NUR1201: Patient Experience & Partnering in Care - Gibbs Reflection

This essay provides a reflective analysis of a 75-year-old patient, Mr. William Taylor's, healthcare experiences, focusing on falls prevention, harm reduction, and the role of electronic health records. The essay employs the Gibbs model of self-reflection to examine Mr. Taylor's encounters with the healthcare system, including his injuries from a fall, experiences at a public hospital, and management of conditions like anemia and type 2 diabetes. It explores the author's initial beliefs and how they evolved through this experience, emphasizing the importance of patient involvement in decision-making, integrity in healthcare, and the potential of electronic health records to improve patient care. The reflection identifies gaps in Mr. Taylor's care, such as delayed treatment and insufficient support, and suggests improvements, including enhanced sensitivity from healthcare providers and more comprehensive care plans. The author concludes by stressing the need for patient-centered care and continuous learning in healthcare to achieve better patient outcomes.

Running Head: PATIENT EXPERIENCE AND PARTNERING IN CARE 1
PATIENT EXPERIENCE AND PARTNERING IN CARE
Name
Institution Affiliation

PATIENT EXPERIENCE AND PARTNERING IN CARE 2
Introduction
This essay analyzes the case study of Mr. William Taylor, a 75-year patient who
narrates his health experience in the past few years. The essay discusses the Gibbs
model of self-reflection and applies the model in analyzing Mr. Taylor`s case.Each of
the six stages of the model are described in the context of the case study. The paper
describes the feelings and beliefs that I had before this experience and explains how
these beliefs have changed after the experience. The self-reflection essay uses various
theories of self-reflection and health care to achieve the objectives of the text. Some
of the methods used include the National Safety and Quality Healthcare partnering.
My experience with Mr. Taylor has been very useful in understanding this subject
and care in general. The experience has helped me to understand the importance of
the patient participating in decision making in health care. Mr. Taylor narrates that
stumbled on some concrete some few years ago. He fell on the floor, and this resulted
in serious injuries ion the shoulder, arms, and legs. The injuries brought him a lot of
pain and agony since he was alone going about his daily physical exercise routine,
and there was no one to help him. Mr. Taylor also narrates his experience within
public health care facilities and why he refused to visit a public hospital; when he
experienced the accident. Mr. Taylor also narrates how the accident impacted on his
day to day functions and his general health condition. The patient also explains his
other medical conditions such as anemia and type 2 diabetes and how these conditions
have affected his life (Griffin & Celenza, 2014).
Before this experience, I thought that falling is just a simple accident that could
not have any impact on the health of an individual. I also thought that anemia does not
affect people with advanced age (Persily, 2013). Before the experience, I also thought

PATIENT EXPERIENCE AND PARTNERING IN CARE 3
that a person of 75 years age could not manage to undertake daily physical exercises.
During the experience, I felt pity for Mr. Taylor for the pain he had undergone
(Grossman, 2013). I also felt that the doctors at the public hospital could have given
him priority due to his advanced age when he visited the hospital suffering from
kidney stones. During the experience, I thought that Mr. Taylor`s physician should
have been more sensitive when explaining to him the consequences of repairing his
torn muscles at the back of the shoulder. The doctor should also have given the patient
a variety of choices physiotherapist to choose from. After the experience, I felt that
Mr. Taylor requires more care and attention to help him recover from the injuries he
experienced after he fell.
One of my values in integrity. Integrity is the quality of being honest and having
strong moral principles. It is important that a medical professional is honest with their
patient because, they will be able to reveal to them important information which will
help the patient make informed decisions on their health (Nelson, Batalden, Godfrey
& Lazar, 2013). I also believe that the health care system in public hospitals should be
improved to offer quality health care services. This will help to reduce and eliminate
instances like the one Mr. Taylor experienced when he was suffering from kidney
stones. The values and beliefs originate from my background as a child where I was
taught the importance of being honest. These values and beliefs are also influenced by
the code of ethics of nurses which emphasizes the importance of integrity (Gittell,
2009).
Mr. Taylor did not receive adequate care after experiencing the first accident
which left him with a lot of injuries. Mr. Taylor had no one to assist him to get up or
reach home after he fell. This is despite the intense pain we were experiencing. For a

