NUR1201: Critical Reflection on Patient Experience and Care

This essay presents a critical reflection on a 75-year-old patient's experience within the healthcare system, utilizing the Gibbs Reflection Cycle to analyze the case and identify areas for improvement in patient care. The paper describes the patient's negative experiences, including a lack of effective communication, family involvement, and proper patient education, particularly concerning an elderly patient's falls and associated injuries. The reflection delves into the author's emotional responses, evaluations of the care provided, and proposes actionable strategies to enhance patient-centered care, emphasizing the importance of e-health records, family involvement, and professional education. The analysis highlights both positive and negative aspects of the patient's treatment, advocating for collaborative healthcare practices and improved communication to prevent complications and ensure patient well-being, with a focus on the needs of vulnerable elderly patients and the importance of adhering to ethical guidelines. This paper serves as a learning tool to improve the quality of healthcare provision, focusing on patient-centered care and the effective use of healthcare resources.

Running head: CRITICAL REFLECTION: PATIENT EXPERIENCE AND PARTNERING IN CARE 1
Critical Reflection: Patient Experience and Partnering In Care
Student’s Name
Institutional Affiliation

CRITICAL REFLECTION: PATIENT EXPERIENCE AND PARTNERING IN CARE 2
Critical Reflection: Patient Experience and Partnering In Care
Introduction
A vivid understanding of nursing theories, as well as the conceptual framework for
quality patient care, is critical for the management of old patient and patients of all ages. This is
because, with such knowledge, healthcare providers can provide excellent patient care and avoid
health complications such as falls and prevent reoccurrence of diseases through the employment
of the E-health record which is an essential tool in patient care provision. Therefore, the content
of this paper is a critical examination of the medical experience of a 75-year-old Mr Taylor
during patient health records. And for the critical reflection, the paper utilizes the Gibbs
Reflection Cycle where the content begins with the description of the scenario, emotional
summary, evaluation analysis and the relevant action to be taken based on the learning
experience. The main focus of this study is to develop a working plan to improve old patients
care based on the learning experience.
Gibbs critical reflection cycle has six major stages of which description makes and in an
essential part of the cycle thus dangerous for learners’ experience and learning (Husebø,
O’Regan & Nestel, 2015). According to Reedy 2017, Mr. a Taylor is a 75-year-old patient who
based was not provided with effective patient care. The case of the patient shows lack of nursing
care beginning from when the respective nurse on duty did not well record his medical history.
Being that those nurses are required to have clear records of the patient for adequate health care
provision, it seems that the nurse did not fully undertake patient care responsibilities as needed.
Mr Taylor was not given proper patient education, and that could be the main reason why he had
to see the surgeon after the fall in the first place.

CRITICAL REFLECTION: PATIENT EXPERIENCE AND PARTNERING IN CARE 3
Moreover, the patient Mr Taylor also describes his experience at a public hospital where
he waited for 11 hours before being attended even though he was in severe pain. According to
the detail by Reedy, the patient Mr Taylor got treated according to his condition at the point.
However, according to the patient, he was too disappointed by the surgeon was also frank in his
presentation. At the end of the narration, the patient says that his wife and family were not
involved. Therefore, it could be concluded that there was a lack of effective patient care as the
family was not involved. Effective patient care requires the family to be engaged through family-
centred care where they are educated on how to take responsibility, involved in patient decision
making as well as explained of the medication (Shields, 2015).
Another important stage of Gibb's Model is the feeling and thoughts stage that raises
awareness among health practitioners concerning effective patient care (Porter, Perkins, Lyons &
Sewgolam, 2018). In the scenario of Mr Taylor, I felt empathy and full of concerns for the
patient has gone through a lot of pain form the two falls at his age. Going through the scenario, I
think that patients such as Mr Taylor have developed mistrust in the healthcare system.
Moreover, I feel that colleague nurses involved in the case of Mr Taylor did not take the correct
intervention to provide effective patient care. I believe that before any treatment action, the
healthy person concerned should go through the patient's medical history to assess the risks, a
situation which should be corrected through ‘My health records'. Moreover, I feel that involved
nurses should provide both patients and family member with education to avoid falls and harms
from falls.
In hindsight, Mr Taylor' experience had both positive and negative elements attached to
it, and I believe that I have developed a greater understanding regarding effective patient care. I

CRITICAL REFLECTION: PATIENT EXPERIENCE AND PARTNERING IN CARE 4
think that the patients' interest should be taken into consideration. Even though I think that
emergencies should be handled first, it is recommended for other patients' situations also be
analyzed, and appropriate interventions are taken. My value as a nurse is to ensure the patient's
full recovery and prevent the reoccurrence of similar medical problems. Moreover, I would deal
with the patient as a partner and provide care based on his interest. Also, family involvement is
one of the factors in patient care. Therefore, I would work as per values, codes of conduct and
patient benefits to prevent complications such as falls and harms that come with falls.
According to Shields 2015, effective patient care is based on several interventions taken
by both the nurse and physicians. These interventions include the family centred-care, patient
education, follow-ups, effective use of patient records and assessment. Critically reflective on the
case scenario of Mr Taylor, most of these interventions are not evident. The case shows a lack of
patient's involvement in the decision making, lack of family .involvement in the patient's
treatment and lack of professionalism by the surgeon who according to the case, was too frank.
Further, the examination of Mr Taylor's experience also shows a clear lack of prompt
examination of the patient's medical history via ‘My health record'. Effective patient care
framework provides the medical practitioner with a clear procedure for effective care
(Spildooren et.al 2016). However, in the case of Mr Taylor, the nurse and the surgeon did not
fully meet these requirements; thus, the patient's disappointment and risk of fall as well as the
harm that comes with falls.
The family centred care framework has established principles which are necessary for
effective patient care provision. Elderly patients such as Mr Taylor, according to the framework,
are vulnerable and should be treated with dignity and presented with information in a certain

