This reflective essay will demonstrate the concept of reflection. The model of reflection by Driscoll, 2007 has been followed in this essay to reflect the clinical skills that I have studied and practiced in week 7to week 9 of this unit which assisted me to get prepared for the practical experience which I will commence at the end of this semester. I have practiced numerous skills during the practicals class, but this essay will be a focus on taking care of bedsore and wound management.
What? The patient is 65-year-old man Mr. John Douglas who is suffering from dysphagia and have been admitted to the surgical ward for insertion of a percutaneous endoscopic gastrostomy (PEG). Apart from that, he is a Type 1 diabetes patient and has weakness in his right leg and arm because of right-sided hemiplegia. He is thin in appearance and has stage 1 pressure sore on his right heel.
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Being a nursing student, I understand that Mr. John suffer hemiplegia resulting in weakness and also have limited ability to move, he cannot eat by mouth which restricts to have enough nutrition for the body, these are the some of the reason that make Mr John prone to have pressure injury as limited mobility and sickness causes the blood vessels to collapse easily so when for hours or days continuously pressure remains on the skin it leads to pressure sore and these pressure sore increases the risk of infection (Reddy, Cottrill, & Cansino, 2011). Usually, sustained pressure causes injuries over a bony prominent area especially in those who are malnourished and immobilized or limited mobilized. Routine assessment of skin is recommended to observe any sign of infection, 2 hourly position helps to relieve the pressure on the area (Barret, Kevin, James,
Poverty can be a choice or a last resort for many across the globe. The Glass Castle a memoir written by Jeannette Walls, portrays how her family rejected civilization and embraced poverty. I felt Rex Wall’s notion of “sink or swim” (Page 66) portrays the failure and success of having a family. The situation in the Wall’s hopes manifested itself as a Glass Castle, a mysterious glass house the family would hope to build and live in. In order for the family’s dream to succeed, they would have to face many demons on the way. Throughout the book, I protested against some of the choices that were made, but I soon came to an understanding that some people will not change the way they live. I kept on thinking there always a possibility that there is always a cure to a problem, but sometimes there is too little time or understanding on both sides. A common theme that kept on going
The purpose of this essay is to reflect upon the teamwork and communication within the multi- disciplinary environment of the theatre suite. I will follow a patient on their journey along the Patient pathway, from their arrival in the anaesthetic room, through to them being handed over to the recovery staff. The patient pathway is described by the Department of Health (2007) as a timeline, on which every event relating to treatment can be entered. Events such as consultations, diagnosis, treatment, medication, diet, assessment and discharge can be mapped on this timeline. In this essay, I will use the Johns 1994 mode of reflection. The purpose of reflection, as stated by Johns (1994) is to promote desirable practice through the practitioners understanding and learning about their lived experiences. Patient trust and confidentiality will be maintained throughout, the patient referred to as Mrs X and any details will be improvised.
On admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings. J.P. was positive for dyspnea and a productive cough. She also was positive for dysuria and hematuria, but negative for flank pain. After close examination of her integumentary and musculoskeletal system, the examiner discovered a shiny firm shin on the right lower extremity with +2 edema complemented by severe pain. A set of baseline vitals were also performed revealing a blood pressure of 124/80, pulse of 87 beats per minute, oxygen saturation of 99%, temperature of 97.3 degrees Fahrenheit, and respiration of 12 breaths per minute. The blood and metabolic panel exposed several abnormal labs. A red blood cell count of 3.99, white blood cell count of 22.5, hemoglobin of 10.9, hematocrit of 33.7%, sodium level of 13, potassium level of 3.1, carbon dioxide level of 10, creatinine level of 3.24, glucose level of 200, and a BUN level of 33 were the abnormal labs.
According to Reid (1993, p.306)”Reflection is a process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice”. This means making sense of practice and learning from it. It is when a nurse looks back and focuses on a certain experie...
