reflective account essay.pdfReflective Account Essay

Examples Of Reflective Accounts
Reflective Account
The interview took place in a private setting, in the participant's home that was free of distractions
and noise. It is required to obtain an interview in a private setting for patient confidentiality and
privacy. It took about an hour to for the interview because of the required information, family health
history, current medications and remembering dates of the family history information. I first started
introducing myself, explaining the purpose of the interview, estimated duration of the interview, and
I asked the patient of any known allergies. If the interview took place in a hospital or facility
setting, I would have asked the participant to state her name and date of birth and I would double
check the arm band to make sure I matched. During the interview, I maintained an eye contact and
informed the participant to let me know any time she wanted a break and at any time she was
uncomfortable. I used...show more content...
According to the provided family health history given, diabetes was common in Mrs. Johnson's
family. I observed Mrs.'s psychosocial health, environment and age health consideration. I asked
Mrs. Johnson of her current medications, pain and allergies. Open ended questions were used to
provide the participant a chance to further explain what the information that was conducted. The
participant answered all questions thoroughly to her best of her ability. She did not know some of
the answers about her grandfather on the paternal side. The participant maintained any eye contact
during the health history assessment and looked comfortable. The participant communicated very
well and there were no barriers and the participant made me feel comfortable during the interview
and she was very engaged. The interview went very well and was very similar to what I have learned
and the participant was willing to answer all
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REFLECTIVE ACCOUNT
REFLECTIVE ACCOUNT. Unit 1– 1.1, 1.2–This is a reflective account of the things I have done,
experience and knowledge I have gained throughout the assessor 's course mainly during the process
of assessment. First, I would like to describe the definition of assessment, its key concepts, stages to
show the knowledge and understanding I have gained throughout the course. An assessment is a
pre–agreed formal session with the learner. Assessment is judging performance against an agreed
standard and is also a way of finding out if learning has taken place. It enables yo assessor to
ascertain if learner has gained...show more content...
d) Authencity:– There should be no doubt that the evidence is genuine and has been produced by the
learner. e)Currency:– The evidence can prove that the learner is up to date on current methods, skills
and knowledge in the chosen vocational area. Unit 2, 1.1, unit 3, 1.1,1.2,1.3– I have also learned and
familiarised myself with different methods of assessment that can be used to assess competence and
knowledge. They are namely: Observation of performance in the work environment and simulated
environments– used in practical situation in work environment where a learner demonstrates their
competence (natural performance) whilst learners are being observed. Simulation–this is similar to
observation but a simulated activity is used rather than natural performance to assessed learners.
Simulation is used when it has not been possible to carry out a task. Examining products of work–
assesment is done on the culmination of learner 's training, e:g certificates, health and safety reports,
memos, checklist for patiaent care, letters, charts. Questioning the learner, witness testimony: any
other people who has been involved with the learner 's progress can write a statemen to show how
the learner has successfully covered relevant aspects of the courset, learners ' personal statement: it
is a reflective account where learners explains the thinking behind their decision to take certain
approach or why they decided to change aspects of a task or activity ,

Hnc Health Care Reflective Account Essay
Reflective account 6
Description
Throughout this reflective account i will refer to the individual I was working with as Gloria. I
have not used her real name throughout this piece to protect her identity and to ensure that I am
maintaining confidentiality. "You must respect people's rights to confidentiality" (NMC 2013)
Gloria is a 74 year old lady who lives at the residential care home at which I am currently on
placement Gloria is under the Adults with Incapacity Scotland Act 2000 due to a diagnosis of
Dementia. She is mobile with the aid of a Zimmer frame and is still as independent as her health
allows. She requires the assistance of 1 carer for most activities of daily living. After breakfast I
offered to take Gloria to the toilet...show more content...
Gloria has a strong desire for independence and in health care this is fully supported and promoted.
As carers we should support the resident/patient to help themselves as much as possible. Using
verbal prompts I guided Gloria round to the toilet and then asked her if she required any help to
remove her clothing, which she declined. I understand that everyone has the right to decline
treatment or care of any kind. I stepped back slightly acknowledging her decision and allowed to
her continue in the removal of her clothes. I placed by hand behind her back while she did this
just to support her in case she became unsteady. Once Gloria was seated on the toilet I asked her
if she would like some privacy to which she agreed. I placed the emergency pull cord in her hand
and explained to use it if she needed any help or when she needed us to come back in. The
supervising healthcare assistant and I stepped out of the room and closed the door over. Whilst
Gloria was in the bathroom I used this as my opportunity to put on Gloves and an apron. Disposable
latex gloves and aprons are essential personal protective equipment (PPE) and the use of them is
regulated by the Personal Protective Equipment at Work Regulations 1992 The Health and Safety
executive state "The main requirement of the PPE at Work Regulations 1992 is that personal
Protective equipment is to be supplied and used at work wherever there are risks to

