NUR120-The Patient Experience And Partnering In Care

Patient’s Experience Using Gibb’s Reflection Cycle

Ideally, patient falls has undoubtedly become one of the most frequent events in the corridor of healthcare facilities thus affecting the overall safety of patients. Consequently, various methods are required in preventing falls among patients. However, recognizing, evaluating as well as preventing the aspect of patient falls has become a significant problem for the healthcare practitioners in the haste of providing a safe environment in a particular healthcare setting. In this light, various hospitals have come together with the aim of understanding the contributing factor of patient falls as well as decreasing their occurrence and the resulting overall injuries or slightly deaths. This paper proposes to discuss in detail the aspect of patient falls by the use of Gibb’s reflection cycle on Mr. Taylor’s experience.

Step #1 (Description)

In essence, this is a step that closely looks at the aspect of quality in regards to the patient’s experience thus providing nurses with tools of assessing the same. For instance, this scenario is meant to acknowledge nurses with the need of preventing patient’s fall in a particular healthcare system as well as keeping records on falls. This scenario is about a 75 years old patient named Mr. Taylor who has undoubtedly undergone various events regarding medical as well as surgical experience as a result of falls. Nonetheless, his entire experience has been surrounded with both positive as well as negative aspects in public as well as the private hospital. One apparent negative aspect of his experience is that the doctors in public hospital did not consider taking his blood samples for testing or even informing him of fall prevention strategies. However, one clear positive experience was that Mr. Taylor was informed about his current situation. The main themes that are presented in this scenario are the aspect of the lack of information to patients regarding patient’s prevention techniques even though there are adequate cares for particular presenting conditions.  

Step #2 (Feeling)

During the consultation, I undoubtedly had different feelings. I felt sympathetic for Taylor because his experience reminded me of the time I was a teenager. I had an accident when I was 14 years, and I could not withstand the pain I had gone through not forgetting the fact that I had diabetes and asthma. In a review from Dunn, O’Neill, as well as Feldman (2014) I found out those patients who suffer from injuries as a result of accidents, is at risk of experiencing depression from such a horrible experience (Diessel & Hilpert, 2016). However, the review also concluded that treatment and close care could improve the psychological trauma (Dauvrin, 2016). My experience of that accident meant that I could relate well to that patient. I felt some anger at one point during the consultation. The excitement was directed to the practitioners who made Taylor wait for 11 hours before he could get medical attention (Giammaria, Cerrato, Imazio, & Curnis, 2017). Additionally, I was angry because of how public hospitals treated its patients with no instance care. I was pitiful for Taylor’s father for being wrongly amputated

Step #3 (Evaluation)

On evaluation, the overall event was somehow good in a way. First, it added to an individual’s dealing with old adult and dealing with patients who have had accidents. Although someone might not have had much experience with an old adult, he or she would surely welcome such a challenge in the course of their career. Additionally, this experience no doubt reaffirmed a person’s choice as a nurse (Philpott, Nandurkar, Lubel, & Gibson, 2014). During a person’s career journey, one may have a little doubt on whether or not he or she has chosen the right path. Nonetheless, there is always some point where one feels that he or she has made the right choice. However, there were also some negative elements. After some research, it is clear that diabetes in young people can be a hell of an experience. However, one might have noticed that the patient was uncomfortable giving his personal information. 

Step #4(Analysis)

Ideally, it is always essential for a patient to be provided with enough information in a particular healthcare setting especially when it has to deal with his or her health situation. In this scenario, there are various scenarios where Mr. Taylor has been denied medical information that is important to his recovery. One clear instance where he has been denied information is where his blood samples were not taken in the first instance; therefore, denying him a chance to know that he was anemic. Additionally, after being treated for the current fall, the patient is not given information on how well to carry himself to avoid future falls. It would have been beneficial if Mr. Taylor was taken through prevention strategies for falls.  

On reflection, a person might be able to deal with Taylor’s situation especially if he or she has a similar experience. The interviewer had the feeling that the patient opened up more to him because Taylor sensed his sympathy to him. The patient could as well choose to open up during the interview and share his experience (Davis, Moss, Nogin, & Webb, 2015). Various studies have opened up on the positive impact that comes along older adult opening up on their experience while they were sick. Additionally, it is essential to take to consider the situation of a patient and make sure they have gotten health service as soon as possible unlike what Taylor went through (Abraham, Conner, the Jones, & O’Connor, 2016). It is as well important to be open to a patient and make sure that their blood samples have been tested especially those that have had fallen (Patz, Frumkin, Holloway, Vimont, & Haines, 2014). The patient also helped the examiner realize how to deal with the sick persons and instead of talking to them in informal language just like the surgeon did. Moreover, an individual might have learned that one has to make upright decisions when treating a patient or instead to decide the kind of treatment to administer to a patient. 

