NUR1201 The Patient Experience And Partnering In Care
Question:
Reflection is a way of thinking and working for Registered Nurses and is useful in raising our conscious awareness of aspects of care that may or may not be hidden from our view. This raised awareness about these aspects of care improves our understanding as nurses and assist us in directing action strategies that can improve both the patient and their family’s experience and the ‘partnering in care’ strategies that we utilise. Improving the ‘patient care experience and partnering in care’ and using Gibbs Reflective cycle (1988) as a framework in combination with drawing upon relevant theory provides a foundation for nurses to operate from and as such is required for task 2.
1.View the Case Scenario – Recording ‘The Age 75 Recording’
This Recording is located at the top of this study desk page within the white ribbon, under useful links: course recordings
Drawing upon relevant literature (theory) will support and strengthen your reflection.
Answer:
Introduction
This essay analyzes the case study of Mr. William Taylor, a 75-year patient who narrates his health experience in the past few years. The essay discusses the Gibbs model of self-reflection and applies the model in analyzing Mr. Taylor`s case.Each of the six stages of the model are described in the context of the case study. The paper describes the feelings and beliefs that I had before this experience and explains how these beliefs have changed after the experience. The self-reflection essay uses various theories of self-reflection and health care to achieve the objectives of the text. Some of the methods used include the National Safety and Quality Healthcare partnering.
My experience with Mr. Taylor has been very useful in understanding this subject and care in general. The experience has helped me to understand the importance of the patient participating in decision making in health care. Mr. Taylor narrates that stumbled on some concrete some few years ago. He fell on the floor, and this resulted in serious injuries ion the shoulder, arms, and legs. The injuries brought him a lot of pain and agony since he was alone going about his daily physical exercise routine, and there was no one to help him. Mr. Taylor also narrates his experience within public health care facilities and why he refused to visit a public hospital; when he experienced the accident. Mr. Taylor also narrates how the accident impacted on his day to day functions and his general health condition. The patient also explains his other medical conditions such as anemia and type 2 diabetes and how these conditions have affected his life (Griffin & Celenza, 2014).
Before this experience, I thought that falling is just a simple accident that could not have any impact on the health of an individual. I also thought that anemia does not affect people with advanced age (Persily, 2013). Before the experience, I also thought that a person of 75 years age could not manage to undertake daily physical exercises. During the experience, I felt pity for Mr. Taylor for the pain he had undergone (Grossman, 2013). I also felt that the doctors at the public hospital could have given him priority due to his advanced age when he visited the hospital suffering from kidney stones. During the experience, I thought that Mr. Taylor`s physician should have been more sensitive when explaining to him the consequences of repairing his torn muscles at the back of the shoulder. The doctor should also have given the patient a variety of choices physiotherapist to choose from. After the experience, I felt that Mr. Taylor requires more care and attention to help him recover from the injuries he experienced after he fell.
One of my values in integrity. Integrity is the quality of being honest and having strong moral principles. It is important that a medical professional is honest with their patient because, they will be able to reveal to them important information which will help the patient make informed decisions on their health (Nelson, Batalden, Godfrey & Lazar, 2013). I also believe that the health care system in public hospitals should be improved to offer quality health care services. This will help to reduce and eliminate instances like the one Mr. Taylor experienced when he was suffering from kidney stones. The values and beliefs originate from my background as a child where I was taught the importance of being honest. These values and beliefs are also influenced by the code of ethics of nurses which emphasizes the importance of integrity (Gittell, 2009).
Mr. Taylor did not receive adequate care after experiencing the first accident which left him with a lot of injuries. Mr. Taylor had no one to assist him to get up or reach home after he fell. This is despite the intense pain we were experiencing. For a 75-year-old man, he should have been accompanied to the shopping center, or he should have called his wife to come and assist him to get home. In addition to this, Mr. Taylor did not receive any immediate treatment after he got home. This was very dangerous because, the injuries could be very serious and maybe it was an emergency situation (Reed, 2011). He had to wait until the next day to see his doctor at the clinic. The patient should have seen the doctor immediately to receive any necessary treatment.
The fact that Mr. Taylor waited at the public hospital for 11 good hours before seeing a doctor shows how poor services at a public facility could be. This is made worse by the fact that Taylor is an old man and he had kidney stones which are usually very painful. The hospital staff was giving Mr. Taylor pain relieving pills after every 3 hours, and this is not advisable (McGregor & Cartwright, 2011).