Reflective Account on Communication Essay example
Reflective account on communication
This assignment is a reflective account on communicating with a patient who cannot communicate
verbally. To remain confidential I will call the patient, Patient A. I'm going to discuss the importance
of non–verbal communication within a healthcare setting. Patient A was a 63 year old lady suffering
from MND which resulted in her losing her speech.
This was my first shift back from having a few days off and I returned to work on a night shift.
Patient A was admitted to the hospice that day. She was admitted for general deterioration and she
had tried to maintain her independence up until breaking point. It was handed over she has aphasia.
Her inability to use her speech related muscles meant that...show more content...
I explained why we were unable to swap mattresses, due to it being late at night and one not being
available but offered her a recliner chair instead. She accepted the offer, and appeared to be happy
with this.
Myself and a colleague transferred Patient A into the recliner, she was then able to get some sleep
that night in the recliner chair. This information was recorded on the patient's notes and handed over
to the day staff on the next morning.
I will now discuss how I was thinking and feeling during this event. I had been working at the
hospice for over a year and had looked after patients with MND before. I had an idea of how it can
affect communicating with the patient. I was apprehensive about approaching Patient A as I didn't
know what difficulties I may find whilst trying to communicate with her. She was able to
communicate very well using the pen and writing down, and using hand gestures. I learnt that by
speaking clearly with easy to answer questions we were able to communicate with each other
effectively. Afterwards I felt pleased that were able to determine the problem and find a solution for
her, despite the communication barriers.
Evaluation
I feel that the communicating between Patient A and myself worked well during this event. I noticed
that she was uncomfortable by her body language and I picked up quickly which method was best to

Write A Reflective Account Essay
Reflective Log
After Submitting my work, I have received feedback for my task one and two. I can now reflect on
my work and create an action plan to improve my future assignments.
What did I do well?
I managed to submit by assignment in on time. I passed this task by meeting the criteria asked by
my tutor. My work was clear and written in a way for my tutor to understand.
What did I do poorly?
I didn't manage to proof read my work from a printed copy. Therefor I found this hard to read my
assignment from the computer screen which affected my grammar. I didn't leave enough time after
completing this assignment to adjust my work with new ideas or thoughts to make this piece of
work better. I also copied text from my example assignment to...show more content...
By email or phone When I feel I need help or guidance This will help me with plagiarism and give
me a better understanding with my assignments.
Write more notes and ideas.At my desk or in my notebook When ideas come to me, or in my study
time.So I have more ideas and points to write in my assignments this will also give me more
knowledge.
Research my topics before hand. At home or lunch time at work.When studying or in my spare time.
I will have a better understanding of the topic I need to write an assignment about.
Give myself more time before, during and after the assignment.In my study area. In studying
time.So I can prepare, write my assignment well, and so I am able to check for errors after without
rushing my work I will be able to improve my writing and

Reflective Account on Learning
Reflection: More than just looking in the mirror
"В…reflection in a mirror is an exact replica of what is in front of it. Reflection in professional
practiceВ… gives back not what it is, but what might be, an improvement on the originalВ…" Biggs
(1999).
Reflective practice, in this context, is not about just looking at myself in a mirror and accepting
what I see blindly, without any question or evaluation. Rather, it is about looking at what I have
learned and how I can utilise that learning in my teaching practice.
In this essay, I aim to only discuss what I have been taught and to see how I have assimilated
В‘professional jargon' terms and the range of teaching tools into my consciousness; to see how I can
address different styles of...show more content...
It was only when I redefined the practice in layman's terms that I realised I practice reflection in
my every day life. I tend towards analysis and evaluation on a daily basis, whether it is in
analysing how I talk to someone, how my sessions with my scout group work or how I use my
reading to increase my vocabulary.
The idea of reflective practice in an academic context however is new to me, and I did feel lost at
first. Now I can see how reflecting on my own learning and experiences has helped me to see
where I have improved week on week and I think that as a result, my confidence has improved and
I am able to contribute more in class, I have more confidence in my ability to teach and I feel that
as a result I am learning more. The process or reflection, evaluation and adaptation is truly a cyclic
one. The Tools of Teaching and Learning Styles
Before addressing the tools of teaching and learning styles favoured by those who have entered
courses of education, my peers and I discussed possible reasons for embarking on a course of study
and the motivations for sticking with that course.
My personal reasons seemed to match many of the other students on the course; anything from better
job prospects, higher level of job satisfaction, self esteem В– proving that I can in fact do the course
and become a successful teacher– through to improving knowledge in a subject area.
This self–analysis proved beneficial because in being asked to look at myself and my

