• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

Reflective writing, I have decided to reflect upon the development of my confidence and practical skills, during the case of a stroke patient I treated over a period of time.

Extracts from this document...

Introduction

The purpose of this essay is to reflect upon an aspect of my professional development during my first placement. It will be written in the first person and confidentiality has been maintained along with all names being changed to protect the identities of individuals. I have decided to reflect upon the development of my confidence and practical skills, during the case of a stroke patient I treated over a period of time. To help structure my writing, I will be using the Gibbs (1988) model of reflection. This model supports ?reflection on action?, allowing me to think retrospectively and systematically analyse each phase of the experience. The last phase then allows me to plan a course of action if I were to ever come across a similar situation. I was on my first placement on a stroke rehabilitation unit at a hospital in the Northwest of England. My clinical educator (C.E.) was teaching me about common secondary complications patients suffer from after a stroke that results in severe weakness on one side. The patient, ?Mr A?, had experienced a right side ischemic stroke, resulting in severe weakness of both left upper and lower limbs and disphagia. At the time, Mr A was resting with a number of IV drips attached, an oxygen mask and a nasogastric tube inserted to provide nutrition. Mr A?s oxygen saturation (Sp02) had been low and respiratory physiotherapy had been requested. After being taught the ?ABCDE? assessment tool, I was asked to perform it with supervision. ...read more.

Middle

The same could be said about my practical skills. Since I came to realise that at some point I would have to be able to suction a patient, I decided to practice my skill on a model with advice given by other practictioners and health professionals who perform the procedure. With regard to my reaction to the patient?s discomfort where I had to fix the mask onto Mr A?s face, I decided to discuss it with my C.E. and another practitioner who regularly performs the treatment. Both were understanding and said they felt the same way when they first started. They explained that it was necessary for some uncomfortable treatments to be done for the longterm benefit of the patient. After seeing the results of the treatment the next day, I finally came to understand what my C.E. and the other practitioner were trying to explain. After returning and meeting the patient after the weekend, I was worried that our decision to allow Mr A remain sat out in his chair had fatigued him and contributed to his decline. I then reflected on the fact that as a student, my C.E. would be accountable for my actions. However, my C.E. assured me that it was the patient?s choice to sit out and there were any number of factors attributed to his decline. She also noted that she agreed and cleared my decision to let him sit out. My C.E. concurred with my suggestion of suction and as she knew I had been practicing during the past few days on the dummy, suggested that I perform the procedure under supervision. ...read more.

Conclusion

However, one of the main things I will take away from this placement and reflection is something my C.E. told me. That in physiotherapy it is not possible to fully prepare yourself for every situation and that it is an ongoing learning experience. As a second year physiotherapy student who has just completed his first placement, I know that there is a lot more to learn. ________________ Askim, T., Bernhardt, J., Løge, AD., Indredavik, B., 2012. Stroke patients do not need to be inactive in the first two-weeks after stroke: results from a stroke unit focused on early rehabilitation. International Journal of Stroke, 7(1) pp. 25-31 Baker, C., Medves, J., Luctkar-Flude, M., Hopkins-Rosseel, D., Pulling, C., Kelly-Turner, C., 2012. Evaluation of Simulation-Based Interprofessional Education Module on Adult Suctioning Using Action Research. Journal of Research in Interprofressional Practice and Education, 2(2) pp.152-167 Berney, S., Deneby, L., 2001. The use of positive pressure devices by physiotherapists. European Respiratory Journal 17: pp.821-829 Denehy, L., Berney, S., 2001. The use of positive pressure devices by physiotherapists. European Respiratory journal, 17(4) pp.821-829 Endacott, R., Jevon, P., Cooper, S., 2009. Clinical Nursing Skills: Core and Advanced. Oxford: Oxford University Press Law, C., 2003. Using mucociliary clearance methods that do not require an artificial airway. Nursing Times, 99(41) pp.57-59 Penuelas, O., Frutos-Vivar, F., Esteban, A., 2007. Noninvasive positive-pressure ventilation in acute respiratory failure. Canadian Medical Association Journal 177(10) pp.1211-1218s Tuttle, R., Cohen, M., Augustine, A., Novotny, D., Delgado, E., Dongilli, T., Lutz, J., DeVita, M., 2007. Utilizing Simulation Technology for Competency Skills Assessment and a Comparison of Traditional Methods of Training to Simulation-Based Training. Respiratory Care, 52(3) pp.263-270 ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Nursing section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Nursing essays

  1. Nursing Case Study

    An intervention plan can be found in Appendix E. Results and Evaluation Evaluation according to Beck et al (1993) can be broken down into several criteria. Adequacy: The self-help pack allowed carol to gain new skills and insight into her anxiety enabling her to begin to manage it more effectively.

  2. The aim of this essay is to critically evaluate the bio-psycho-social perspectives and influences ...

    Current research however suggests nicotine directly simulates, bone metabolic cell activity and fractures my heal quicker (W-Dahl and Toksvig-Larsen, 2007). Gullihorn et al, (2005), conducted research to test the hypothesis that components of cigarettes, rather than nicotine directly were responsible for delayed skeletal healing.

  1. HOSPITAL CASE ANALYSIS. This case study takes place at a hospital and is based ...

    Therefore, tense atmosphere leads to a poor working environment and results that nurses do not response to patients positively. Another important reason why nurses on floor A have low motivation is that there is no teamwork. According to the content theory in the text book, "Motivation results from the individual's attempts to satisfy needs."

  2. Discuss the care pathway of an adult patient who has undergone a surgical /acute ...

    history and record any medications both prescribed and over the counter including herbal remedies, that the patient takes on a regular basis. As these may have contra indications for surgery, for example, a patient that takes aspirin on a regular basis may be advised to stop prior to surgery due to its antiplatelet properties (Davey & Ince, 2000).

  1. Teamwork is an integral part of Accident and Emergency care and if it is ...

    and some nurses because you are unaware of the events unfolding in front of you. When I asked I got a comment back that was rude. This really quite shocked me to see that in a society which people are all trying to be equal and non judgmental that a Doctor could treat a fellow colleague in such a way.

  2. Interprofessional Education Reflective Essay. This reflective essay on an inter-professional education course argues that, ...

    (Driscoll, 2000, p.182) The team followed Kubler-Ross stages: (K�bler-Ross, 1970, p235) we went through anger, where we questioned the need for a leader. Duck (1981) argues that an allocated leader is required as without a leader, competition for control inevitably takes place.

  1. The assessment task for this module requires you to write about a client/patient in ...

    of illness led to her being diagnosed with COPD caused by her long term smoking. Smoking is the single greatest cause of preventable illness and premature death in the UK and is responsible for 23 per cent of all male deaths and 12 per cent of all female deaths.

  2. Pain Assessment. The implementation and rationale for using pain assessment tools is focused ...

    The patient activates delivery of an opioid bolus by pressing a hand held button. The machine is set with a "lock-out" time during which no drug will be delivered, even if the button is pressed. PCA has been shown to be a safe and effective method of analgesia when used by clinical staff who understand the technique.

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work