Reflective: Patient and Student Nurse

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In order to help me with my reflection I have chosen Gibbs (1988), as the model to help guide my reflective process. This model comprises of a process that helps the individual look at a situation and think about their thoughts and feelings at the time of the incident. Reflective skills help us to think about what could have been done, so that if a similar situation occurs again the experience gained can be used to deal with the situation in a professional manner (Palmer et al 1997).
To enable me to use this situation for my reflection the patient will be referred to as “James”. This is in order that his real name is protected and that confidentially maintained in line with the An Bord Altranais Code of Professional Conduct (2000).
James, a seventeen year old boy was admitted with a fractured wrist who suffers with schizophrenia. Jame’s condition caused him to have delusions and hallucinations which made him act inappropriately towards other patients and staff. He found it hard to relax and paced the ward a lot. James constantly needed reassurance and would ask other patients and staff if he was all right. His questioning involved wanting to know if he was in trouble and if his eye balls were ok. Everyone would reply to his questions by saying: “yes James you are all right, your eyeballs are fine and no you are not in any trouble‟, but this was not enough, you also had to give the “thumbs up” as well to assure him that he was fine. When James became agitated he would act out by kicking people. Due to his small size and light weight, the kick was usually light and didn’t hurt but sometimes it had strength in it. This acting out led me to question my preceptor if James’s kicking was behavioural or part of the illness and why it hadn’t been dealt with. My preceptor relayed to me that the nurses had used various techniques including behavioural therapy to stop James’s kicking but nothing had worked. Doctors had also tried a number of different drugs to help James

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