Reflective Account Essays
The theme of this reflective account is engaging children in participation, and enabling children to
have a voice. The Every child matters documentation (Department for Education 2010) focuses on
the important role of the adult in enabling children to make decisions and encouraging them to
participate and make a positive contribution. As a result through this account, how children in my
setting are encouraged to participate in the outdoor play space will be explored. A small piece of
research was carried out which will be reflected on, as will theory relating to children making a
positive contribution in the early years.
The reason I chose to carry out my research on the outdoors area is that outdoors is very popular in
my setting,...show more content...
To enable the children's voices to be heard, I explored various tools to engage the children from
the Mosaic approach (Clark & Moss 2001). I disregarded using questionnaires as the
children were unable to read and write so this would have been inappropriate. I disregarded role
play as I didn't feel I would get the responses I needed as directly, and I decided not to use tours as
not all the children were confident communicators and they may have found this difficult. I wanted
to be as inclusive as possible and ensure the technique was age and development appropriate.
Therefore I chose to gather documentation by enabling the children to use cameras to take photos
outdoors of what they liked and didn't like. To ensure confidentiality of the photos taken I kept them
in my private locked filing cabinet that only myself and my manager had access to. As my research
required the children's perceptions this technique ensured it was child led as were the later discussion
where we came together in a quiet area to talk about why they took their particular images. This
discussion enabled me to interpret what they were trying to say to me through the photos. As we
looked at the photos it prompted their memory of why they had taken the picture. It was an
interactive way to engage the children, and by the children taking their own photos helped lead the

University Reflective Account
Within my current role as Internationalisation Officer for the largest College at the University of
Lincoln, I am responsible for managing and developing both academic and social support
programmes for students across all 7 schools including the Business school, which is the largest
school within the University. To ensure correct and effective support is in place for students I have
developed a number of reports utilising the data management system at the University. I organise and
manipulate the reports to provide detailed information on the students within the college in a clear
and effective manner. I use this data as a guide to develop projects that help to mitigate issues within
the University. I have continually presented reports and

How To Write A Reflective Account
I responded to work emails, phone calls, messages from engagement team and clients in a timely
manner. I continuously kept engagement team informed of my work status and updated them on any
outstanding matters. I built positive relationships with clients by approaching them for help when
auditing. (e.g. I liaised with different Sales team personnel based on product lines when performing
Sales vouching.) I adapted to changes and quickly grasped new approaches of doing things. I
inquired with clients on any exceptions noted during audit fieldwork and gathered additional
evidence to support the findings. (e.g. I checked, examined group reporting package and financial
statements prepared by clients for accuracy and consistency with the audit...show more content...
As an auditor, I acted in accordance to KPMG values by upholding integrity and professionalism at
work. I sought for regular feedback and advices from engagement team members on my work done
and applied it to improve my performance on the job. I proactively requested for review on my audit
work and documentation. I read through retention and current year audit files to understand client's
processes, referred to training materials and KAM guidance for the audit approaches used on control
and substantive testing. I started work at client's office around 9:30a.m. in the morning and worked
overtime only if required. I kept my documentations in the audit work papers clear and concise. I
committed to complete relevant audit sections in accordance with the instructions and deadlines set
by engagement senior. Being task–oriented, I managed to complete most of the audit sections and
work papers assigned to me despite having to multi–task when working under tight reporting
deadlines. I organised and prioritised tasks according to their urgency and importance. (e.g. I focused
on vouching and performed inquiry at the client's

Reflective Account
RETURN TO NURSING PRACTICE REFLECTIVE LOG MODULE LEADER: STUDENT
NUMBER: 1 INTRODUCTION This essay demonstrates the significant learning that resulted as a
consequence of using critical reflection on my practice. The reflective process helped me to realise
how my practice needed to change after I experienced a personal and practice–related issue during
and after my clinical placement. Reflective practice is an important component of all nurse
education programmes. The Nursing and Midwifery Council's (NMC) The Code: Standards of
Conduct, Performance and Ethics for nurses and Midwives (NMC, 2008), states that nurses must
continue to keep knowledge and skills up to date during...show more content...
My supervisor was happy. However, once I had undergone the whole experience of having a
retrograde appendix removed myself, I discovered that the pre–operative preparation and
post–operative care that was given to me, and I myself would have given something similar,
inadequate. Although my experience as an adult on an adult ward would have been slightly
different to the teenager that I cared for, the principles of care are similar. Differences in care may
have been due to staff–patient ratios and policies around visiting and family–centred care. In my
experience I suffered an inability to cough, anorexia, changes in taste and diet, being limited in
walking and mobilising and general and mental malaise. I even surprised myself by worrying about
my body image due to the size of the scar on my abdomen. Although these experiences were
personal to me, I assumed that many of these conditions and thoughts are typical and would have
been equally suffered by the teenager that I cared for. Nothing was mentioned at any time to me pre–
or post–operatively about any of these experiences. I never saw any leaflets at the time of my
appendectomy but I discovered a patient information leaflet for the Gloucestershire Health
Community regarding coughing after surgery. It states that it is important that you can cough
post–operatively so that you can clear any phlegm that has accumulated whilst being intubated
during surgery. It gives you guidance on how to get rid

