It is important to genuinely care about patients and to provide them with the best care possible. No plagiarism, guaranteed! Study for free with our range of nursing lectures! Conclusion: In conclusion, due to the presence of both the patient (the baby) and his father, not only did this patient encounter bring with it the challenge of the language barrier, but it also brought the experience of needing to integrate multiple people into a conversation without loosing the flow of the conversation. This made me conscious and I started to take actions and procedures which should be taken against a patient suffering from liver cirrhosis. The patient, aged 3 months, attended the clinic with his father regarding his physiotherapy for his Cystic Fibrosis (CF). Loved reading this Blog? They were quite angry about the behavior of the student. Feelings: Upon reflection, I feel that although, at first the situation did both feel and appear new and challenging, my ability to communicate with the client was not helped by the fact that I was unable to think of a new way to phrase the questions, which I had. I will continue to undertake regular professional reflective practice, using the on-going model proposed by Gibbs (1988). Therefore, it is important to provide the necessary information precisely to the point. During the consultation I felt anger toward the patient’s peers who had teased him. This section discusses your feelings, thoughts and behaviour about the experience. You can talk about things that you need to learn or attend some training to improve your practice. The Gibbs’ Reflective Cycle will be used as this is a popular model of reflection. Strong working relationships between healthcare professionals should also be given a greater emphasis within the oncology ward, so to increase levels of group cohesiveness (Rutkowski, Gruder and Romer, 1983). Action plan: The experience also showed that I must work on my communication skills and my coping strategies in different clinical situations. Visit our website to know more about these offers and discounts. All Rights Reserved. Upon hearing the nurse’s words, the service user became overtly distressed and began crying, shrieking and hitting his head backwards against his pillow –it took time; however, another nurse managed to calm him down by talking in a soothing manner. Uncategorized [ad_1] Introduction. The patient disclosed that he had begun to get spots at around age 14 when he had started puberty and that it had begun to make him feel extremely self-conscious. I was able to stabilize the critical condition of the patient and had taken care of him during my entire shift. The progressive part of the event was that the event helped me in acquiring a lot of confidence. I also learnt that it is my first priority to protect my patients at any cost. When I think about that unfortunate incident, I am very clear that I must have taken a quick action to prevent such incidents. The situation was all under control and thus the event was a very pleasant experience for me. London: Royal College of Nursing. New Jersey: Prentice Hall. However, there were also some negative elements. In retrospect, I also believe that I should have given the patient a longer consultation time in order for us to have explored the psychological impact of his acne in more detail. Available at: https://www.brookes.ac.uk/students/upgrade/study-skills/reflective-writing-gibbs/. How to write a Reflection Paragraph in an Assignment? Description This content would reflect upon a medication incident that I came across my previous nursing placement as a student nurse alongside my registered nurse (RN), providing care to a patient, who was suffering from reactions to alcohol withdrawal, administered with oral Diazepam. Hayter, M. (2005) Reaching marginalised young people through sexual health nursing outreach clinics: Evaluating service use and the views of service users. and Feldman, S.R. Boud, D., Keogh, R. and Walker, D. (1985) Promoting reflection in learning: a model. I was very cautious and attentive while I was attending the patient. the quality that is guaranteed with every nursing paper ordered. Coyne (2008) has found that young people are rarely involved in the decision-making process when it comes to their consultations. At the time, I thought to tell the doctors what actually happened, however, there was no time to create a scene because the situation was already gone out of control. Also, things you can further improve upon if the incident was negative. & Rydahl‐Hansen, S. 2015, "Coping and rehabilitation in alcoholic liver disease patients after hepatic encephalopathy – in interaction with professionals and relatives", Journal of Clinical Nursing, vol. Rutkowski, G. K., Gruder, C. L., & Romer, D. (1983). Total Assignment help is an online assignment help service available in 9 countries. His condition was very critical and I was asked to provide him the primary aid in the intensive care unit. The family of the patient should be made aware of the seriousness of the situation and should be asked to provide the patient with mental and social support to help him recover and join rehab centre. BMC Psychiatry, 10(1), pp. In this essay, I will reflect upon a experience which I had with a patient using the Gibbs cycle of reflection (Gibbs, 1998) to help to signpost my answer and help the reader to read this essay with ease. When the nurse entered the patients bay, she informed the members of the public that the service users in that bay were currently receiving radiotherapy treatment. The situation seems almost moving out of hands and the doctors immediately rushed to the patient and tried to calm him down. If talking about a positive response, you can ensure the procedures you will continue to take to ensure a positive outcome. John Wiley & Sons. However, there are points in your career when you feel sure that you have made the right choice. 