Gibbs Reflective Cycle Essay 2022
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Patient Experience
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1
Introduction
The primary objective of the essay is to reflect the experience of 75 years old patient Mr.
William Taylor, who suffers from varied health problems in his life. The experience of the
patient will be briefly described in this context by following the Gibbs Reflective Cycle. In order
to describe it, two themes of care focus are selected, and this will be discussed in terms of harm
and prevention context of the patient. The feelings, thoughts, values and beliefs regarding the
patient’s adverse condition will be demonstrated throughout the paper, based on the responses
that were provided in the description. Moreover, a brief analysis will be provided regarding the
adequate and inadequate care of the patient, which will help the nurses to improve their services
in future. Furthermore, an action plan, along with the concluding part will be provided that will
describe the whole context of the case scenario chosen for this study.
Gibbs Reflection Cycle
Description
From the case scenario, it is analyzed that Mr. William Taylor was the 75years old patient, and
he was suffering from several falls and adverse health issues in his life. According to the patient,
the experience of this injury was not good for him as he was unable to use his right arm. The
patient demonstrated that he had worst experience from this issue as no one helped him when he
fell in the gutter. After watching the accident, not a single person helped Mr. Taylor, and due to
this reason, he has to suffer from various problems. The presence of this intense pain restricted
him to move his hand properly (Lee, Choi & Kim, 2017). For this fall, the patient has to do an x-
ray, and he was sent to the surgeon to cure his health issue. In the hospital, Mr. Taylor was also
Introduction
The primary objective of the essay is to reflect the experience of 75 years old patient Mr.
William Taylor, who suffers from varied health problems in his life. The experience of the
patient will be briefly described in this context by following the Gibbs Reflective Cycle. In order
to describe it, two themes of care focus are selected, and this will be discussed in terms of harm
and prevention context of the patient. The feelings, thoughts, values and beliefs regarding the
patient’s adverse condition will be demonstrated throughout the paper, based on the responses
that were provided in the description. Moreover, a brief analysis will be provided regarding the
adequate and inadequate care of the patient, which will help the nurses to improve their services
in future. Furthermore, an action plan, along with the concluding part will be provided that will
describe the whole context of the case scenario chosen for this study.
Gibbs Reflection Cycle
Description
From the case scenario, it is analyzed that Mr. William Taylor was the 75years old patient, and
he was suffering from several falls and adverse health issues in his life. According to the patient,
the experience of this injury was not good for him as he was unable to use his right arm. The
patient demonstrated that he had worst experience from this issue as no one helped him when he
fell in the gutter. After watching the accident, not a single person helped Mr. Taylor, and due to
this reason, he has to suffer from various problems. The presence of this intense pain restricted
him to move his hand properly (Lee, Choi & Kim, 2017). For this fall, the patient has to do an x-
ray, and he was sent to the surgeon to cure his health issue. In the hospital, Mr. Taylor was also
2
suffering from a bad experience because he has to wait eleven hours for getting relief from that
pain. After eleven hours, the patient gets proper treatment from the doctors and nurses. One of
the two theme of care focus reveals that after 11 hours of injury the nurses gave him proper
medication of Codeine so that he can get relief from the adverse pain (Reuben et al., 2017).
Another theme reflected that the doctor and the surgeon did his x-ray and a proper diagnosis to
provide relief to the patient from that condition.
Feelings and thoughts
After reviewing the description of the patient condition, I felt that people should help him
whenever they see any older adult falling in the gutter. If the person would have helped Mr.
Taylor, then he could have received proper care from the nurses and doctors of the public
hospital. From the description of the patient experience, it is analyzed that Mr. Taylor has to wait
for treatment for about 11 hours. The hospital has to improve their nursing interventions by
appointing new clinical staffs for providing preliminary services to the patients suffering from
falls (de Sousa Costa et al., 2017). By following this prospect, the patient can get rid of his pain
within a short period because he has not to wait for a longer time in the hospital.
Values and beliefs
After accessing the case scenario, I believe that nurses should focus properly on the patient who
is suffering from falls. Falls is one of the major injuries that creates huge pain to an individual
and due to this reason, proper attention should be provided to each patient (Dubois et al., 2017).
Thus I believe that in order to provide value to the patient care services, the nurses should
provide Mr. Taylor with the basic needs of the patient instead of making him wait for long hours
in the hospital. Hence, this value and belief are important because it can reduce some amount of
suffering from a bad experience because he has to wait eleven hours for getting relief from that
pain. After eleven hours, the patient gets proper treatment from the doctors and nurses. One of
the two theme of care focus reveals that after 11 hours of injury the nurses gave him proper
medication of Codeine so that he can get relief from the adverse pain (Reuben et al., 2017).
