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Assignment Health and Social Care

   

Added on  2020-04-13

6 Pages1560 Words64 Views
Running head: HEALTH AND SOCIAL CAREHealth and social careName of the student:Name of the University:Author’s note

1HEALTH AND SOCIAL CAREIntroduction:In the health care practice environment, the nursing values and ethics plays a critical rolein the demonstration of appropriate professional behavior in health care settings. These valuesand ethics also have an impact on the goals, strategies and nursing actions taken for the recoveryof patient. Despite several challenges and issues in nursing practice, critical reflection of practiceis a procedure that enables nurses to review their practice and learn from past mistakes toenhance professional and personal skills to provide high quality care (Shahriari et al. 2013). Thisreport mainly provides a critical reflection of nursing values and practice in relation to the casescenario of an 18 year old patient with psychosis. The reflection is presented by means of Gibb’sreflective cycle to systematically analyze the experience with patient. Reflection and analysis of case scenario:The analysis of the case scenario is presented through six stages of Gibb’s reflectioncycle which are as follows:Description of the scenario: A patient named Jessica (hypothetical) was admitted in the emergency department of amental health hospital after taking an overdose of sleeping pills. She was an 18 year old girl witha history of recurrent depressive feeling since the past four years. According to her mother’sstatement, her feeling of depression has intensified since the last six months and she had startedavoiding social contact with people. She had lost about twenty pounds due to loss of appetite andpoor food intake in recent months too. The clinician at the hospital had taken the necessaryaction to reduce the effect of sleeping pills. After two days of drowsiness, the patient was finallyoriented and in an active state. I was assigned to care for Jessica at the hospital, however the

2HEALTH AND SOCIAL CAREdilemma for me was that the patient was found to extremely aggressive. Although she remainedcalm when she was alone, however whenever I came to her for routine medical checkup andphysical assessment, she was found to very aggressive and pushed me away. In this situation, itwas very difficult for me to give the assigned medication to patient. Feeling related to the scenario:When I was assigned to care for Jessica, I had only two months experience as a mentalhealth nurse and I had never came across such aggressive patient so far. Initially while comingclose to Jessica for routine assessment, I was very anxious and I had the fear of being physicallyhit by the patient. Although routine medical checkup was a normal activity for me, howeverwhenever I had to go to Jessica, I was very nervous. The aggressiveness of patient and theinability to calm her also demoralized me. It made me think that I do have the skills to handlesuch patients. In addition, providing medication to her on time was a professional responsibilityfor me, however the suspicious nature of Jessica and her little trust on the health care team actedas a barrier in adherence to medication regimen (Byrne 2007). However, I used my ethicalknowledge and nursing values to finally overcome these challenges in my nursing practice. AfterI entered nursing practice as mental health nurse, my core goal was to promote an optimalquality of live in people and maintain the right of person in aspects of care. According to ethicaland professional standards of nursing practice, it was necessary for me to involve patients indecision making process and take their preference while delivering care (Stiggelbout et al. 2015).However, the condition of patient gave me serious challenges. My nursing value of sympathyand professional competency of managing human relationship through mutual respect andreliance finally helped me to build an appropriate therapeutic relationship with patient. This waspossible for me because I had taken a training in value based training.

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