REFLECTION

Posted on March 9, 2024 by Cheapest Assignment

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REFLECTION

Introduction

The following context elaborates on three specific clinical case studies that I experienced during my course. Thus the reflection initiates future improvement that also reflects on my professional career (Taleghani, Abazari & Yousefy, 2019). I have explained three different experiences and used Gibbs’s reflective model (Li et al. 2021) to describe and evaluate these three case studies.

Memo and Letter

Case analysis 1:

Description

I was assigned to the infection ward of the state general hospital at the start of my career. It was the first year of my study and I got different clinical mentors, teammates, doctors, and various kinds of patients to accomplish my study. Once I found Dr. L Ponting was in a rush and did not use alcohol to wash his hands before investigating the infection ward. Moreover, he had pushed the injection to Mr. Adams. The patient has serious skin diseases and suffers for a long time.

Feelings

In this section, I will explain my sentiments or understanding of what occurred in the situation that transpired. Considering all the infectious prevention standards and cycles set up, I was frightened that the professional didn’t sanitize her palms or use ethanol before treating Ms. Adams (Otieno-Ayayo et al. 2015). Notwithstanding this, I was uncertain of myself and felt terrified because the specialist knew better and had more information than I had as another student. I left the surgeon without discussing the matter as he felt unhappy. Notwithstanding, not long after, I talked with my tutor and illuminated her with what I had seen. She then, at that point, proposed that both of us face the specialist. The following day, my coach addressed the specialist in private and inquired as to whether she had cleaned her hands before looking at Ms. Adams. The specialist sincerely committed to my coach that she would guarantee she followed the guidelines and cleaned up before assessing any patients.

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Evaluation

This experience was hard for me since I felt disheartened that I didn’t defy and challenge the specialist before he analyzed Ms. Adams, however, then again, I felt happy with how the specialist answered, which was so merry and energetic. Subsequently, I saw that the specialist had modified his training because of the event. This experience has shown me the benefit of being self-assured with the workforce while keeping a delicate disposition to safeguard patient privacy.

Analysis

Since hands can immediately spread microorganisms starting with one spot or patient and then onto the next, hand tidiness is fundamental in the counteraction of emergency clinic procured contaminations. As indicated by research from the Royal College of Nursing, possibly unsafe microbes such as Staphylococcus aureus, and Clostridium are difficult, Although it has been recommended that medical clinic garments act as a vector for the spread of contamination, there is presently no confirmation interfacing this to patient contact (Abdulmalik, Al-Wahedi & Aseel, 2018).

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Conclusion

I should have guaranteed that the specialist purified her hands before checking the patient out. I’m mindful of how I endangered Ms. Adams’ well-being. After talking with my tutor, I understood that I expected to acquire the mental fortitude to censure partners’ activities while remembering any tensions they might be under. I additionally expected to ensure that their activities didn’t jeopardize patients.

Action plan

Filling in collectively and picking up something about compelling correspondence are by and large parts of my well-defined course of action for giving quality nursing care. To safeguard the prosperity of victims while teaming up with representatives, I will attempt to upgrade and reinforce my self-assuredness capacities.

Target priority population

Case analysis 2:

Description

The second case took place when I was in the 3rd semester of my nursing course. On placement, I got selected to take care of 4 surgical patients who were admitted for the last five days under my mentor or clinical nurse specialist. Once on night shift duty, our mentor shifted and another registered nurse took charge and handed over one of the post-surgery patient indwelling catheters. The intervention process was to remove the IDC before 10 pm (Friedman, Eslick & Dietz, 2018). As per the reporting of the registered nurse, it was a bit wet in the patient’s incontinent area however the patient avoided the complaint. The immediate situation made the registered nurse confused and tense. I took a serious intervention on the patient and examined him. According to the asking, he replied that he suffered from lots of lower abdominal pain.

Feelings

At the immediate time, I felt nervous and tense with the situation. I remembered that I followed the rule book guidelines for the intervention. I took some basic proper investigation and reported to my senior mentor regarding the situation ]. She also appreciated me for the correct intervention guided me with the appropriate process and asked for a USG of the patient.

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Evaluation

The USG report clarified several data regarding the immediate condition of the bladder. The residual precipitation of the urine is 998mls. I verified the report and knocked on the junior medical officer present in the ward. I was working as the assistant staff nurse with a close eye on the operation. Besides these things, I discussed with my mentor, during this case study and she clarified that the new RN had assumed her perspective with the patient and forgot to discuss the situation with JMO. This negligence harms the patient’s condition. My mentor also guided me in the legal ethics of patient care

Analysis

Qatar nursing councils have proper guidelines about the legal and ethical competencies of the nurses to care for the patients. The QNMC mandates policies to pass an assessment before the intervention of any critical patient (Brown & Xhaja, 2018). Moreover, the QNMc comprehensively discussed the several consequences that may happen. Each care person or registered nurse must fulfill their duty toward the sufferers.