Another theme reflected that the doctor and the surgeon did his x-ray and a proper diagnosis to
provide relief to the patient from that condition.
Feelings and thoughts
After reviewing the description of the patient condition, I felt that people should help him
whenever they see any older adult falling in the gutter. If the person would have helped Mr.
Taylor, then he could have received proper care from the nurses and doctors of the public
hospital. From the description of the patient experience, it is analyzed that Mr. Taylor has to wait
for treatment for about 11 hours. The hospital has to improve their nursing interventions by
appointing new clinical staffs for providing preliminary services to the patients suffering from
falls (de Sousa Costa et al., 2017). By following this prospect, the patient can get rid of his pain
within a short period because he has not to wait for a longer time in the hospital.
Values and beliefs
After accessing the case scenario, I believe that nurses should focus properly on the patient who
is suffering from falls. Falls is one of the major injuries that creates huge pain to an individual
and due to this reason, proper attention should be provided to each patient (Dubois et al., 2017).
Thus I believe that in order to provide value to the patient care services, the nurses should
provide Mr. Taylor with the basic needs of the patient instead of making him wait for long hours
in the hospital. Hence, this value and belief are important because it can reduce some amount of
3
pain and the patient will get satisfied by the nursing intervention. Instead of making the patient
wait for longer hours, the nurses should give him attention which will increase the trust of the
patient and his family members towards the hospital.
Analysis
From the case study scenario, it is evaluated that both inadequate and adequate care perspectives
are noted briefly. According to the patient experience, one of the inadequate care that mentioned
in the case scenario is that when Mr. Taylor fallen down in the gutter six years ago, he did not
get proper care and treatment. In the public hospital, he has to wait for eleven hours in pain for
getting the treatment properly from doctors and nurses (Castellan, Sluga, Spina & Sanson, 2016).
Inadequate means of care has created the worst condition for the patient, but he was not angry as
he knew the needs of the other patients were on more priority than his. After waiting for long
hours, he does not received proper treatment, and for this reason, he visited another doctor's
clinic on the next day (Næss, Kirkevold, Hammer, Straand & Wyller, 2017). As the patient
waited for long hours in the public hospital; therefore, another x-ray was done, and after
reviewing it, the surgeon demonstrated that he had 30 cm tear in his muscles in the shoulder.
Hence from the scenario, it is quite evident that the presence of this inadequate care had created
the adverse problem to Mr. Taylor.
For example, if the nurses of the public hospital would have provide him the proper treatment,
then would not have faced such adverse impacts regarding the health (Grossman et al., 2018).
Another example is that the case scenario revealed that the patient has also suffered falls four
weeks ago inside his house, and due to this reason, he had to do the blood test. The report shows
that he was anaemic and suffering from type 2 diabetes and for this reason, he was provided
pain and the patient will get satisfied by the nursing intervention. Instead of making the patient
wait for longer hours, the nurses should give him attention which will increase the trust of the
patient and his family members towards the hospital.
Analysis
From the case study scenario, it is evaluated that both inadequate and adequate care perspectives
are noted briefly. According to the patient experience, one of the inadequate care that mentioned
in the case scenario is that when Mr. Taylor fallen down in the gutter six years ago, he did not
get proper care and treatment. In the public hospital, he has to wait for eleven hours in pain for
getting the treatment properly from doctors and nurses (Castellan, Sluga, Spina & Sanson, 2016).
Inadequate means of care has created the worst condition for the patient, but he was not angry as
he knew the needs of the other patients were on more priority than his. After waiting for long
hours, he does not received proper treatment, and for this reason, he visited another doctor's
clinic on the next day (Næss, Kirkevold, Hammer, Straand & Wyller, 2017). As the patient
waited for long hours in the public hospital; therefore, another x-ray was done, and after
reviewing it, the surgeon demonstrated that he had 30 cm tear in his muscles in the shoulder.
Hence from the scenario, it is quite evident that the presence of this inadequate care had created
the adverse problem to Mr. Taylor.
For example, if the nurses of the public hospital would have provide him the proper treatment,
then would not have faced such adverse impacts regarding the health (Grossman et al., 2018).