PATIENT EXPERIENCE AND PARTNERING IN CARE 4
75-year-old man, he should have been accompanied to the shopping center, or he
should have called his wife to come and assist him to get home. In addition to this,
Mr. Taylor did not receive any immediate treatment after he got home. This was very
dangerous because, the injuries could be very serious and maybe it was an emergency
situation (Reed, 2011). He had to wait until the next day to see his doctor at the clinic.
The patient should have seen the doctor immediately to receive any necessary
treatment.
The fact that Mr. Taylor waited at the public hospital for 11 good hours before
seeing a doctor shows how poor services at a public facility could be. This is made
worse by the fact that Taylor is an old man and he had kidney stones which are
usually very painful. The hospital staff was giving Mr. Taylor pain relieving pills after
every 3 hours, and this is not advisable (McGregor & Cartwright, 2011).
Another incident that proves that Mr. Taylor did not receive adequate care is that
he did not get any assistance when dressing or showing. He struggled to do this thing
given that he was his shoulder was so painful. The patient also did not receive
sufficient care to help him deal with anemia and diabetes type 2 which has a very
great impact on the lifestyle of an individual (Butenko, Lockwood & McArthur,
January 01, 2017). Mr. Taylor should have full-time care because he has several
medical conditions which could become very serious if he gets neglected like the way
things are for now.
The things that could have been done differently include Mr. Taylor getting
assistance to get home after he got seriously injured on the way shopping. Mr. Taylor
should also have sought medical attention immediately instead of waiting to see his
physician the following day. The personal physician could have been more sensitive

PATIENT EXPERIENCE AND PARTNERING IN CARE 5
when advising the patient on why he should not undergo surgery instead of using the
kind of language he used (Australian Commission on Safety and Quality in Health
Care. 2011). The patient should have been treated promptly and not spend 11 hours at
the medical facility before seeing a doctor.
The experience has helped me realize the importance of electronic health record.
E-health record refers to the systematic collection and storage of patient data in
electronic format. Health records are shared through network connected and
enterprise wide information systems. The electronic card will help in saving Mr
Taylor`s past medical history. Mr Taylor has been suffering from conditions such as
anaemia,alergic rhinitis, hypertension, diabetes and also hearing problems.By having
an health card, any medical officer taking care of Mr Taylor will be able to understand
his medical history and hence take necessary care for the patient(Traumatic injury
research at NIOSH, 2009).
To be ready to face this experience in the future, I need to understand the
different types of care offered to patients with different health needs (Smith &
Institute of Medicine (U.S.). 2012). This will help me to adopt care to suit the needs
of the patient. Care for Mr. Taylor can be improved by providing him with a trained
carer who will be able to offer assistance and advise to help him recover quickly from
the injury and manage other conditions the other medical conditions such as anemia
and hypertension.
Conclusion
This paper analyzes the case of Mr. Taylor who is a seventy-five-year-old male
patient with various medical conditions such as hypertension, anemia, poor hearing

PATIENT EXPERIENCE AND PARTNERING IN CARE 6
and physical injuries on the shoulder and the arm. The paper uses the Gibbs model of
self-reflection to reflect upon the experience of Mr. Taylor who narrates his
experiences to the students. The objective of the paper is to analyze the case study and
identify instances where the patient received high quality care. The report also
identifies gaps in care for the patient and suggests what could have been done
differently to attain a better outcome. The paper uses different theories to analyze the
quality of care that Mr Taylor received when he was experiencing the health
complications.

PATIENT EXPERIENCE AND PARTNERING IN CARE 7
References
Australian Commission on Safety and Quality in Health Care. (2011). Patient-
centered care: Improving quality and safety through partnerships with patients
and consumers. Darlinghurst, N.S.W: Australian Commission on Safety and
Quality in Health Care.Camberwell:ACER press
Butenko, S., Lockwood, C., & McArthur, A. (January 01, 2017). Patient experiences
of partnering with healthcare professionals for hand hygiene compliance. Jbi
Database of Systematic Reviews and Implementation Reports.London:Palgrave
Macmillan
Gittell, J. H. (2009). High-performance healthcare: Using the power of relationships
to achieve quality, efficiency, and resilience.New York,N.Y:Springer
Griffin, T., & Celenza, J. (2014). Family-centered care for the newborn: The delivery
room and beyond.Camberwell, Victoria:Penguin Books
Grossman, S. (2013). Mentoring in Nursing: A Dynamic and Collaborative Process.
New York: Springer Publishing Co.
McGregor, D., & Cartwright, L. (2011). Developing reflective practice: A guide for
beginning teaching. Maidenhead: Open University Press.
National Academies Press. (2009). Traumatic injury research at NIOSH. Washington,
DC.

PATIENT EXPERIENCE AND PARTNERING IN CARE 8
Nelson, E. C., Batalden, P. B., Godfrey, M. M., & Lazar, J. S. (2013). Value by
design: Developing clinical microsystems to achieve organizational excellence.
San Francisco, Calif: Jossey-Bass.
Persily, C. A. (2013). Team leadership and partnering in nursing and health
care.Oxford:Blackwell Publishing
Reed, A. (2011). Nursing in partnership with patients and carers. Exeter: Learning
Matters.
Smith, M. D., & Institute of Medicine (U.S.). (2012). Best care at lower cost: The
path to continuously learning health care in America.New York,N.Y:Springer
Pub.Co.