There are certain barriers in using reflective practice such as lack of proper resources to improve their learning experience. Some nurses are not aware of how to undertake reflective practice due to their lack of knowledge and also may be worried about documenting experiences and emotions. Furthermore, time is one of the main barrier for reflective practice, learning through reflective practice can be time consuming, and if a nurse is reluctant or shows lack of motivation to spend time in improving their skills or knowledge through reflection or reflective practices, it will not benefit in making any changes in their profession and also in their patient care. According to Forneris et al, (2009) lack of time can cause beginner nurses to become
The main aim of this reflection is to demonstrate that I provided this care. During my training as a student nurse, I have been involved with many patients with complex needs of a with the support of a mentor, however this was, primarily, the first time since qualified and on completion of my registration that I became responsible and accountable for my practice.
I will be using the Gibbs, G. (1988) model of reflection to reflect upon for this essay, as this six stage cycle will guide me through the process of description to the action plan, as I find myself to be an active/reflective learner and feel that I can relate to, and learn something that is of value to my practice, and future career and lifelong learning skills through this model of reflection. Throughout this reflective account I will refer to the patient as Mr X, in order to respect confidentiality and maintain his anonymity (NMC) (2008), and local trust policies and guidelines (2009).
Thomas, D. R. (2001). Issues and dilemmas in the prevention and treatment of pressure ulcers: A
The aim of this essay is to critically analyse a clinical incident involving an adult with Congenital Heart Disease (CHD). I will define reflection, then select a reflective model and critically reflect on the incident demonstrating my new found knowledge. Lastly, I will suggest how nursing practice should change to improve the care of this group of patients.
This reflective essay will discuss three skills that I have leant and developed during my placement. The three skills that I will be discussing in this essay are bed-bath, observing a corpse being prepared for mortuary and putting canulla and taking it out. These skills will be discussed in this essay using (Gibb’s, 1988) model. I have chosen to use Gibb’s model because I find this model easier to use and understand to guide me through my reflection process. Moreover, this model will be useful in breaking the new skills that I have developed into a way that I can understand. This model will also enable me to turn my experiences into knowledge that I can refer to in the future when facing same or similar situations. Gibbs model seems to be straightforward compared to the other model which is why I have also chosen it. To abide by the code of conduct of Nursing and Midwifery Council (NMC) names of the real patients in this essay have been changed to respect the confidentiality.
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture. A pneumothorax is defined as “the presence of air or gas in the plural cavity which can impair oxygenation and/or ventilation” (Daley, 2014). The development of a pneumothorax to a tension pneumothorax can be caused from positive pressure ventilation.
An example in which reflective practice should have been applied in Michelle’s journey of treatment, was the way in which staff in the radiation therapy department at Peter Mac had treated her on her first day. All staff were focused on how to hoist her breast for the scans, however they did not consider asking the patient about her comfort, or informing her adequately on what they were discussing. Through my own personal reflective practice of listening to Michelle’s journey, by applying reflection on action the staff could have communicated more with Michelle and ensure she was comfortable and adequately informed about all procedures taking place. It is important to note that in this circumstance without reflecting upon individuals actions patients could feel discomfort and uneasy in practice and therefore reflective practice is an essential part in medical
Will the future of optics still be based on mirrors, prisms and lenses? To investigate this question some background information on the key concepts of light, reflection and refraction will be covered first. Light is defined as electromagnetic radiation of any wavelength. Light is also known as luminous energy or radiant energy. The speed of light is 299 792 458 m/s and is always constant. Electromagnetic radiation involves electromagnetic waves, radio waves, infrared, visible light, ultraviolet, x-ray and gamma ray. Electromagnetic radiation can travel through empty space unlike other waves that can only travel through substances such as solids, gases or liquids. Waves are measured in crests or troughs (see figure 1) the formula for the wavelength frequency relationship is c=f λ. Amplitude and wave frequency are both very important for reading and understanding waves. Amplitude measures the intensity of the wave by measuring the height of the wave, measuring the maximum vertical displaceme...
When a light ray strikes a plane mirror it changes its direction which is known as “reflection”. The light ray, which strikes the mirror, is known as “incident ray” and the ray after reflection is known as “reflected ray”. The perpendicular line which bisects the incident ray and reflected ray is called normal drawn to the point of intersection. The incident ray, reflected and the normal drawn to the point of intersection lie on the same plane. (Fig 1)