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Reflective Account

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Reflective Account
Therapeutic relationships
Understanding Behaviour Assessment LO1

HNC CAP

Word count 1360

This is assessment is a reflective account using Gibb’s (1998) reflective cycle. It provides me with the structure to follow when reflecting (Brooker, 2013). The cycle has 6 steps which include; Description, feelings, evaluation, analysis, conclusion and action plan. In order to comply with the NMC Code of Confidentiality (NMC, 2013) and Data Protection Act 1998, I will call the service user Mrs M in order to maintain confidentiality.
Description
On Thursday in my placement I was asked to assist Mrs M with her lunch. Mrs M is 90 years old and has dementia. She has barriers to her communication due to her dementia and physically she can’t walk without support. The two care workers, Mrs X and Mrs Z were to escort Mrs M through to the dining area using a wheelchair. The both put an arm through her armpits and put her on the wheelchair before wheeling her away. Mrs M was then taken out of the wheelchair in the same way and put onto a seat at the table and pushed in, to be close to the table. I then took over from the care workers. I told Mrs M that I was going to put a protector around her neck, in order for her to have her lunch. Mrs M’s table is called the ‘assisted table’. I assisted her with her starter, which was soup. Staff then gave me her main meal, which I encouraged Mrs M to participate on eating on her own. Mrs M seemed to enjoy her lunch and ate it all. Mrs X and Mrs Z then escorted Mrs M back to the lounge.
Feelings
I will now discuss my thought and feelings throughout this account. I observed that the care workers did not communicate with Mrs M when elevating her to and from the chair. I thought that she seemed fretful (unhappy, nervous). I was feeling a bit angry that Mrs M was not communicated with, I thought that surely they can explain what they are about to do and why. When given the soup, I wondered how hot it was, as



References: Brooker, C., 2013. Foundations of Nursing Practice Fundamentals of Holistic Care. In: C. B. a. a. Waugh, ed. s.l.:s.n., p. 205. NMC, 2013. http://www.nmc-uk.org/Nurses-and-midwives/Advice-by-topic/A/Advice/Confidentiality/. [Online] [Accessed 4th dec 2013]. Webster, M., 2013. www.merriam_webster.com. [Online] [Accessed 4th dec 2013].

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