Case Scenario Reflective Essay 2022

Case Scenario Reflective Essay - using
Gibbs 6 Stage Reflection Cycle

Introduction
The present study focusing on the topics of “falls-prevention-and-harm-from-falls care” and
“My-health-record”. This is a Reflective task based on the scenario of “Patient experience
and partnering” analysing the case study of a 75-year old patient Mr William Taylor, who had
suffered severe falls twice and was under treatment for the same. For analysing the chosen
case scenario the Gibbs 6-stages of reflection has been adopted in the reflective essay,
centred on the theories and concepts of Nursing Care philosophy, Governance Standards of
Nursing, person-centred care and patient-and-family-centred care. The values in terms of
Governance and self-feelings in the practice of Nursing has been used to assess whether the
care delivered to the patient was adequate or inadequate. Two themes of nursing care have
also been identified in addition to 4 indicators (positive and negative) in nurse-patient
partnering for providing right direction to healthcare organisations, family and individuals
towards improvement of services via strategic implementation.
Gibbs Reflection – 6 Stage Cycle (Bulman, 2013)
1. Description
In this section, the care received by William Taylor, post-fall treatment and in Health Records
have been critically discussed. He had suffered 2 consecutive falls within 1 month, with a 30
cm tear in his right shoulder muscle. Before this the patient had also suffered from kidney
stone, and presently has type-2 diabetes, allergic rhinitis, anaemia, deafness of both ears, and
hypertension. In the case of the patients’ fall experience, he was provided the necessary care
and treatment in his GP’s clinic, where an X-ray and GP appointment put him into
physiotherapy (4 times/week) which improved him. Following his second fall, he was
admitted for anaemia and underwent iron infusion wherein he experience full supportive care
treatment from the nurse who was always available and connected to his emotional situation
taking his mind off serious situations to help him relax. This shows how the nurse delivered
person-centred-care to the patient relevant to the theme “to establish therapeutic relation
for care continuance, true partnership and shared decision-making”. In the “my-Health
record” scenario, the patient did not receive care during his kidney stone incident post-
admission to public healthcare unit, wherein he had to suffer a waiting time of 11 hours with
no nursing staff to look after him, in a crowded environment showing gross negligence on the
nurses’ part with no care delivered to meet the physical and emotional needs of the patient.

The person-centred-care theme of “Organised care respectful of patient” was not followed
by the nursing staffs in this scenario.
2. Feelings and Thought
The Nursing Philosophy comprises of ideologies, values and a nurse’s beliefs behind their
actions, staying true to their ethical, personal and moral values while taking care of a patient
(Risjord, 2011). I believe that the care services delivered by nurses must always be person-
centred meeting both physical and emotional wellbeing of patient through values of harmony,
commitment, braveness, respect, decision-making and altruism for individuals and society.
The patient received supportive person-centred-care during iron infusion delivered by a
committed nurse who respected the patient’s opinions and was also emotionally supportive to
his needs. However, during his kidney stone incident, the nurses failed to check up on him
and he alone had to keep checking for medicines. I believe this disrespected the patient’s
physical and emotional needs and failed to deliver patient-centred-care.
3. Values-and Beliefs
Based on the Nursing Philosophy, nurses must be guided by a set of personal values and
governance values for benefitting the patient, family and society. Personal values of
harmony, commitment, braveness, respect, decision-making and altruism must be practised
by nurses to provide person-centred care, where the person’s emotions, decisions, and self-
care is valued in addition to therapeutic care, via patient empowerment (Olsson, Jakobsson
Ung, Swedberg, & Ekman, 2013). The nurse’s should also realise how important a role
family plays in a patient’s life and their involvement must be respected by nurses in
providing patient-and-family-centred- care (Coyne, O’Neill, Murphy, Costello, & O’Shea,
2011). The Code-of-Ethics-for-Nurses, Australia suggests that nurses should value a) quality
care for all b) respect self and others c) people diversity d) informed-decision-making e)
safety-culture f) ethical-information-management g) social-economical-ecological
environmental sustainability (Johnstone, 2016).
4. Analysis
Care quality and adequacy is defined as the extent by which the services provided to patients
improvise their health outcomes via care service which are safe, timely, effective, efficient,
people-centres and equitable (Aiken, Sermeus, Van den Heede, Sloane, Busse, et al., 2012).
If any of the aforementioned criteria’s are not met in patient care then the care delivered is
considered inadequate, as in the case of William Taylor. The patient suffering from kidney