Another example is that the case scenario revealed that the patient has also suffered falls four
weeks ago inside his house, and due to this reason, he had to do the blood test. The report shows
that he was anaemic and suffering from type 2 diabetes and for this reason, he was provided
Secure Best Marks with AI Grader
Need help grading? Try our AI Grader for instant feedback on your assignments.
4
appropriate treatment from the nurses and doctors. In this situation, the patient gets adequate care
from the nurses and doctors because the diagnosis and test helps him properly to get rid of the
condition (Lannering, Ernsth Bravell & Johansson, 2017). Due to this test, the patient came to
check that he has anemia with low hemoglobin count and iron deficiency, respectively. He was
given iron tablets, and proper endoscopy and colonoscopy were done to analyze his anemia
content. Besides this, from the test, it was also noticed that he had type 2 diabetes and felling
problem through the tummy area (Sand-Jecklin, Johnson & Tylka, 2016). For this reason, he was
going to a gastroenterologist and do his adequate treatment for getting rid of this problem.
Hence, due to the presence of these inadequate and adequate care, the patient experience was not
good.
Conclusion is drawn
From the paper, it is concluded that the nurses should provide proper prevention before falls to
the patient so that they cannot face any adverse impact on the health. The study evaluates that
due to the presence of improper care, Mr. Taylor was unable to move his right arm. If the nurses
would have given him the basic treatment, then this adverse impact would not have took taken
place. Besides this, the lack of medication has also increased his pain in the affected region of
the body.
Moreover, when a patient fall, he should get proper treatment from the doctors and gets rid of his
condition. The treatment also helps him to analyze his other health problems, and overall, it
creates a positive impact on his health status. Hence by giving proper treatment, the patient’s
trust can be achieved.
appropriate treatment from the nurses and doctors. In this situation, the patient gets adequate care
from the nurses and doctors because the diagnosis and test helps him properly to get rid of the
condition (Lannering, Ernsth Bravell & Johansson, 2017). Due to this test, the patient came to
check that he has anemia with low hemoglobin count and iron deficiency, respectively. He was
given iron tablets, and proper endoscopy and colonoscopy were done to analyze his anemia
content. Besides this, from the test, it was also noticed that he had type 2 diabetes and felling
problem through the tummy area (Sand-Jecklin, Johnson & Tylka, 2016). For this reason, he was
going to a gastroenterologist and do his adequate treatment for getting rid of this problem.
Hence, due to the presence of these inadequate and adequate care, the patient experience was not
good.
Conclusion is drawn
From the paper, it is concluded that the nurses should provide proper prevention before falls to
the patient so that they cannot face any adverse impact on the health. The study evaluates that
due to the presence of improper care, Mr. Taylor was unable to move his right arm. If the nurses
would have given him the basic treatment, then this adverse impact would not have took taken
place. Besides this, the lack of medication has also increased his pain in the affected region of
the body.
Moreover, when a patient fall, he should get proper treatment from the doctors and gets rid of his
condition. The treatment also helps him to analyze his other health problems, and overall, it
creates a positive impact on his health status. Hence by giving proper treatment, the patient’s
trust can be achieved.
5
Action Plan
According to the case scenario, an action plan is provided that will help the patient to get relief
from injuries from several types of falls. It can also provide better treatment to the patient from
the nurses and doctors. The action plan is provided below:
Figure 1: Primary cycle of the action plan that must be followed by the nurses
(Source: Lannering, Ernsth Bravell, Midlöv, Östgren & Mölstad, 2016)
Act
Create a multidisciplinary change team
Provide knowledge of tools, training techniques and strategies
Act Plan
DoStudy
Action Plan
According to the case scenario, an action plan is provided that will help the patient to get relief
from injuries from several types of falls. It can also provide better treatment to the patient from
the nurses and doctors. The action plan is provided below:
Figure 1: Primary cycle of the action plan that must be followed by the nurses
(Source: Lannering, Ernsth Bravell, Midlöv, Östgren & Mölstad, 2016)
Act
Create a multidisciplinary change team
Provide knowledge of tools, training techniques and strategies
Act Plan
DoStudy
6
The clinical team improve their processes in the workplace and give adequate care to the
patient suffering from injury and falls (Lannering, Ernsth Bravell, Midlöv, Östgren &
Mölstad, 2016)
Plan
The goal of every nurse is to provide adequate treatment to the patient by making them