1196 words (5 pages) Essay. 793-796. On reflection, I am also now convinced that the patient coming to see me was a very positive event. Ultimately, I did not feel confident or experienced enough to deal with this situation independently. Coyne, I. Description . If the same situation was to arise again I think that I would approach it in a slightly different way. Thus, in the future, I aim to increase my level of exposure to patients of all ages by attending a variety of physiotherapy clinics and talking to patients. You can view samples of our professional work here. This often makes people realise from their own experience the things they need to improve upon by giving it more attention. I have recently reviewed my Nurses Reflection Diary(Workbook) to include a model of reflection. This patient was suffering through the complaint of acute withdrawal syndromes from alcohol, liver cirrhosis, swollen abdomen, and ascites. The patient was worried that   girls would not be attracted to him because of the spots. I felt a range of both positive and negative emotions during the consultation, and I think this re-affirmed for me that I enjoy nursing and enjoy helping others. Reflection-on-action encourages individuals to re-live past events, with an emphasis on developing a more effective action plan for any future, similar events that may occur. The patient was crying due to severe pain in his body and unintentionally, he moved his leg which slightly hit a student. However, the review also found that acne treatment may lead to improvement of the psychological disorder that are so often co-morbid. (2015) The Code. . The patient described the negative effect that the acne was having. In particular, I would have offered to refer the patient to further support services. Therefore, in the future I would be certain to reassure young people that their details and consultations are kept completely confidential. Moreover, the day to day communication towards patients with learning difficulties should involve patient-centred/holistic care in addressing patient needs, which incorporates both verbal and non-verbal forms of communication. I have chosen Gibbs model as a simple way of taking you through the steps of reflecti… This was clear because when the patient first entered the room, he was looking around the room and not smiling very frequently. Oxford Brookes University. (2011) Acne in adolescents: Quality of life, self-esteem, mood and psychological disorders. For the purpose of confidentiality, I am renaming my patient Jim (Nursing and Midwifery Council (NMC) 2008). Keogh, K., 2014. Nursing and Midwifery Council (NMC). Dunn, L.K., O’Neill, J.L. Conducting this patient in the intensive care unit had made me more aware and knowledgeable about how to attend a person who is in a very critical stage. I was asked to carry out a subjective assessment of the patient however, the setting of this encounter was rather different from the set-up which had been used in the past, and although I had seen patients who were younger in the past, this patient was different as it rapidly became apparent that he had been brought by his father who was unable to speak fluent English and was also unable to understand much English at all. You can use this model to break down the steps of reflection, draw conclusions and decide on how you are going to improve practice. Free resources to assist you with your nursing studies! Dermatology Online Journal, 17(1). (Bulman and Schutz 2013), Subscribe our YouTube channel for more related videos. The experience also helped me realise that I need to actively search out training and learning opportunities regarding working with young people with mental health issues. Department of Health (DoH). Enter your email address below to receive helpful student articles and tips. Have a great day! This will most likely be achieved through increased exposure to patients within my clinical placement and I will try to ensure that I increase my exposure to individuals of a variety of nationalities wherever possible within my placements. However, the medicine has to be given intravenously. Therefore, reflection on these emotions and exploration of how to manage them and improve management of them in the future is of particular importance in the nursing profession. MENCAP. My own experiences of acne also meant that I was able to relate well to the patient. Error, group does not exist! This appeared to aid the patient’s fathers understanding greatly. You can view samples of our professional work here. One of our expert writers has created this bespoke sample nursing reflective practice that shows Analysis: My experience has taught me that in order to improve my communication skills with patients of different languages, I will need to increase my interaction with a range of patients with different native languages and those who are not fluent in speaking English. When writing the description, you must explain the activity, situation or event in detail without concluding. I also felt regret and guilt. Include the answers to the following questions: Available at: https://www.mencap.org.uk/sites/default/files/2016-12/Communicating%20with%20people_updated%20(1).pdf, National Health Service (NHS). I suffered from bad skin from the ages of 14 to about 20 and it severely affected my own self-esteem. This again, helped the patient’s father to understand the meaning of what was being carried out and what was being said. These reference papers are strictly intended for research and reference purposes only.

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