Reflective patient and student nurse

Becoming a Student NurseStudent Nurse:

Reflective patient and student nurse

Mostly your instructor is looking to get a feel for the way you think about your nursing practice.

Student nurse tips: What should I reflect on in my essay?

Each of the three reflection pieces should focus on a different experience — this is an opportunity to demonstrate the breadth of your experience. This describes the difference between: The danger with recollection is that you may not remember the incident accurately, and you may recall only the negative aspects.

First reactions may have been instinctive and inappropriate. Maybe she thought the baby was becoming seriously ill. The reflective practice pieces are YOUR way of showing how you think about your practice. Example of reflective writing: Recollection Sydney lives in a ground floor council flat with his wife.

His wife is his main carer, yet she is unwell with asthma. Sydney and his wife have refused all social services help, day center care and carers support groups.

Sydney had been in hospital two months prior for heart failure and respiratory disease and was awaiting his outpatient appointments. He was referred by the GP due to frequent hospital attendances. The GP stated that Sydney was difficult Reflective patient and student nurse refused all input and services offered and that his wife did not appear to be coping well.

I had been visiting Sydney for approx four months and had built up a good relationship with him and his wife.

I contacted the consultant expressing my concerns, the consultant agreed to see Sydney the following week. The day following the appointment the consultant contacted me to say that she was concerned that Sydney was in respiratory failure and needed to be admitted but had refused.

Sydney explained that he did not want to go to hospital as if he was dying he would rather die at home. He had some loose ends to tie up.

I explained to Sydney and his wife what was happening to his body and what in-patient treatment he would receive. Sydney was reassured he was not in the terminal phase of his disease. I allowed him time to ask questions.

I took his oxygen saturations and explained why they were low and what was needed to increase them. I offered Sydney alternative places of treatment such as the local rehabilitation hospital that I knew he liked but he continued to refuse.

I asked the wife if she felt she needed any support but she refused. I suggested that the district nurses call over the weekend to check he was okay but his wife refused saying she could cope.

I talked through with his wife what to do in an emergency and that I would call again first thing Monday morning. I contacted the district nursing team leader who was working that weekend so she was aware of the situation should his wife call.

I sent a fax to the consultant to let her know of the outcome of my visit. I documented the consultation in his notes. Reaction As a nurse I did not feel comfortable with Sydney refusing treatment when not in the terminal phase of his life limiting condition.

As a nurse, I feel I have a responsibility to improve my patients health and well being. As a health care professional, I have to take these areas in to consideration when deciding what is in the best interests of my patients and making a clinical decision. I have always been taught as a nurse that I need to be able to justify my decision with confidence should I ever be asked to.

However, what is important is to assess risk whilst providing the patient with all the information without prejudice and agree with them on an outcome that is in their best interests whilst respecting their autonomy and acting where necessary as their advocate.

I felt that the consultation went well. I felt able to communicate effectively with Sydney as we had a good relationship prior to this incident. A part of developing a relationship with patients and their families, nurses develop a greater respect for their autonomy and choice over their own care.

Some Hints and Tips and Examples

As a district nurse I had experience with similar situations, and had previously reflected on these and therefore felt more comfortable dealing with this incident. I felt confident that Sydney had capacity as I was familiar with the mental capacity act. However, I have since attended a training update on the mental capacity act so that I can make evidence based decisions.It will also discuss my role as a student nurse in relation to a patient who is receiving palliative care.

The essay will demonstrate my understanding and views on reflection and the issues surrounding my practice. Introduction.

Reflective patient and student nurse

This essay will demonstrate the aim of the Scottish Patient Safety Programme (SPSP, ) in relation to early intervention in a deteriorating patient, through reflective practice. Home ⁄ Student Nurse Resources ⁄ Clinical ⁄ Charting ⁄ Reflective Writing for Nursing Students.

Reflective Writing for Nursing Students. Reflection. Patients’ choice is an ethical issue that many nurses struggle to deal with. up to date and relevant, Student Nurse Journey cannot take responsibility for pages maintained by. Introduction.

This is a reflective essay based on an episode of care that I was directly involved in managing during a community placement.

Reflective patient and student nurse

This episode of care will be analysed using up to date references, health care policies and relevant models. Reflective: Patient and Student Nurse Essay In order to help me with my reflection I have chosen Gibbs (), as the model to help guide my reflective process.

This model comprises of a process that helps the individual look at a situation and think about their . Nurse To Patient Ratio Medtech College Ethics August 16, The past decade has been a turbulent time for US hospitals and practicing nurses.

News media have trumpeted urgent concerns about hospital understaffing and growing hospital nurse shortage.

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