Integrating nursing practice

RUNNING HEAD: INTEGRATING PRACTICE 1
Integrating nursing practice
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INTEGRATING PRACTICE 2
Integrating nursing practice
DESCRIPTION
Reflection is the act of narrating or thinking of what happened during a particular
scenario that needs nursing intervention (Tolomeo, 2013). In this assignment, I will reflect on the
skills of respiratory assessment that I learnt in the lab practical .I will use the Gibbs Model of
reflection since it is a very convenient mode of reflection and it is also systematic. There was a
case in which I came across a patient who was called Amanda. The patient was 53 years old. I
established her past medical history that included appendectomy. I then went ahead to estimate
the vitals and they were as follows: The body temperature was 37.9 Degree Celsius, the pulse
rate was 94 and the Respiratory rate was 22.The blood pressure was 110/64 and the oxygen
saturation was 93%.When I was obtaining the pulse rate, I was using one finger but the tutor
interrupted and told me that I should use three fingers instead. There are other assessments that I
conducted to the patient and they include auscultation, inspection, palpation of the chest and
percussion. I made sure that I adhere to the nursing protocol or rather the clinical reasoning cycle
during the respiratory assessment. During auscultation, I compared the left to the right, lateral
and concluded by the anterior. I then conducted the nutritional assessment by determining the
weight of the patient and her Body Mass Index by obtaining her weight and dividing by the
square of her height in meters .I also made sure that I review her breathing sounds and patterns.
From the assessment, it was clear that she was suffering from pneumonia and the established
goal was to ensure that the symptoms of pneumonia subside.