Broadening Perspective in Practice

Running Head: BROADENING PERSPECTIVE IN PRACTICE
BROADENING PERSPECTIVE IN PRACTICE
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BROADENING PERSPECTIVE IN PRACTICE
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Reflection in the healthcare setting is demarcated as a process used to review, analyze,
and evaluate the experiences, which is drawn upon the previous learning or the theoretical
concepts. Reflection helps to avoid future mistakes to provide better medical care to the patient
(Mulcahy et al., 2018). In nursing, reflection helps the nurses to accomplish the influence of
taking care of the patient regularly. This essay focusses on the patient which I have encountered
during my adult nursing placement. The main aim of this essay is to evaluate the strategies that
can be used to implement safeguarding in mental health nursing. According to the Nursing and
Midwifery Council (2015), all nurses are required to respect the right of the patient by
maintaining their confidentiality (Tobiano et al., 2015). Hence to support that, a pseudonym will
be used in the essay.
According to Howatson-jones (2016), reflection model assists in identifying the essential
stages which help to improve the effectiveness of the reflective practice (Howatson-Jones, 2016).
This essay is written based on the Driscoll model of reflection which consist of 3 stages which
include, what?, so what?, and Now What?. The drsicoll model is used, as it one of the most
common model used in reflecting the experience with the help of three steps tagt helps in deeper
analysis of the incidents and the action is proposed accordingly.
During my adult nursing placement, I was assigned to take care of a patient who has been
admitted to hospital to the Department of Accident and Emergency as her carer found her laying
on the floor, who stated that she has become more disorganized than the normal. She is an 84-
year-old woman and has the past medical history of cognitive impairment, previous fall, and
osteoarthritis and replacement surgery of the left hip. After admission to the Accident and
Emergency department, she has been referred to the clinical team. The clinical group was
assigned to take care of her urinary tract infection. When the patient had been admitted, he was

BROADENING PERSPECTIVE IN PRACTICE
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in the conscious state and hence, her son was enquired about the current and the past medical
history of the patient. The patient came to the conscious state after some time but was not able to
move by herself and support to proceed. While taking care of the patient, the nurse used
incontinence pants for the patient as she was not able to move frequently on her own. The pants
use to irritate her, and it agitates her, and she has stated this to her nurse twice, but the nurse did
not take it seriously. After some time, it is observed that the patient has been affected by urinary
tract infection. When his son got to know about this, he was outraged and stated that her mother
is allergic to those pants which have been mentioned in the paper he has provided in his past
medical history section.
This reflection is focused on the safeguarding issue to evaluate the way of treating a
patient. Safeguarding is well demarcated as the measures which are used to protect the mental
and physical wellbeing of the child and the adults and to protect their human rights to provide
them with an environment where they can live their life free from harm, neglect, and abuse
(Northway & Jenkins, 2017). There are mainly six principles of the safeguarding, which should
be followed to ensure the safeguarding of the patient. First is empowerment, where the
individuals are provided with support and are also encouraged to make their own decision, or
before making any decision, the informed consent of the patient is taken. Second is protection
where the individual or the patient in this case who are in the greater need should be protected.
The third is prevention, where the risk factor is to be considered and is minimized or avoided
before; actually, the harm occurs. Fourth is proportionality, where minimal intrusive response
and the appropriate proportionate is provided for the risk. The fifth is a partnership, where the
care of the patient also includes solutions to the abuse and negligence from the local service