Step #5 (Conclusion-Drawn)

If the same situation were to happen once more, it would be essential for an individual to approach it differently. One primary contrary indicator was the lack of adequate information provision regarding his health state (Haberzettl, Bhatnagar, & Conklin, 2014). If the same situation were to recur in the future, it would be essential to make sure that blood samples are taken from the patients and tested respectively. In case any condition is discovered, it would be as well essentially if the patient of concern is informed on the same to know the causes of his current situation. Additionally, their patient was denied prompt medical attention in the public hospital. It would be important in the future if patients are attended to on time to avoid further stressors. This may be done by making sure that there are enough numbers of medical practitioners in a particular hospital.

Within this case scenario, there are no doubt certain positive aspects that can be embraced in future medical practices. For instance, the patient was given information regarding his current medical situation after his blood samples were tested. Future nursing practitioners should emulate this practice as patients are required to know their medical condition to be able to cope up with their presence as well as future medical conditions. Additionally, the fact that Mr. Taylor was attended to in time during his experience in a private hospital is no doubt important in restoring patient’s confidence with the current healthcare system.   

Step #6(Action Plan)

Various elements are considered as a guiding action plan in this scenario. Firstly, it would be important to make sure that future patients are provided with adequate information regarding their current medical situation to enable a smooth care process (Crouch, Crouch, & Chapelhow, 2014). This will as well reduce the aspect of recurrent falls situation in a patient. Additionally, patients who have had falls should be well taught various strategies of preventing future falls in all environmental settings (Leuzinger-Bohleber, Canestri, & Target, 2018). Some of the falls prevention strategies that a patient should be acquainted with included home modification, medical assessment as well as progressive exercises regime. A major action plan in providing patients with information is making sure that patients are taken through counseling where they are informed of their current medical situation in an appropriate language. Notably, this ensures that patients with falls as well as other conditions are in terms with their current situation.

Conclusion

It is clear that patient fall has become rampant in contemporary medical settings. In this light, there is a need for apparent preventative measures to make sure that future occurrences are minimized if not avoid in entirety. One way of preventing patient falls is by making sure that patients have adequate information regarding their current medical condition and teaching them on various preventative strategies such as home modification. This way, the aspect of falls in the hospital will no doubt reduced. 

References

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Crouch, S., Crouch, M., & Chapelhow, C. (2014). Medicines management: A nursing perspective. Routledge.

Dauvrin, M. (2016). ” Immigration & the politics of the welfare state: a world tour. In EUPHA’s 6th European Conference on Migrant and Ethnic Minority Health.

Davis, A. S., Moss, L. E., Nogin, M. M., & Webb, N. E. (2015). Neuropsychology of child maltreatment and implications for school psychologists. Psychology in the Schools, 52(1), 77-91.

Diessel, H., & Hilpert, M. (2016). Frequency effects in grammar. In Oxford Research Encyclopedia of Linguistics.

Giammaria, M., Cerrato, E., Imazio, M., & Curnis, A. (2017). Active implanted cardiac devices and magnetic resonance: results of a survey among cardiologists of Piedmont. Journal of Cardiovascular Medicine, 18(3), 185-195.

Haberzettl, P., Bhatnagar, A., & Conklin, D. J. (2014). Particulate matter and oxidative stress–pulmonary and cardiovascular targets and consequences. In Systems Biology of Free Radicals and Antioxidants (pp. 1557-1586). Springer, Berlin, Heidelberg.

Leuzinger-Bohleber, M., Canestri, J., & Target, M. (2018). Controversies on different approaches in psychoanalytic research on early development and ADHD. In Early Development and its Disturbances (pp. 3-50). Routledge.

Patz, J. A., Frumkin, H., Holloway, T., Vimont, D. J., & Haines, A. (2014). Climate change: challenges and opportunities for global health. Jama, 312(15), 1565-1580.

Philpott, H. L., Nandurkar, S., Lubel, J., & Gibson, P. R. (2014). Drug-induced gastrointestinal disorders. Frontline gastroenterology, 5(1), 49-57.