Reflective Account.

3366 WordsDec 4, 201214 Pages
INTRODUCTION For this assignment I will be writing a reflective account which will identify a significant episode of care in which I had been involved with, by identifying the pathophysiology and the disease process for the chosen patient; this will be presented by giving a brief outline of the psychosocial influences of the illness for the patient and others who may have been involved with the care. I will also reflect upon this episode by using a reflective model and examining the nursing process, using a holistic perspective throughout the reflective framework. Maintaining confidentiality is a key element, outlined in the Nursing Midwifery Council the Code (2008). The care for this patient was assessed using Roper Logan and…show more content…
The blood pressure and pulse was taken and the reading of 149/90mmHg which is showing hypertension, and 79 pulse which both would be regarded holistically as high for this patient, this may be due to the stress being caused. The ECG is a simple and effective electric recording of the heart rhythm which was taken with the patient still very anxious. I decided that this was becoming very traumatic for the patient and felt that I needed to hold the patients hand by using a touch technique. The ECG was performed and did provide significant results for the doctor. The actual test of taking an ECG reading did provide some difficulties due to the patient’s pain and also the psychological pain as the patient was under extreme stress and worry at that time, as referred to before that. “Angina is the pain or discomfort experienced. Angina may also be brought on by emotional upset”. The GTN was soon administered and relieved the patient’s pain near enough automatically. The patient was assessed at 5 minute intervals and later 15 minute intervals to make sure that the observations were at a normal standard with the blood pressure being previously high. The Patient was also assessed throughout the night. The blood pressure did reduce to a normal rate. The one thing the Patient asked was “that we should not say to his wife and family that the angina episode had

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