CRITICAL REFLECTION: PATIENT EXPERIENCE AND PARTNERING IN CARE 5
manner that observes their dignity (Shields, 2015). It is notable form the case that the surgeon
did not observe patient age while presenting him his condition and that why he felt disappointed.
Furthermore, the centred family model also requires healthcare providers to share and relay
unbiased information to both patient and family in a way that affirms their usefulness in the
process. To this manner, in a much as Mr Taylor was treated as he wanted and he was happy
about it, he was later in the risks of falls and harms that come with falls since the health
professionals involved did not involve his family.
Another principle that health professionals should follow while handling a patient is the
provision of professional education and development of a management plan for follow-ups (Gu,
Balcaen, Ni, Ampe & Goffin, 2016). The healthcare providers in the case scenario of Mr Taylor
omitted this principle putting the patient in the risk of fall and the future reemergence of pain and
other related complications. Also as noted prior, the professional health providers did not
effectively evaluate the patient's medical history to establish the cause of the patient's problem
thus putting the patient at the risk of falls for the second time. The doctors should have gone
through ‘My health record’ system to establish the cause of the patient’s injuries and come up
with appropriate collaborative treatment and effective care provision.
The case scenario reveals a lack of prompt assessment of the patient’s medical history
and lack of blood test even the patient was aged adult, lack of appropriate communication and
poor assessment of patient’s e-health records. Thus, without any contradiction, it can be noted
that would require the health providers in the case of Mr Taylor had conducted blood tests, the
patient's anemic condition would have been diagnosed and proper treatment program developed.
Proper evaluation and assessment of the patient history would also have presented the clear

CRITICAL REFLECTION: PATIENT EXPERIENCE AND PARTNERING IN CARE 6
condition of the patient and the second fall would have been prevented. Conversely, Mr Taylor's
experience also presents evidence of effective and optimal treatment. The surgeon handling Mr
Taylor provided quality healthcare services. The physician provided the patient with candid and
honest information regarding his condition, which was assign of patient-centred care.
Collaborative healthcare provision can also be noticed between the surgeon, the nurse who
monitored iron fusion and the physiotherapist. This collaborative action reduced the treatment
cost and enhanced patient confidence and trust in the health facility and the involved care
providers.
In the future, as a nurse, I aim to provide health education to patient and work
collaboratively with both the patients and family members as a means to achieve quality health
care demands. According, centred patient care, patient interest should be prioritized, and they
should be involved in every decision. As a professional health provider, I will ensure that I
involved patients in all the decisions, collaborate with colleagues as well as the family members
to ensure extensive care and prevent health complications such as falls. Moreover, as a nurse, I
would be much careful while handling elderly patients due to the fact that they are vulnerable to
conditions such as hypertension. Moreover, at the extensive level, I would encourage senior
health professional within my working health facilities to develop programs and policies that
would create opportunities for the members of the community to be trained on patient care and
management to prevent risks of fall and its harms.
Conclusion

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Drawing a conclusion from Mr Taylor's experience, I have gained more knowledge and
have become much aware of the consequences related to healthcare providers' neglect for the use
of e-health records and patient education. The content of this essay has provided me with a clear
list of what is required of me as a health practitioner to provide quality as well as effective
healthcare to patients in the future. Also, I have learnt the importance of E-health records in
facilitating effective healthcare. Finally, this reflection has enhanced my knowledge of elderly
patient management and actions that should be taken to prevent falls and harms that come with
fall.
Reference
Gu, Y. Y., Balcaen, K., Ni, Y., Ampe, J., & Goffin, J. (2016). Review on prevention of falls in
hospital settings. Chinese Nursing Research, 3(1), 7-10.
Husebø, S. E., O'Regan, S., & Nestel, D. (2015). Reflective practice and its role in
simulation. Clinical Simulation in Nursing, 11(8), 368-375.
Porter, J., Perkins, A. J., Lyons, J., & Sewgolam, S. (2018). Thinking like a nurse. The Road to
Nursing, 117.
Shields, L. (2015). What is “family-centred care”?. European Journal for Person Centered
Healthcare, 3(2), 139-144.
Spildooren, J., De Coninck, L., Van Cleynenbreughel, E., Himpe, M. L., Verschueren, S.,
Vander Weyden, L., ... & Flamaing, J. (2016). The effect of a multifactorial patient-

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centered fall prevention program on falls and fall related injuries. In EUGMS, Date:
2016/10/05-2016/10/08, Location: Lissabon.