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Contemporary Nursing Case Study

   

Added on  2020-03-16

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Assessment 2: Case Study Reflection TemplateIntroduction:In contemporary nursing, critical reflection is an important virtue that a nurse practitionermust possess in order to take charge of a situation in an accurate manner. Contemplating ascenario by reverting to the scenario and understanding of the context through modificationof future outcomes is performed through critical reflection. Driscoll’s Model of Refectionrenders a suitable framework is appropriate in this regard. According to this model, reflectionto one’s professional experience is achieved through three vital processes that attend toquestions ranging from what, so what and now what (Bulman 2013). Therefore, in nursingpractice it is possible to link theory with practice through this model of reflection. Ability todemonstrate various nursing skills is made possible through this model thereby depicting athorough understanding and insight on the given scenario (Kelly et al.). As part of myprofessional practice in nursing, I came across certain demanding situations in which I had toapply my prudence and pragmatism to arrive at pertinent conclusion through accuratedecision-making skills. Analysis, review and evaluation of my experience will be done byvirtue of applying this Driscoll’s Model of Refection (Morton et al. 2017). Considering thefact that critical reflection is an essential attribute in nursing practice, I will try to interpretmy experience in a way so that there remains ample scope for improvement throughidentification of the gaps in practice. All discussions will be made in line with the acceptedcodes of conduct and professional standards. In the following section, discussion will bemade with respect to a patient admitted at the urology ward of clinical practice. Further, ascenario with respect to a patient undergoing mastectomy due to breast cancer admitted inbreast endocrinology ward will be discussed.What?In this section, give a thorough description of the clinical scenario/encounter. This

should be something that challenged you on a professional or personal level whilstundertaking your first PEP. In course of my PEP, I came across an 80-year-old female patient who was admitted in theurology department following complaint of urinary tract infection with history of dementia,hypertension and hyperlipidemia. Cath examination of urine confirmed urinary tractinfection. One morning while assisting her for toileting, I found her to be somewhatdisoriented and confused. She also had arthritis, ambulated with the aid of walker, and sat onchair for most of the day. Patient reported pain at the suprapubic site and in pelvic regionwith sensation of burning pain during urination that was indicative of urinary tract infection(Nicolle 2013). Therefore, I found it challenging to tackle her situation with priority beingreducing and reliving her sensation of pain and discomfort to account for optimal wellbeing. Further, in course of my professional experience placement, I came across a 50 year oldlady who survived breast cancer and underwent modified radical mastectomy in her rightbreast following 6 cycles of chemotherapy. However, 4 months after operation shecomplained of a lump formation nearby the incision area without any discharge and wasadmitted for performing further surgery. The patient also had symptoms of nausea andvomiting that severely impaired her quality of living. Besides these, she suffered from hairloss that lead to distorted body image. Fatigue and loss of appetite was also reported in her(Cheng et al. 2014). On interacting with her, I was of the opinion that she suffered fromdepression owing to her condition and refrained from communicating with anyone while onadmission to the ward. Moreover, she also refused to take prescribed medications and showedreluctance to follow instructions as suggested for her to abide by. Hence, I faced particularchallenge interacting with her and making her act in compliance with the prescribedmedications. So What? This is an analysis of the event. How did you feel at the time and is this different

to your feelings after the event? What did you do well and what could you have done better?What were the effects of what you did or didn’t do? On encountering the situation relevant to the patient, I was a little perplexed as how toapproach it. I prioritized pain reliving for the patient to offer better outcomes. I promptlyresorted to applying heat through hot water bag in the pelvic region to provide mitigation ofpain sensation alongside relief from spasm. Within 15 minutes the pain subsided and patientreported feeling better. Further, I administered her with Ciprofloxacin as prescribed by doctorto accentuate her recovery. Research has provided empirical evidences that antispasmodicagents are effective in bladder irritability and analgesics are suitable for pain mitigation(Flores-Mireles et al. 2015). Patient expressed positive responses on administration of themedicine as she was visibly in a better position without any sign of grimacing pain ordiscomfort. However, I feel that besides medications I could have encouraged her tofrequently void by increasing her fluid intake to promote renal blood flow thereby allowingbacteria to be eliminated from urinary tract. Reviewing and carefully analyzing the case history of the patient, I became sure about thepresent situation of her. Physical pain associated with her treatment for breast cancer wasfollowed by feelings of depression and confusion. Therefore, adjunct to the physical therapy,I also resorted to counsel her for complying by the prescribed medications and follow generalguidelines imperative for her health and wellbeing. I encouraged her to take small mealsfrequently so that the symptoms of nausea and vomiting may be kept under control. I alsoexplained to her the course of treatment that might exert beneficial effects in treating hercondition. Side effects following administration of drug tamoxifen that might lead to hair losswere also clarified to her so that she does not have any misconceptions about the therapeuticeffects directed to her. Moreover, I also encouraged her to perform frequent ambulation sothat fatigue may be well managed. Within one week, I found visible signs of improvement in

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