satisfied
Nurses should provide basic intervention and care in their hospitals and reduce the
adverse health issue occurring due to falls (Avanecean, Calliste, Contreras, Lim &
Fitzpatrick, 2017)
Do
The nurse should do proper check-up when the patient visits the hospital
The basic requirement needed for the patient should be fulfilled so that they can get relief
from their pain (Kim, Jeon & Chon, 2015)
Study
Designing of Team STEEPS intervention that helps the individual nurses to treat their
patient properly (Kim, Jeon & Chon, 2015)
Knowledge should gain regarding the providing of practical care to the patients
The clinical team improve their processes in the workplace and give adequate care to the
patient suffering from injury and falls (Lannering, Ernsth Bravell, Midlöv, Östgren &
Mölstad, 2016)
Plan
The goal of every nurse is to provide adequate treatment to the patient by making them
satisfied
Nurses should provide basic intervention and care in their hospitals and reduce the
adverse health issue occurring due to falls (Avanecean, Calliste, Contreras, Lim &
Fitzpatrick, 2017)
Do
The nurse should do proper check-up when the patient visits the hospital
The basic requirement needed for the patient should be fulfilled so that they can get relief
from their pain (Kim, Jeon & Chon, 2015)
Study
Designing of Team STEEPS intervention that helps the individual nurses to treat their
patient properly (Kim, Jeon & Chon, 2015)
Knowledge should gain regarding the providing of practical care to the patients
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Conclusion
The study summarizes that the patient Mr. Taylor had faced a couple of injuries due to falls that
affected his nose, right shoulder, chin and left elbow. Besides this, I feel that nurses of the public
hospital should provide effective care instead of waiting the patient for a longer period in their
hospital. From the case, it is analyzed that as Mr. Taylor was an older patient whose age was
about 69 at that time of fall, therefore proper care is necessary for the nurses and doctors. The
essay analyzed adequate and inadequate care provided to Mr. Taylor in terms of caring approach.
Following this fact, an action plan is provided that can improve the care provided by nurses in
several healthcare centres.
Conclusion
The study summarizes that the patient Mr. Taylor had faced a couple of injuries due to falls that
affected his nose, right shoulder, chin and left elbow. Besides this, I feel that nurses of the public
hospital should provide effective care instead of waiting the patient for a longer period in their
hospital. From the case, it is analyzed that as Mr. Taylor was an older patient whose age was
about 69 at that time of fall, therefore proper care is necessary for the nurses and doctors. The
essay analyzed adequate and inadequate care provided to Mr. Taylor in terms of caring approach.
Following this fact, an action plan is provided that can improve the care provided by nurses in
several healthcare centres.
8
References
Avanecean, D., Calliste, D., Contreras, T., Lim, Y., & Fitzpatrick, A. (2017). Effectiveness of
patient-centred interventions on falls in the acute care setting compared to usual care: a
systematic review. JBI database of systematic reviews and implementation reports,
15(12), 3006-3048.
Castellan, C., Sluga, S., Spina, E., & Sanson, G. (2016). Nursing diagnoses, outcomes and
interventions as measures of patient complexity and nursing care requirement in the
Intensive Care Unit. Journal of advanced nursing, 72(6), 1273-1286.
de Sousa Costa, A. G., de Araujo, T. L., Cavalcante, T. F., Lopes, M. V. O., de Souza Oliveira‐
Kumakura, A. R., & Costa, F. B. C. (2017). Clinical validation of the nursing outcome
falls prevention behaviour in people with stroke. Applied nursing research, 33, 67-71.
Dubois, C. A., D'amour, D., Brault, I., Dallaire, C., Dery, J., Duhoux, A., ... & Zufferey, A.
(2017). Which priority indicators to use to evaluate nursing care performance? A
discussion paper. Journal of advanced nursing, 73(12), 3154-3167.
Grossman, D. C., Curry, S. J., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., ...
& Kubik, M. (2018). Interventions to prevent falls in community-dwelling older adults:
US Preventive Services Task Force recommendation statement. Jama, 319(16), 1696-
1704.
References
Avanecean, D., Calliste, D., Contreras, T., Lim, Y., & Fitzpatrick, A. (2017). Effectiveness of
patient-centred interventions on falls in the acute care setting compared to usual care: a
systematic review. JBI database of systematic reviews and implementation reports,
15(12), 3006-3048.
Castellan, C., Sluga, S., Spina, E., & Sanson, G. (2016). Nursing diagnoses, outcomes and
interventions as measures of patient complexity and nursing care requirement in the
Intensive Care Unit. Journal of advanced nursing, 72(6), 1273-1286.
de Sousa Costa, A. G., de Araujo, T. L., Cavalcante, T. F., Lopes, M. V. O., de Souza Oliveira‐
Kumakura, A. R., & Costa, F. B. C. (2017). Clinical validation of the nursing outcome
falls prevention behaviour in people with stroke. Applied nursing research, 33, 67-71.
