Reflective Writing Using Gibb's Model of Reflection

Topics: Health care, Ambulance, Emergency medical services Pages: 4 (816 words) Published: January 12, 2011
Reflective Writing Essay

The following reflective writing essay will centre on a particular event that I witnessed. I will be using Gibbs’ model of reflection, from Gibbs, G. (1988). For confidentiality purposes, I will name my family member as Estelita who is a fifty five year old female.

Estelita was experiencing shortness of breath and chest pain. She called an ambulance, whereby a FRU car arrived, followed by a backup ambulance crew. The FRU responder performed a primary survey on Estelita, after which she was transported to the nearest hospital by the backup crew who made her walk to the ambulance at the start of the journey and on her arrival at A&E.

My initial feelings towards the backup crew were of total disbelief. Whilst the benefit of allowing Estelita to walk unaided might have saved the paramedic’s time, as it might have been near the end of their shift, this action could have easily made her condition worse. I think the minimum amount of manual handling would have involved placing her onto a carry chair and then onto the bed, therefore unnecessarily placing further strain on Estelita.

I felt that the initial FRU Paramedic followed a systematic primary and secondary assessment JRCALC, (2006) as well as keeping Estelita well informed about her actions and reasoning’s at all times as per the HPC standards of conduct. This helped to alleviate her anxiety. However, in relation to the backup crew, The American Academy of Orthopaedic Surgeons states that ‘As a general rule, cardiac patients should be transported in the most gentle, stress-relieving manner possible. Try not to allow the patient to exert him or herself, strain, or walk’. Emergency Care and Transport of the Sick and Injured. 2005. Page 413-414. I felt this was not the case in that situation as they did not offer her any form of assistance, as well as being rude and unhelpful.

I think that the knowledge and...

References: Danielson C.B., Hamel-Bissell B. & Winsted-Fry P., eds. (1993) Families, Health and Illness: Perspectives on Coping and Intervention. Mosby, St Louis.
Halldorsdottir S. & Hamrin E. (1997) Caring and uncaring encounters with nursing and health care staff from the cancer patients perspective. Cancer Nursing 20, 120±128
American Academy of Orthopaedic Surgeons
Schlump-Urquhart S.R. (1990) Families experiencing a traumatic accident: implications and nursing management. AACN Clinical Issues 1(3), 522±534
Thorne S.E
Von Essen L. (1994) What is Good Caring. Doctoral Dissertation. Uppsala, Sweden. [In Swedish ± Translated and Cited in HalldorsdottirS. & Hamrin E. (1997) op cit.].
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