This journal uses the Gibbs Reflective Cycle to analyze the author's experiences in post-operative care, focusing on two specific cases involving a cardiovascular surgery patient and a brain haemorrhage patient. The author reflects on their feelings, evaluations, analysis, conclusions, and action plans for future practice.
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Table of Contents INTRODUCTION..........................................................................................................................4 MAIN BODY..................................................................................................................................4 Gibbs reflective model...............................................................................................................4 CONCLUSION................................................................................................................................6 REFERENCES................................................................................................................................7
INTRODUCTION Reflective journals are personal records of students’ learning experiences. Students typically are asked by their instructors to record learning-related incidents, sometimes during the learning process but more often just after they occur. Clinical Assessment is a way of diagnosing and planning the treatment which involves evaluation of any patient problem to figure out whatis wrong.Report will lay emphasis on Gibbs reflective model. It will be based on Post-operative care. MAIN BODY Gibbs reflective model Reflection 1 Description- I was being placed at the Royal Darwin hospital in post -operative care unit. I worked as a nurse over there. I took care of patient who underwent cardiovascular surgery. Service user was also suffering from hypertension and diabetes. This was the main reason he suffered from the cardiac arrest. Patient also had a habit of drinking alcohol and smoking cigars. Feelings-When I was treating the patient I was extremely emotional by seeing the service user in pain. The effect of anaesthesia was also seen in her as she was in unconscious condition. I felt pity over her condition. As a nurse I was engaged in providing her with acute care. So that she can feel better. Evaluation-I have evaluated that during my placement, I learnt about how to provide holistic care to post-operative patients. This care helped me in identifying the patient’s current situation. I analysed that Individual patient’s l have different psychological and emotional responses to surgery influenced by the type of surgery they are having and why they require that surgery.
Analysis-During my placement as a nurse in post-operative care unit, I have analysed that this work gave me the opportunity to learn about how to provide acute care to patients. I was also able to be friendly with service user. It was very helpful in my career. Conclusion-I learnt about providing evidence based care to post-operative patient suffering from cardiac arrest. I also attended number of ward services that helped me in increasing my observational skills. It also supported me in better understanding of patients. Action Plan- For future consideration, I will have deep research on the problems faced by service users.This will allow me to contextualise my learning and also enhance the care I provided. It will also improve the health outcome of patients(Levin and Diaz-Arrastia, 2015). Reflection 2 Description-I was being placed at the Royal Darwin hospital in post -operative care as a duty of nurse. The patient being assigned to me had undergone Brain Surgery for the diagnosis of Brain haemorrhage. The patient was also suffering from the Migraine and this made the person more aggressive and uncooperative. The reason behind this operation was the blockage in his veins in the brain which made to rise the Blood clots in the nerves of his Brain. The patient also had the habit of consuming unwanted drugs as a solution to his problems. Migraine was much severe that the patient use to be more disturbing and angry while the treatment. Feelings-While during my treatment I was much afraid and felt pity on patient as he was much aggressive but had to bear severe pain. At times the patient would also shout over his treatment as due to pain and the reduction of anaesthesia over the time. But considering my profession as priority and sticking up to my basics and what I have learnt before, I applied the same and handled the situation accordingly. Evaluation-I have evaluated to during my placement that to provide a proper physiotherapy during the post-operation period and have learned its different techniques that are used to improve the condition of the patient. What I have mainly learned is about the trigger points to targeted of the patient so as to help him recover fast and with less pain as well. Also, my I had better experience in identifying different problems and their solution for patient;s condition during post-operation period.
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Analysis-During my placement as a nurse in post-operative care unit, I have learnt how to get away from the emotions and apply the basics of my knowledge and perform properly in critical situations. I also analysed to create the positive understanding with the patient and remain mentally strong for the success of the treatment. This placement also helped my in analysing different types of situations arsed during the treatment with acute care for the patient. Overall it was beneficial part of my career learning and experience. Conclusion-I learned about assisting all the basic components of treatment required during the treatment after Brain haemorrhage operation and also learned to create a positive mindset during the treatment without showing emotions. It also made me learn about the few points that can be pressed in order to provide relaxation and improvement of the pain being suffered by the patient. On observing my fellow mates and my seniors treating the same type of patients also helped me I acquire more knowledge in this field and learn different techniques. Action Plan-For future opportunities I would like to make a deep research and analysis of the problems being faced by the service users. Also, I would make a research on my observed techniques from my seniors and their consequences after its application. This will let me have the complete turn around knowledge regarding my area of specialisation and also help grow in my career(Haynes and et.al., 2018). CONCLUSION From the above report it is observed that the study of clinical assessment in different type of situation for the patient. The report consisted Gibbs reflective model which was based on the reflective report on Post-operative treatment of the Cardiovascular patient and Brain haemorrhage patient. The both reports analysed the different critical problems and finding out the appropriate solution to them and thus availing the benefits gained by the placement in certain departments by an individual. The report lastly concluded by the different learnings from the two departments of the placement and also focussed on future implications being discussed by the individual.
REFERENCES Books and journals Haynes, S.N and et.al., 2018.Scientific foundations of clinical assessment. Routledge. Levin, H.S. and Diaz-Arrastia, R.R., 2015. Diagnosis, prognosis, and clinical management of mild traumatic brain injury.The Lancet Neurology.14(5). pp.506-517.