Another incident that proves that Mr. Taylor did not receive adequate care is that he did not get any assistance when dressing or showing. He struggled to do this thing given that he was his shoulder was so painful. The patient also did not receive sufficient care to help him deal with anemia and diabetes type 2 which has a very great impact on the lifestyle of an individual (Butenko, Lockwood & McArthur, January 01, 2017). Mr. Taylor should have full-time care because he has several medical conditions which could become very serious if he gets neglected like the way things are for now.
The things that could have been done differently include Mr. Taylor getting assistance to get home after he got seriously injured on the way shopping. Mr. Taylor should also have sought medical attention immediately instead of waiting to see his physician the following day. The personal physician could have been more sensitive when advising the patient on why he should not undergo surgery instead of using the kind of language he used (Australian Commission on Safety and Quality in Health Care. 2011). The patient should have been treated promptly and not spend 11 hours at the medical facility before seeing a doctor.
The experience has helped me realize the importance of electronic health record. E-health record refers to the systematic collection and storage of patient data in electronic format. Health records are shared through network connected and enterprise wide information systems. The electronic card will help in saving Mr Taylor`s past medical history. Mr Taylor has been suffering from conditions such as anaemia,alergic rhinitis, hypertension, diabetes and also hearing problems.By having an health card, any medical officer taking care of Mr Taylor will be able to understand his medical history and hence take necessary care for the patient(Traumatic injury research at NIOSH, 2009).
To be ready to face this experience in the future, I need to understand the different types of care offered to patients with different health needs (Smith & Institute of Medicine (U.S.). 2012). This will help me to adopt care to suit the needs of the patient. Care for Mr. Taylor can be improved by providing him with a trained carer who will be able to offer assistance and advise to help him recover quickly from the injury and manage other conditions the other medical conditions such as anemia and hypertension.
Conclusion
This paper analyzes the case of Mr. Taylor who is a seventy-five-year-old male patient with various medical conditions such as hypertension, anemia, poor hearing and physical injuries on the shoulder and the arm. The paper uses the Gibbs model of self-reflection to reflect upon the experience of Mr. Taylor who narrates his experiences to the students. The objective of the paper is to analyze the case study and identify instances where the patient received high quality care. The report also identifies gaps in care for the patient and suggests what could have been done differently to attain a better outcome. The paper uses different theories to analyze the quality of care that Mr Taylor received when he was experiencing the health complications.
References
Australian Commission on Safety and Quality in Health Care. (2011). Patient-centered care: Improving quality and safety through partnerships with patients and consumers. Darlinghurst, N.S.W: Australian Commission on Safety and Quality in Health Care.Camberwell:ACER press
Butenko, S., Lockwood, C., & McArthur, A. (January 01, 2017). Patient experiences of partnering with healthcare professionals for hand hygiene compliance. Jbi Database of Systematic Reviews and Implementation Reports.London:Palgrave Macmillan
Gittell, J. H. (2009). High-performance healthcare: Using the power of relationships to achieve quality, efficiency, and resilience.New York,N.Y:Springer
Griffin, T., & Celenza, J. (2014). Family-centered care for the newborn: The delivery room and beyond.Camberwell, Victoria:Penguin Books
Grossman, S. (2013). Mentoring in Nursing: A Dynamic and Collaborative Process. New York: Springer Publishing Co.
McGregor, D., & Cartwright, L. (2011). Developing reflective practice: A guide for beginning teaching. Maidenhead: Open University Press.
National Academies Press. (2009). Traumatic injury research at NIOSH. Washington, DC.
Nelson, E. C., Batalden, P. B., Godfrey, M. M., & Lazar, J. S. (2013). Value by design: Developing clinical microsystems to achieve organizational excellence. San Francisco, Calif: Jossey-Bass.
Persily, C. A. (2013). Team leadership and partnering in nursing and health care.Oxford:Blackwell Publishing
Reed, A. (2011). Nursing in partnership with patients and carers. Exeter: Learning Matters.
Smith, M. D., & Institute of Medicine (U.S.). (2012). Best care at lower cost: The path to continuously learning health care in America.New York,N.Y:Springer Pub.Co.
Use the following coupon code :
SAVE10