REFLECTIVE ACCOUNT OF A CLINICAL SCENARIO ~
(AN ASPECT OF NURSING CARE)
Reflection on Clinical Practice – First Placement (Year 1)
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my first clinical placement in my first year of study. The event took place in a nursing home. All names have been changed to protect the confidentiality of the patient (NMC, 2008).
Throughout this essay I shall be using Gibbs model of reflection. The following reflective account also forms one aspect of the EC hour’s directive, namely that of caring for clients with mental health problems.
I have chosen to reflect on the event described…show more content… This made me nervous as to how I was going to communicate with her. My mentor stood back in order to allow me to administer the medications and I felt unable to ask the question, “How do I communicate with this patient?”
I noticed that Mrs. Lewis who was quiet when we entered her room upon seeing me approach her bed started to groan loudly and turn her head from side to side (this made me feel worried as it was obvious to me that she didn’t like me). The patient was also licking her lips and coughing up mucus and she appeared to me as if she were choking. My mentor informed me that this was normal for Mrs. Lewis but it added to my anxiety as I had not seen a patient in Mrs. Lewis’ condition before and it alarmed me.
My mentor also informed me that due to having dementia Mrs. Lewis did not understand why she had a tube into her stomach and that she had tried to remove it herself in the past which had caused some trauma to the abdomen (this resulted in the patient being very anxious whenever her PEG tube was touched, as she anticipated pain) and that sometimes the patient did not want her PEG tube touched and could be combative occasionally, using her left arm to hit out at staff. At this point I felt as though administering medication to Mrs. Lewis was beyond my capabilities as a student because of the mental health issues the patient had, I had no experience or knowledge at this point in my training in working with