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reflective case study

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Reflective Case Study The concept of reflection as a learning tool in workplace education can enable the student to problem solve in practice. By exploring the individuals own unique situations and past experience they can, in order to learn, consider past thoughts and memories to achieve a desired outcome. (Rolfe, 1998). Taylor (2000) suggests that, to reflect on action from an event, we must remember our thoughts and memories. Then we must use the ability of contemplation, meditation and consideration, which will enable us to make sense of them in order to modify our behaviour, should we encounter a similar experience in the future. Introduction The following reflective account aims to explore specific complications and difficulties encountered after obtaining a history and performing a physical examination on a young patient that presented to the Accident and Emergency (A&E) Department. The incident that I have chosen to look at took place whilst on a placement in the Minor Injuries Unit based in an A & E Department following a theoretical module on Patient Assessment. Confidentiality has been preserved throughout in accordance with the Health Professions Council (HPC) Code of Professional Conduct (HPC, 2002). ...read more.


This may be due to our (as adults) perception of the fact that they are smaller, and speak using differing language and expressions. However, it is important for the children to be given the opportunity to express themselves and they need a practitioner that is able to relate to them, in order to install a sense of trust and understanding of their needs. With this in mind, I think my main objective was not to upset Jamie and make him cry, so I had to make use of the skills I had gained as a mother. I knew how important it was to get down to the child's level and to incorporate distraction techniques to good effect. I also knew the importance of not rushing and the initial interaction with Jamie would be vitally important to a successful outcome. (Pantell et al 1992). I also tried to find common ground to discuss, and soon found out he liked football and his favourite team was Arsenal. Evaluation I realised that it was not just Jamie I had to deal with but his mother as well (Pantell et al 1992), particularly as she was going to be present throughout. ...read more.


He said it was okay and shrugged his shoulders. Totally bored by the whole episode but still looking through the annual. I was very relieved and glad the incident was over, and what on earth I had been worried. I knew I was more than capable but it was one of the scariest moments in my career. In order to deal with more complex matters, that will arise in the future, I learnt so much through this simple encounter with Jamie. Conclusion Jamie was a 6-year-old boy, was brought in to the A & E Department where I assessed and examined him in my role as a student ECP. There were aspects of the consultation that I felt were good and bad but on reflection it was more successful than I anticipated it to be. The A & E Doctor praised me for my concise and accurate history taking skills and the conducting of a thorough physical examination of a child. Both the Doctor and myself went back to the cubicle to speak to Jamie and his mother to discharge Jamie with advice on what to expect in respect of his injury, and should they have any concerns, contact their General Practioner's practice or return to the minor injury unit. Jamie and his mother thanked me and left the department to go home. ...read more.

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