This reflective journal details a nursing student's experience in a palliative care ward, focusing on the care of an 88-year-old man, Mr. Keith, who suffered from a cerebral bleed and a perforated bowel. The student reflects on their feelings, the challenges of communicating with patients and families, and the importance of teamwork within the multi-disciplinary team. The journal highlights the application of the Gibbs reflective cycle, emphasizing the importance of communication skills, accurate record-keeping, and a holistic approach to patient care, including psychological, social, physical, emotional, and environmental needs. The student identifies areas for future development, particularly in understanding complications arising from conditions like CVA and developing assertive communication skills to improve patient well-being. The journal references several sources to support the reflections on best practices in nursing care.