Using Gibb’s Reflective Model to Analyse a COPD Patient

Running head: USING GIBB’S REFLECTIVE MODEL TO ANALYSE A COPD PATIENT
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Using Gibb’s Reflective Model to Analyse a COPD Patient
Student’s Name
Institutional Name

USING GIBB’S REFLECTIVE MODEL TO ANALYSE A COPD PATIENT
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Using Gibb’s Reflective Model to Analyse a COPD Patient
Description
This reflective journal uses the Gibbs (1998) model, as the guideline of the reflection
during a voluntary internship. The reflection is based on the experience gained whilst in working
at a certain healthcare facility in the department of pulmonary rehabilitation program (PRP). The
name of the client shall be assigned an alias name (Jay) for the sake of confidentiality (Nursing
and Midwifery Council, 2008). Jay is currently 65 year old man, who attends the pulmonary
rehabilitation program because he has a chronic obstructive pulmonary disease (COPD). He was
under the short burst oxygen therapy (SBOT) prescription so as to suppress his symptoms.
According to World Healthcare Organization (2013), COPD is the interference of the
airflow into the lungs as a result of chronic obstruction. COPD makes the patients to develop
abnormal breathing patterns. During the internship, I closely worked with a team that dealt with
PRP. The opportunity provided insight into the COPD’s theoretical knowledge, I previously
learnt. The main caring session I was interested with was the breathing technique of Jay using
purse lip breathing (PLB). I documented most of the exercise score programs of Jay using the
Modified Borg Scale. Jay would occasionally be very anxious, de-saturated and breathless; when
he attempted to walk with the assistance of fellow teammates, family or myself. Thus, I
encouraged Jay to practice the purse lip breathing method during the morning walking exercise.
Jay practiced the PLB technique and would often regain his breathe, relax and be calm after ten
minutes of reassurance. However, Jay would occasionally be unable to apply the PLB technique
without close intervention from the caregivers or family.

USING GIBB’S REFLECTIVE MODEL TO ANALYSE A COPD PATIENT
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Feelings
Close study of Jay made me calm and confident while assisting patients with COPD
illness. Hence, I developed the two skills that intern assisted Jay to successfully control his
breathe and anxieties. Prior to developing the sense of calmness and confidence, I could not avail
physical assistance; this enervated Jay’s symptoms. However, I began gaining calmness and
confidence towards assisting Jay to lower his symptoms. Therefore, I began introducing the PLB
technique in addition to giving him reassurance, which greatly aided and comforted Jay by
greatly debilitating his symptoms.
Evaluation
The morning exercise that Jay took was very instrumental for balancing his breath’s
patterns. Other teammates joined suit and we built a useful combined morning exercise so as to
ease Jay’s condition; this built a robust therapeutic nurse-patient relationship. Moreover, Jay
perceived the PRP exercise very positively. Furthermore, he commended the exercise and
deemed it very significant for his diagnosis. The conclusion made by Jay is in line with the
studied of McCarthy et al. (2015), Watz et al. (2014), Rochester et al. (2015) and Bolton et al.
(2013), which noted that PRP has an elevated general expectation of patients with either unstable
or stable COPD.
According to National Institute for Healthcare and Clinical Excellence (2010), PRP is
used to mitigate COPD, thereby reducing the admission of patients who are depressed and
anxious. After attending the regular checkup on Jay, I noticed that dyspnoea is a common
challenge even with other patients who lives with COPD. Thus, the timely mitigation of
dyspnoea would have posed limited challenges of COPD on Jay. Dyspnoea examination should
be given the first priority while offering treatment and care to the COPD patients. Anyway, PRP