Nursing Reflective Questions: Patient-Centered Care, Communication

This report presents nursing reflective questions centered on patient care, particularly focusing on a case involving a patient's refusal of a colonoscopy and the importance of patient-centered care. The report analyzes the scenario, highlighting the lack of patient-centered care where the patient's preferences and concerns were not adequately addressed. It suggests alternative approaches, such as improved communication and explaining the benefits of the procedure to gain patient consent. The report defines key terms like 'patient,' 'client,' and 'resident' in the context of healthcare settings. It also explores how the author, as a nursing student, would apply compassionate communication skills to build rapport and address the patient's concerns. The ultimate goal is to maximize patient benefits and minimize harm through effective treatment adherence and understanding patient perspectives.

Running head: NURSING REFLECTIVE QUESTIONS
Nursing reflective questions
Name of the student:
Name of the University:
Author’s note

1NURSING REFLECTIVE QUESTIONS
1.
In the case scenario of Mrs. Trent, a 80 year old day with low hemoglobin levels, she was
scheduled to receive a colonoscopy. However, the dilemma was that despite being explained to
her all about the procedure, she refused to give consent for the procedure. In addition, she had to
drink several liters of bowel preparation solution, she refused to drink it and the nurse was
advised to keep her drinking the solution. Patient centered care is not evident in this scenario
because the nurses were not responsive to patient preferences, values and needs and took clinical
decision without considering patient values. This is also evident because in spite of Mrs. Trent
being distressed, she was coaxed to drink the solution by the senior nurse.
The care for Mrs. Trent would have been more reflective of patient-centered care if the
nurses had taken to care to communicate with Mrs. Trent and understand the reason for not
drinking the solution. Secondly, before asking Mrs. Trent to drink the solution, the nurse could
have calmly asked her why she was distressed and understand the factor that was worrying her.
By this way, the nurse could have taken proper response to patient’s distress and politely
explained to her the benefit of drinking in order to successfully complete the colonoscopy.
Instead of contacting her son to sign the consent for Mrs. Trent, another patient centered care
option that could have been taken would be to explain the benefits of colonoscopy for early
diagnosis of problem and fast recovery and discharge from hospital. The prospective of not
staying in hospital for longer time might have motivated Mrs. Trent to give consent for the
procedure.
In my placement course in the second year, if I had got the chance to care for Mrs. Trent,
I would have used the strategy of compassionate communication skills to build rapport with Mrs.

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Trent and understand her preference and issues regarding treatment. This will give insight into
Mrs. Trent view of health care service and her thoughts or view might have been changed with
proper explanation. This would have helped to maximize the benefits for patient and minimize
harm by promoting adherence to the essential treatment options.
2.
Terminology
Explain in your own words what each of
these terms means
Likely health care setting
where this term is used
Patient
Patient may be defined as an individual who
is receiving or registered to receive medical
treatment for any illness or health issues
Hospital, nursing home and
outpatient clinic
Client
Client is a synonym often given to patient
when the priority is to maintain health of
patient instead of providing routine care.
Mental health service and
community health service
Resident
The term resident is given to those individual
who resides in short term or long term care
facility due to certain health or developmental
disability.
Rehabilitation clinic, aged care
facility and residential home for
people with developmental
disability
Healthcare
consumer
Health care consumer is defined as any actual
or potential recipient of care who is likely to
avail service with the core purpose of health
related issues.
Member of prepaid health
maintenance organization and
community health center

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