Reflection Assignment 3 Following Johns Model of Structured Reflection

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Reflection Assignment 3

Following Johns Model of Structured Reflection

For this reflective piece I am going to write about a situation I encountered whilst on my community placement with the district nurse. To write the essay I will be following "Johns model of structured reflection" as a basis to structure my reflection around.

Johns Model of Structured Reflection (Johns 1998)

1.Write a description of the experience. Ask yourself:

* 'What are the significant issues I need to pay attention to? '

Whilst on my community placement for one of my initial spokes, I arranged to spend the morning with the district nurse on her rounds, to gain an insight into her role within the community and find out first hand exactly what her job entails.

I met up with Claire (changed name) early on Thursday morning where she discussed with me what the plan for the day was and showed me the notes of the people we were going to visit, to get some idea of what kind of things I would be seeing. I didn 't have time to read the notes properly in the car before we arrived at the first appointment at 8.15am he was an elderly gentleman who had been discharged from hospital after major eye surgery and was having to have drops applied 4 times a day.

On entering the house I was taken aback by the initial smell of damp and I noted some damp patches and mould on the carpet in the corners. When we entered the living room Tom was slouched over in his couch. The room and kitchen where both quite dirty and unkempt. When Claire introduced me and asked if it was ok for me to be there it became apparent that Tom was very drunk, agitated and not happy with the situation. Firstly Claire did an initial assessment of how he was coping with the posture holding, which he had to hold for eight hours a day. I later learned that this was because he 'd had a bubble of gel injected into his eye after the surgery, to hold the retina in place, for it to heal correctly. This it seemed was giving him severe back

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