sit in the garden and he said that she used to do gardening. I was wondering whether maybe we could take her into the garden and she can see the flowers and it's very sensory because I think people of dementia do like that sensory thing. They're like sort of lights, they're like textures, they're like to rub things, they're like to feel things, they're like to picket things, they're like to listen to things, different sounds. So I'm thinking that or when there's some activities going on, some music activities, maybe even bingo, I'm going to have a look at the week and see if there's an activities chart to try and get her and encourage her and motivate her to go down and take part in those. I mean she might need help but she's going to love it, I think she's going to really love it. In my head it's going to be amazing and I'm praying that it's going to be good. So that was the other care plan I did to encourage the patients to partake in activities to give her that sense of belonging and quality of life, giving her that back and hopefully it's going to be good and hopefully I'm going to win at that. Fingers crossed I can do this. So yeah, so other things that went on, I did the care plans, I did admissions, I haven't done a discharge there yet but I did a new admission so you have to go through all of the risk assessments with the patient going over how they mobilise, how they transfer from chair to bed, the risk of falls, risk of pressure sores, nutrition, their fluid intake, manual handling, all of that. There's quite a lot. So we did all of that, well I did all of that, I got it already and then I went back to my mentor and said okay just check that I've done this right because it's a new setting, I haven't been at this particular hospital before, it's all new paperwork, it's not paperwork I'm familiar with but I got on and I did it and then I got my mentor just to check over to make sure I was doing it properly and luckily I did it alright and he did say I've done it alright, there was just one or two things that I sort of did extra that I didn't have to do so he removed that and that was it, I was like yes I've done it. So all in all it was a really good day. I think I'm going to really enjoy it apart from it being like a little bit slower paced that that's the only issue but I don't think that's an issue because I've got more time to do paperwork and catch up with things and spend time with patients which is amazing which is what I always want. I'm going to spend the next couple of days revising for this next exam, I have two weeks until this exam, not counting down or anything, I'm panicking, hopefully it'll be okay but I'll let you know how it goes. I'll probably be crying at the end of it but yeah so I'm back in Friday, Saturday and then I'm off Sunday which will be today and hopefully I'm going to be having a nice day, I'm going to be relaxing, I'm going to do a little bit of revision and chilling out. So that's it from me, I don't think I'm going to get a chance to vlog Friday Saturday just because I'm not going to finish until really really late and then I'm not going to finish until late Saturday, I'm not going to have a chance to edit this video. So I might just post this one and then I'll catch up with you all next week and just because the time it takes for my videos to upload because my wifi is absolutely shocking, it takes all night to upload. So I'm not going to have time, I don't think to vlog Friday Saturday's placements but the weekend after I'm off so I will have time to get a vlog together and post that one for next week. So I might combine it all together but we'll see. So I hope you all have an amazing week, I shall see you all next week and hopefully it's going to be an amazing week. Fingers crossed.