Core Components For Effective Infection

Running head: REFLECTION ON CLINICAL EXPERIENCE
REFLECTION ON CLINICAL EXPERIENCE
Name of the Student:
Name of the University:
Author Note:

1REFLECTION ON CLINICAL EXPERIENCE
Answer 1.
Experience 1.
An 88 years old female patient was admitted to the hospital with the symptoms that
were indicative of sepsis and seizure event in the patients. The patient also had some
additional medical conditions, such as COPD, TIA, T2DM, OA, Vascular dementia, Raynaud
syndrome and kidney transplantation.
The patient required complete bed rest, and she also had a high risk for malnutrition.
Thus it was very important to discuss these aspects with her so that she would co-operate
appropriately in her care.
We explained the complete care plan to the patient along with instructing her
appropriately.
I was anxious about the patient’s condition when she was admitted. She was
diagnosed with sepsis and seizure resulting from her renal failure. She also had multiple co-
morbid conditions along with her advanced age. All these conditions presented a high risk of
mortality in her. I was worried about her. However, after the acute symptoms were
controlled, her condition was improved, and I felt relief from that observation.
The physicians and my supervisors assisted me in caring for the patient.
The professional interaction with the patient seemed successful since the patient was
following all the instructions, and there was an improvement in her condition. Her alert
appearance detected that she was aware of her conditions.
Experience 2.
A 64-year-old male patient was admitted to the hospital with impaired renal functions.
After six-day, there was a renal biopsy performed in the patient, and then a haematoma

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condition was detected in the patient. Three days after that, a Permacath was inserted. The
patient displayed the symptoms like asymmetrical leg swelling along with vasculitis and lung
shadow. We suspected the possibility of DVT in him. He did not have any additional medical
conditions, but he had a habit of smoking.
It was necessary to communicate with the patient and inform him about his conditions
for lowering the mental pressure in him.
We informed the patient about his conditions properly, and we also explained the care
plan in detail to him.
I was concerned that the patient was developing new symptoms within the gap of a
few days, which might be an indicator of a far greater problem in the patient, which will
present with mortality risk in the patient. However, with appropriate treatment, when my
supervisors asked me to create a discharge planning for the patient, I was relieved.
I asked my supervisors for guidance since I was not sure if we should inform the
patient about what we are suspecting about his condition.
The interaction appears to be successful since the patient provided his complete co-
operation to all the healthcare staffs in carrying out the different steps of his care plan.
Experience 3.
A thirty-year-old male patient was admitted in the hospital with renal impairment
condition. He was diagnosed with urosepsis condition on the next day. He had a UTI
condition resulting from Klebsiella infection. The patient had multiple medical conditions
additionally such as diabetic retinopathy, gastroparesis, chronic subsegmental PE and various
others.

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Additional to his medical conditions, he was also experiencing a financial problem.
His family could not afford the expense of his treatment, and they required NDIS
accommodations and funding. Thus the patient and his family required to be consulted for
discussing all these matters.
We explained the condition of the patient in detail to him and his family. We also
discussed the financial problems and the possibility of referral with them.
I was anxious about the uncertainty arising with the patient’s condition. I felt
sympathetic towards the patient and his family that they have to face the additional problems
of arranging the financial resources. It was unfortunate that our organisation could not decide
on the matter of referral yet. The situation was having a stressful impact on both the patient
and his family.
My supervisors guided me in this interaction since I did not have enough experience
to deal with this kind of complex and sensitive situation.
The success of the interaction cannot be decided.
Experience 4.
An 80-year-old female patient was admitted in the hospital with renal impairment
condition. She was diagnosed with a meningioma condition. She had a medical history of
bowel cancer, breast cancer and kidney transplantation. After she was subjected to the
operation, there was an atypical pneumonia condition detected in the patient. She was also
experiencing chest pain, which was resolved after application of appropriate medication.
Successful professional interaction with the patient’s family was necessary for
informing them about the frequent changes in the patient’s condition. The family also
deserved an explanation for the referral of the patient to OT. We needed their appropriate

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consent before proceeding with the treatment procedures. Communication with the patient
was required for making appropriate assessments of the patient’s condition.
A brief explanation for the referral of the patient to OT was provided to the patient’s
family. There was also an appropriate discussion about the current condition of the patient in
detail. The patient was questioned for any feeling of distress that is being experienced by her.
I was concerned about the patient since there was a high risk of mortality in the
patient, associated with all her conditions. It was really stressful when the patient developed
pneumonia. However, we were able to detect the condition in time, and that aspect provided
me with some relief.
I acquired help from my colleagues and guidance from my supervisors for
communicating with the patient’s family.
The interaction can be considered to be successful with the patient since it enabled us
for the timely detection of the patient’s distress and resolving the issue at the same time.
Experience 5.
A 75-year-old female patient was admitted to the hospital with severe renal
impairment condition. She was transferred from the rehab as her GCS was low. She had
multiple medical conditions such as COPD, asthma, hypertension, type-2 diabetes mellitus,
PE, CKD, MI, heart failure, OA, MI, TIA, CCF and ESRD condition. She had a habit of
smoking previously, and she was also on dialysis. The patient had lost her husband recently.
Her daughter was present in the hospital as a family.
A low GCS indicate the possibility of the patient being comatose. The patient also had
many co-morbid conditions, which increased the risk of mortality in her excessively. It was

