Reflection on Assessment of Asthmatic Patient

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A reflective overview:

Developing knowledge on the assessment and intervention of asthmatic patient focusing on adult

Introduction

In this essay, I need to reflect on the situation that taken place during my clinical assignment to develop and utilize my experiences on the assessment and intervention of asthmatic patient in my work place. In this reflection, I am going to use Gibbs (1988) Reflective Cycle. This model is a recognised framework for my reflection. Gibbs (1988) consists of six stages to complete one cycle which is able to improve my healthcare practices continuously and learning from the experience for better practice in the future. The cycle starts with a description of the situation, next is the analysis of the feelings, third is an evaluation of the experience, fourth stage is an analysis to make sense of the experience, fifth stage is a conclusion of what else could I have done and final stage is an action plan to prepare if the situation arose again (NHS, 2006). Baird and winter (2005, p.156) gave some reasons why reflection is required in the reflective practice. They state that a reflection is to generate the practice knowledge, assist an ability to adapt new situations, develop self-esteem and satisfaction as well as to value, develop and professionalizing practice. However, Siviter (2004, p.165) explain that reflection is about gaining self-confidence, identify when to improve, learning from own mistakes and behaviour, looking at other people perspectives, being self-aware and improving the future by learning the past.

In my contact with the patient, it was important for me to establish a very good rapport which is the healthcare professional - patient relationship. There was a good mutual understanding exists between me and Mrs. A established from a sense of trust (Harkreader and Hogan, 2004, p.243). Ruesch (1961) mentioned the purpose of the good communication is to improve the patient’s ability to function. According to Kathol (2003) healthcare provider must show up caring, sincerity, empathy and trustworthiness in order to build a warm relationship with patient. Those attitudes could be expressed by promoting the effective communication and relationships by the implementation of interpersonal skills. Thus, My reflection is about one patient whom I code her as Mrs. A, not a real name to protect the confidentiality of patient’s information (NMC, 2004).

Description of the situation

In this paragraph I would describe on the event that took place in assessing and provision of intervention to asthmatic patient in my work place. I was on a ward when Mrs. A was brought to the Accident & Emergency unit. She was a 76 years old been diagnosed of asthma. Mrs. A complainted of shortness of breath with audible wheezing. She could not walk herself and need to be assisted if she wanted to stand or walk. Her past medical history revealed diabetic and high blood pressure. Patient has taken her prescribed medication of ventolin at home without relief of symptom before coming to the Accident & Emergency. She was accessed and physical examination show the following: Respiratory rate 30, Heart rate 110, blood pressure 140/90, temperature 36.2, and saturation 87. Auscultation reveals decreased breath sounds. Peak flow done before and after treatment was 125/250. Mrs. A was also coughing up small amount of sputum.

Feelings

In this paragraph, I would discuss on my feelings or thinking that took place in the event that happened. Before I started the assessment, I introduced myself and approached Mrs. A. So I tried to build a good rapport with her as I do not want her to feel strange as I was not her family members or her relatives. My first approach to her was to ask whether she wanted to take her lunch. She was on soft diet as she was having a difficulty in swallowing. Then I asked her permission to feed her. She looked at me and the pain was there. In this situation, I showed...
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