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Reflection on the nursing process, using Gibbs 1988 model

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Reflection on the nursing process, using Gibbs 1988 model

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  • May 19, 2004
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This is a reflective essay based on a situation encountered during my first six-week placement on an ear, nose and throat ward at a local hospital. In order that I could use this situation for my reflection the patient will be referred to as "Mr H". This is in order that his real name is protected and that confidentially maintained in line with the NMC Code of Professional Conduct to

"Treat information about patients and clients as confidential and use it only for the purpose for which it was given."

In order to help me with my reflection I have chosen Gibbs (1988), as the model to help with my reflective process. This model comprises of a process that helps the individual look at a situation and think about their thoughts and feelings. The experience gained in this can then be used to deal with other situations in a professional manner.

The Nursing process is a framework used by the health care professionals. The framework is made up of four components. Assessment of the patient on admittance to hospital, considering all of the patients individual needs in order to identify any problems. Planning: at this stage the nurse and if necessary carers, relatives and the patient discuss achievable goals and how these can be met. Implementing: This is the direct care needed for the patient, what is to be done for the patient, when and by whom. This gives the patient a clear understanding of what is going to happen to them throughout their stay in hospital. Evaluating: This step of the process informs the carer and the patient whether the goals set have actually been achieved (Kenworthy, et al 2002).

Description

Whilst working on a morning shift I was asked if I would assist a team of nursing professionals and nursing assistants with washing and making a patient comfortable.

Mr H was a 68-year-old patient who had previously undergone cranial facial surgery to remove a tumour, which was invading his left eye. This was a very rare form of cancer. After a...