Dubois, C. A., D'amour, D., Brault, I., Dallaire, C., Dery, J., Duhoux, A., ... & Zufferey, A.
(2017). Which priority indicators to use to evaluate nursing care performance? A
discussion paper. Journal of advanced nursing, 73(12), 3154-3167.
Grossman, D. C., Curry, S. J., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., ...
& Kubik, M. (2018). Interventions to prevent falls in community-dwelling older adults:
US Preventive Services Task Force recommendation statement. Jama, 319(16), 1696-
1704.
9
Kim, M. H., Jeon, H. W., & Chon, M. Y. (2015). Study on the knowledge and attitudes of falls
and awareness of fall risk factors among nursing students. Indian Journal of Science and
Technology, 8, 74.
Lannering, C., Ernsth Bravell, M., & Johansson, L. (2017). Prevention of falls, malnutrition and
pressure ulcers among older persons–nursing staff's experiences of a structured
preventive care process. Health & social care in the community, 25(3), 1011-1020.
Lannering, C., Ernsth Bravell, M., Midlöv, P., Östgren, C. J., & Mölstad, S. (2016). Factors
related to falls, weight‐loss and pressure ulcers–more insight in risk assessment among
nursing home residents. Journal of clinical nursing, 25(7-8), 940-950.
Lee, J., Choi, M., & Kim, C. O. (2017). Falls, a fear of falling and related factors in older adults
with complex chronic disease. Journal of clinical nursing, 26(23-24), 4964-4972.
Næss, G., Kirkevold, M., Hammer, W., Straand, J., & Wyller, T. B. (2017). Nursing care needs
and services utilised by home-dwelling elderly with complex health problems: an
observational study. BMC health services research, 17(1), 645.
Reuben, D. B., Gazarian, P., Alexander, N., Araujo, K., Baker, D., Bean, J. F., ... & Leipzig, R.
M. (2017). The Strategies to Reduce Injuries and Develop Confidence in Elders
Intervention: Falls Risk Factor Assessment and Management, Patient Engagement, and
Nurse Co‐management. Journal of the American Geriatrics Society, 65(12), 2733-2739.
Sand-Jecklin, K., Johnson, J. R., & Tylka, S. (2016). Protecting Patient Safety: Can Video
Monitoring Prevent Falls in High-Risk Patient Populations?. Journal of nursing care
quality, 31(2), 131-138.
Kim, M. H., Jeon, H. W., & Chon, M. Y. (2015). Study on the knowledge and attitudes of falls
and awareness of fall risk factors among nursing students. Indian Journal of Science and
Technology, 8, 74.
Lannering, C., Ernsth Bravell, M., & Johansson, L. (2017). Prevention of falls, malnutrition and
pressure ulcers among older persons–nursing staff's experiences of a structured
preventive care process. Health & social care in the community, 25(3), 1011-1020.
Lannering, C., Ernsth Bravell, M., Midlöv, P., Östgren, C. J., & Mölstad, S. (2016). Factors
related to falls, weight‐loss and pressure ulcers–more insight in risk assessment among
nursing home residents. Journal of clinical nursing, 25(7-8), 940-950.
Lee, J., Choi, M., & Kim, C. O. (2017). Falls, a fear of falling and related factors in older adults
with complex chronic disease. Journal of clinical nursing, 26(23-24), 4964-4972.
Næss, G., Kirkevold, M., Hammer, W., Straand, J., & Wyller, T. B. (2017). Nursing care needs
and services utilised by home-dwelling elderly with complex health problems: an
observational study. BMC health services research, 17(1), 645.
Reuben, D. B., Gazarian, P., Alexander, N., Araujo, K., Baker, D., Bean, J. F., ... & Leipzig, R.
M. (2017). The Strategies to Reduce Injuries and Develop Confidence in Elders
Intervention: Falls Risk Factor Assessment and Management, Patient Engagement, and
Nurse Co‐management. Journal of the American Geriatrics Society, 65(12), 2733-2739.
Sand-Jecklin, K., Johnson, J. R., & Tylka, S. (2016). Protecting Patient Safety: Can Video
Monitoring Prevent Falls in High-Risk Patient Populations?. Journal of nursing care
quality, 31(2), 131-138.
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