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important for interacting with the patient’s daughter in order to inform her about the current
condition of her mother.
In professional interaction, we provided her with appropriate information concerning
the patient’s health. We also discussed the significant risks to the patient’s health. Finally, we
assured her that we would be providing our best effort to ensure her mother’s health and well-
being.
I was very anxious about the patient’s health condition because it was evident that her
advanced age, along with the presence of the multi-morbid condition in her presents with a
huge risk to the patient’s health. I felt uncertain if we would be able to restore her health or
not.
My supervisors helped me in making this interaction. However, the success of the
interaction could not be determined.
Answer 2.
All those above situations required teamwork for the diagnosis of the patient,
identification of the issues, and developing a proper care plan for the patient to resolve those
issues. I made a primary diagnosis on the patient and informed the physician from the
specific field to review the situation. I noted down the instructions provided by the specialists
and consulted with the registered nurse for developing an appropriate care plan for the
patient. I also made an attempt to seek help from the RN to help me or guide me for making
appropriate interaction with the patient family.

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Part-2
Answer 1.
One of our patients refused to eat the food provided by the hospital for two days, and
after that, she was diagnosed with malnutrition. I communicated with her and found that she
was vegan, and she was afraid of consuming animal products. I assured her that there would
be a special arrangement that supports her food habit, and she started to eat from the next
day.
One of our elderly ED patients experienced a fall from his bed. After an effective
communication with the patient’s family, it was found that the patient did not understand
English, and thus he could not ask the healthcare staffs for assistance. I taught him some sign
language along with a few English words so he can communicate with the healthcare staffs
about his needs.
The third scenario involved a CHF patient being excessively offended from a
suggestion made by a healthcare staff. I identified the offence since I had sufficient
knowledge about the culture, and I was able to restore calm in the patient immediately by
ensuring him that the healthcare staff did not mean it that way.
Answer 2.
For the first situation, I used a calm tone with the patient, along with maintaining a
relaxed appearance. I used a light manner of speaking when asking the patient about her
reason for not eating. All these strategies I adapted put the patient at ease since she felt
assured that I was not there to force her for eating. My compassionate behaviour and attitude
were successful in gaining her trust. Thus she believed me when I assured her that she would
be provided with food of her preference.

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In the second scenario, I communicated with a family member of the patient first, who
knew English. I approached the patient with a calm and relaxed appearance. I used a non-
verbal approach of communication first, which involved some commonly understood sign
language. After that, I was successful in teaching him the necessary words and also gaining
his trust.
I used both verbal and non-verbal communication in the third scenario. Along with
applying gentle touch when listening to his outburst, I maintained a calm appearance when I
explained the matter to the patient in his own language. This way, I was able to establish an
appropriate therapeutic relationship with the patient based on mutual trust.
Answer 3.
In the second scenario, I asked the English-speaking family member of the patient to
introduce me to the patient first. I also requested her to translate the patient’s experience from
that event of fall for me to understand the patient better.
Answer 4.
I was attentive of my patient’s requirements, and I always made sure to apply the
evidence based and cost-effective practices for the patient care to ensure patient safety. I also
attempted to communicate with my colleagues, supervisors and patients along with their
respective families to ensure quality care.
Answer 5.
Diversity is a term that covers a huge area. The term mainly indicates a difference in
the opinions, beliefs and moral values of different individuals. The diversity might arise from
many reasons, which includes different cultures, different geographical origin or simply the
fact that every human is a different individual.

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A certain belief might be the base of a particular culture, but the same belief might be
insignificant for another culture. Thus if an individual from the second cultural origin says
something negative about that belief, it might be offending for an individual from the first
culture.
These situations can be avoided by developing appropriate cultural competency.
Answer 6.
I informed my colleagues about the third scenario and explained how easily the
excitement from the offence could trigger an incident of heart failure in him. I learned about
different cultures and also encouraged my colleagues into doing the same.
Answer 7.
Discrimination due to the financial conditions is very common in the clinical setup. It
is a very common phenomenon for the patients from a weaker financial background to
experience unjust discriminations compared to the stronger financial background. Racial
discrimination is another common occurrence in the healthcare organisations of Australia.
Answer 8.
The first strategy will be proper clinical governance of a healthcare organisation to
detect the specific types of discrimination that occur in that respective organisation and then
take appropriate actions against the involved staff.
The second strategy will be providing proper education to all the healthcare staff, and
the third strategy will involve helping the respective people personally if they are found to be
discriminated.

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