Nursing Reflection And Its Overview

Running head: NURSING REFLECTION
NURSING REFLECTION
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Author Note

1NURSING REFLECTION
The paper aims at reflecting on an incident on setting an acute care outside ICU for a patient with
acute exacerbations of COPD using Driscoll model for reflection.
What:
The intensive care unit ICU offers a continual program of care of severely ill patients
with regeneration potential or who are at risk of life. In the last few decades, demand for beds
correlated with the decreased mortality of admitted patients has grown substantially in this
sector. In addition, the complexity of diseases and the number of chronic diseases have
also increased. Patient care in hospital wards outside the ICU has become a common reality in
hospitals around the globe (Urizzi et al., 2017).
An exacerbation often represents an extreme situation in which health care workers have
a high level of patient control and power. Patient participation is often in the form of non-
involvement through exacerbation. It was very important for the participating nurses to approach
the patients with a delicate approach. Ethical dilemmas is often challenging for the nurses
(Kvangarsnes et al., 2013).
A patient with acute condition was admitted in the emergency department for acute
exacerbation of COPD. However, due to the lack of bed availability in the ICU his care was set
up in a general ward unit bed. A number of team members were included in the care regimen.
The ICU nurses, clinicians, respiratory therapists and house managers were a part of the team
and key caregivers for him (Silva et al., 2015).
So what:
The goal was to address respiratory acidosis while preventing more hyperinflation by
protecting the airways, and by correcting hypoxemia. The best way to achieve this is to mix a