NUR2102 - Abbas Nursing Assessment: Gibbs Reflective Report

This report presents a reflection on the nursing care provided to Mr. Abbas, a 72-year-old patient with a complex medical history including COPD, Type 2 Diabetes, and recent injuries. The assessment utilizes Gibbs' reflective cycle to analyze the situation, feelings, evaluation, analysis, conclusion, and action plan related to the patient's care. The report highlights the importance of addressing the patient's pain, respiratory issues, and potential psychological distress. It discusses the challenges of ensuring patient compliance with oxygen therapy, potential causes of this non-compliance, and the significance of effective communication between nurses and patients. The report also emphasizes the need for proactive management, collaborative decision-making, and the application of clinical reasoning to ensure patient safety and quality care. The reflection concludes with an action plan focused on enhancing nurse-patient relationships and improving responses to critical situations.

Running head:ABBAS NURSING ASSESSMENT
Abbas Nursing Assessment
Name of the student
Name of the university
Author’s name

1ABBAS NURSING ASSESSMENT
Mr Abbas is a 72-year-old man who has been staying in Australia with his wife and sons
for 15 years. His neighbor found him lying at the backyard, and he was transferred to the
hospital. It has been the second time that the neighbour has found him after a fall. This essay will
be reflecting on the case study of Mr Abbas. The patient has different medical conditions. He
used to have chest infections in a repeated manner during his childhood. He injured his wrist at
age 25 from a sporting accident. He was diagnosed with Type 2 Diabetes during the period of 60,
but the condition was controlled with the help of a healthy diet and Metformin. Due to the lack
of HbA1c in the hospital, he used to take BGL’s before every admission. He was diagnosed with
chronic obstructive pulmonary disease (COPD) at the age of 62 and memory loss (Welte,
Vogelmeier & Papi, 2015). The main reason behind his entry in the ward is the laceration in his
left leg and a head injury that he received from the fall.
There was a realization that Mr Abbas is in much pain because of several respiratory
problems, and thus he should have been given oxygen. There was also a feeling that the patient
can be going through psychological pain. There was a feeling of the need of the nurse-patient
interaction to understand the patient’s physical and cognitive condition. Since the patient was
having a laceration in his leg and was having a head injury, he should have been provided more
thorough check-up since a head injury can become fatal if left ignored.
The good part of the treatment was that his breathing and coughing problem improved
and sputum got cleared. However, I failed to recognize why the patient is not compliant with
oxygen therapy. These may be due to pressure areas around the nose or ears that may develop
due to rubbing of the prongs. It should have been made the main priority for the nurse to check
for the issues (nursingmidwiferyboard.gov.au, 2019).

2ABBAS NURSING ASSESSMENT
Even though Mr. Abbas had a laceration on his left leg and the forehead, he was still in a
perfect spirit. The failure in the patient’s compliance with the oxygen therapy could have been
because of the chronic obstructive pulmonary disease (COPD) and toxic effects from oxygen
therapy which could have occurred based on the condition of the patient and the duration and
intensity of the oxygen therapy. Oxygen toxicity occurs due to extreme or improper
supplementary of oxygen that can harm the lungs and other organ systems severely. High
absorptions of oxygen, over a long duration, leads to damaged membranes, proteins, and cell
structures in the lungs (opentextbc.ca, 2019).There are no drugs that can be used to prevent
oxygen toxicity caused by the oxygen therapy. The only effective methods to prevent the oxygen
toxicity from occurring are to limit the partial pressure of oxygen (pO2), the time of exposure,
and to give air breaks during oxygen breathing.
Effective communication between the nurses and patients during the handover stage
helps in guaranteeing the safe quality of health care services (Kourkouta &Papathanasiou, 2014).
From this experience, there is a comprehension of the significance of being emphatic and apply
polished methodology practically speaking if, at any time, comparative circumstances were to
emerge later on. The knowledge that has been picked up from this experience implies that there
will be increasingly mindful of the ramifications of not acting promptly and the significance of
responding to the most significant advantage of the patient, notwithstanding when this may take
boldness. Medical officers and patients should form a collaborative working relationship that
will place the patient’s needs at the vanguard. Decision-making process through the clinical
reasoning model is an elemental step towards patient safety and quality care (Vahdat et al.,
2014).

3ABBAS NURSING ASSESSMENT
The action plan for the similar scenario will have a new action plan whose primary
purpose will be to enhance the relationship between nurse and patient and to enhance several
ways to deal with severe problems (Rutherford, 2014). The auxiliary centre ought to be
increasingly proactive in managing a circumstance and to confront it on paying little heed to the
job inside the group or level of understanding; this incorporates managing a focused on
administration client, guaranteeing that data is passed on to the applicable staff and mediating
when there is an opportunity of hazard to an administration client's wellbeing or mental
prosperity. When patients need extra oxygen and cannot travel to distant healthcare facilities then
they are provided with home oxygen therapy with the help of nasal cannula and the oxygen
therapy are of different types such as long term oxygen therapy, ambulatory oxygen therapy,
nocturnal oxygen therapy. Oxygen delivered to the home is generally packed in large steel gas
cylinders (Shebl & Cates, 2019). By communicating with the patient in a proper way about their
injury will help them feel relaxed and comfortable, which will help them to sustain the pain
peacefully.

4ABBAS NURSING ASSESSMENT
REFERENCES
ahrq.gov. (2019). The Ten Steps of Action Planning | Agency for Healthcare Research &
Quality. Retrieved 18 July 2019, from
https://www.ahrq.gov/teamstepps/instructor/essentials/implguide1.html
Kourkouta, L., & Papathanasiou, I. V. (2014). Communication in nursing practice. Materia
socio-medica, 26(1), 65.
Nursing and Midwifery Board of Australia - Registered nurse standards for practice. (2019).
Retrieved from https://www.nursingmidwiferyboard.gov.au/codes-guidelines-
statements/professional-standards/registered-nurse-standards-for-practice.aspx
opentextbc.ca. (2019). 5.7 Cautions with Oxygen Therapy – Clinical Procedures for Safer Patient
Care. Retrieved 18 July 2019, from https://opentextbc.ca/clinicalskills/chapter/5-6-
complications-of-oxygen-therapy/
Rutherford, M. M. (2014). The value of trust to nursing. Nursing Economics, 32(6), 283.
Shebl, E., & Cates, T. (2019). Home Oxygen Therapy. Retrieved 20 July 2019, from
https://www.ncbi.nlm.nih.gov/books/NBK532994/
Vahdat, S., Hamzehgardeshi, L., Hessam, S., & Hamzehgardeshi, Z. (2014). Patient involvement
in health care decision making: a review. Iranian Red Crescent Medical Journal, 16(1).
van Seben, R., Geerlings, S. E., Verhaegh, K. J., Hilders, C. G., & Buurman, B. M. (2016).
Implementation of a Transfer Intervention Procedure (TIP) to improve handovers from
hospital to home: interrupted time series analysis. BMC health services research, 16(1),
479.

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Welte, T., Vogelmeier, C., & Papi, A. (2015). COPD: early diagnosis and treatment to slow
disease progression. International journal of clinical practice, 69(3), 336-349.