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In this essay I will demonstrate the knowledge and skills I have gained during my placementI will focus on how a pre-existing disease can be a problem during anaesthesia or can be a challenge to professionals It was important for me to learn to adapt my techniques as per required whilst learning to efficiently handle emergencies My new learning needs were to modify and adaptpractice to different situations and be efficient in emergencies I will reflect to a patient l care for in my placement as an emergencycaseJustification and rationale of the anaesthesia choice its advantages and disadvantages will be discussed I will then discuss the evidence-based findingslegal ethical and professional issues will also be touched upon I will be utilizing GibbsReflective cycle 1998 cited by Jasper 2003 for my reflective process With this reflective cycle l will be able to look back to what really happened then learn from it and think how l will apply what l have learnt in futurethat will help me analyse and critically evaluate every action I will take whilst working on this case it will also encourage me to reflect on the experience gained from the case at hand when dealing with a similar scenario in the future According to The Standards of Proficiency for ODP 2B4 2008 be able to modify and adapt practice to emergency situations which is what I had planned on achieving during this placement My role in this case or placement was to be efficient in preparing for patient going under anaesthesiaand provide high standard assistant for the safety of the patientMary was admitted for an emergency appendixectomy Association of Operating Department Practitioners Code of Conduct 2007 Mary is a pseudo name used for this scenario Mary was shortweighing 25 stones and asthmatic poorly managed These pre-existing conditions were a challenge when it comes toanaesthetic procedureThe anaesthetist communicated with the team his assessment about the patient prior to surgery which included pathophysiology
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