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Conclusion

Analyzing the entire consequences I have learned several vital aspects of the intervention and gained more confidence in my professional area. I also thought that if I relied on the patient’s statement and stopped identifying signs, it may cause a fetal situation for the patient. The residual urine released more than 800 ml and stopped the overdistention of the bladder. I felt that nurses must report promptly to the JMO for better precautions for the patient and never self-judge a situation

Action plan

Nurses are responsible for the critical care of the patient and they must obey the guiding rule of the assessment. Moreover, a nurse always discusses any critical situation with the senior mentor for better consultation they must visit the present JMO of the floor. I also realize that proper diagnosis is a fundamental trait to identifying the main reason for any hazard. In the specific case, I realized the RN miscommunicated the entire case with others and that’s why the patient had suffered long (Qian et al. 2021). Therefore effective communication is most important for balancing performance.

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Case analysis 3:

Description

The description of this matter occurred while I was in my second year. With the end goal of treating Hodgkinson’s lymphoma disease, Bob, a 42-year-old elderly person, has been getting forceful and intrusive chemotherapy for various months (Connors et al. 2018). Sway was hopeful all through his treatment that he would have the option to put his interests behind him and resume living an “ordinary” existence with his accomplice and teen little girl. Sway was offered extra tests to decide his forecast however couldn’t handle his internal heat level, which was a plausible pointer that the chemotherapy had not been viable. As expected the report found that chemotherapy was ineffective.

Feelings

I trusted and assuming he came clean about his condition, I would have the option to have a superior relationship with him and understand the kind of care he wanted. Moreover, I accepted that his family was denying him his right to independence and the capacity to pursue completely educated choices on his end regarding life care.

Evaluation

Giving patients reality about their anticipation and determination is important for the present profoundly valued the rule of patient independence, which medical services experts effectively advocate consistently.

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Analysis

As far as moral contemplations, the situation was confounded. Giving Bob the best all-over care during his approaching terminal ailment was a higher priority than simply observing the best proficient guidelines (Singh et al. 2020). At the point when I moved away from the situation, I saw that my responses might have been critical and that I wanted to utilize a more exhaustive system than just a clinical one.

Conclusion

This experience has made me mindful of the significance of having great correspondence, hearing, and listening abilities while working with patients friends, and family in end-of-life care to obtain an all-encompassing point of view. To give the patient the most ideal treatment, it is similarly vital to speak with different individuals from the multidisciplinary group.

Action plan

Additionally, I believe that guidelines may have handled some of these concerns. I will learn more about its significance and advocate for it whenever the chance presents itself.

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References

Abdulmalik, M. A., Al-Wahedi, Z. M., & Aseel, M. T. (2018). Qatar. In Family Practice In The Eastern Mediterranean Region (pp. 327-342). CRC Press.

Brown, D., & Xhaja, A. (2018). Nursing perspectives on enhanced recovery after surgery. Surgical Clinics, 98(6), 1211-1221.

Connors, J. M., Jurczak, W., Straus, D. J., Ansell, S. M., Kim, W. S., Gallamini, A., … & Radford, J. (2018). Brentuximab vedotin with chemotherapy for stage III or IV Hodgkin’s lymphoma. New England Journal of Medicine378(4), 331-344.

Friedman, T., Eslick, G. D., & Dietz, H. P. (2018). Risk factors for prolapse recurrence: systematic review and meta-analysis. International urogynecology journal, 29(1), 13-21.

Li, Y., Chen, W., Liu, C., & Deng, M. (2020). Nurses’ psychological feelings about the application of Gibbs’s reflective cycle of adverse events. American Journal of Nursing9(2), 74-78.Bagheri,

M., Taleghani, F., Abazari, P., & Yousefy, A. (2019). Triggers for reflection in undergraduate clinical nursing education: A qualitative descriptive study. Nurse education today, 75, 35-40.

Otieno-Ayayo, Z. N., Gichuhi, A. W., Kamau, S. M., & Nyangena, E. (2015). Health care workers adherence to infection prevention practices and control measures: A case of a level four district hospital in Kenya.

Qian, H., Liu, J., Xu, C., Zhu, W., & Chen, L. (2021). Predisposing factors and effect of bundle nursing in PICC-related upper extremity deep venous thrombosis in patients with non-Hodgkin’s lymphoma undergoing chemotherapy. American Journal of Translational Research, 13(8), 9679.

Singh, R., Shaik, S., Negi, B. S., Rajguru, J. P., Patil, P. B., Parihar, A. S., & Sharma, U. (2020). Non-Hodgkin’s lymphoma: A review. Journal of family medicine and primary care, 9(4), 1834.

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