Reflective Account Of The Work Role
My identified strengths in this area is my strong personal value to respecting client privacy and
maintaining confidentiality. I am mindful to ensure that discussion of clients between colleagues
needs to take place in a suitable location where information will not be over heard by external
parties. While I have a understanding of the importance of meeting policies and procedures in
relation to written information within the work place, this is an area I could advance. To further
develop my professionalism in this area I need to expand on my knowledge around policies and
procedures pertaining to the use of clients files while on off site visits. I attended a half hour
meeting with the company director where we discuessed current policies and

Reflective Account
REFLECTIVE ACCOUNT UNIT 6 ROLE OF A HEALTH AND SOCIAL CARE WORKER AT
7.15AM I CLOCK IN AND TAKE MY COAT AND BAG OFF AND LOCK THEM IN MY
LOCKER SO I AM READY TO START MY SHIFT STRAIGHT AWAY, EVEN THOUGH I
SOMETIMES SOCIALISE WITH SOME OF THE STAFF I WORK WITH I ENSURE I AM IN
THE RIGHT FRAME OF MIND TO WORD PROFFESIONALLY WITH THEM AND NOT
PERSONALLY SO THAT WE ARE ABLE TO WORK AS PART OF A TEAM AND ARE ABLE
TO DO THE JOBS THAT WE ARE EMPLOYED TO DO, THEN I WILL WALK INTO THE
DINING ROOM TO WAIT FOR THE NIGHTSTAFF WHO ARE ON, ONCE ALL THE STAFF
FOR THE MORNING SHIFT HAVE ARRIVED THE SENIOR MEMBER OF THE NIGHT SHIFT
WILL GIVE HANDOVER TO ALL THE STAFF WHO ARE STARTING THE MORNING SHIFT.
THEY WILL GO THROUGH THE LIST OF RESIDENTS...show more content...
I THEN WALK TO THE KITCHEN DOOR AND SEE IF THE COOK HAS EVERYTHING
READY AND PREPARED. THE COOK IS WORKING OFF A PREVIOUSLY AGREED MENU
(AGREED BY THE RESIDENTS) ONCE EVERYTHING IS READY, I PUT ON A CLEAN
APRON (GREEN–FOOD/CATERING) AND GLOVES (BLUE). I THEN PROCEED TO TAKE
THE TROLLEY OF FOOD TO THE DINING ROOM. EACH RESIDENT IS REMINDED OF
WHAT IS BEING SERVED FOR THAT MORNING AND IS ASKED WHAT THEY WOULD
LIKE AND IS GIVEN WHAT THEY HAVE CHOSEN. ONCE THE RESIDENTS HAVE EATEN
THEIR CEREALS AND SECOND WARM BREAKFAST AND DRANK EITHER THEIR CUPS
OR TEA,COFFEE OR JUICE EVERYTHING IS COLLECTED AND PUT NEATLY ON THE
TROLLEY AND TAKEN BACK TO THE KITCHEN.I WILL THEN REMOVE MY GLOVES
AND APRON AND AGAIN WASH MY HANDS. I THEN HELP THE STAFF ASSIST THE
RESIDENTS BACK INTO THE LOUNGES. I WILL THEN ASK ONE MEMBER OF STAFF TO
WIPE THE TABLE MATS OVER AND TO HOOVER THE CARPET IN THE DINING ROOM,
AND TO RESET THEM READY FOR LUNCHTIME, USING CLEAN UTENSILS. I ASK
ANOTHER MEMBER OF STAFF TO CHECK ON THE RESIDENTS WHO ARE EITHER STILL
ASLEEP OR ARE HAVING BREAKFAST IN BED AND SEE IF THEY ARE READY TO GET
UP NOW AND TO ASSIST THEM AND I ASK THE THIRD STAFF MEMBER TO WATCH THE
RESIDENTS IN THE LOUNGE. IF THERE IS A MESSAGE LEFT FOR ME TO RING G.P'S OR
ARRANGE TRANSPORT I WILL DO THIS NOW BY GOING INTO THE OFFICE AND
GETTING THE CARE PLAN OF THE RESIDENT I NEED TO CALL THE G.P OUT FOR (OR
BOOK TRANSPORT), I RING THE SURGERY AND EXPLAIN WHO I AM AND WHERE I AM
CALLING FROM AND THEN

Reflective Account on Communication Essay
Reflective account on communication
Communication is very important in order to express needs and emotions. There are two types of
communication, verbal and non–verbal, both of which are important in understanding and supporting
someone.
This report is based on a 40 year old lady that finds verbal communication hard, due to shyness. She
also has bipolar and cerbal–palsey.
The communication barrier I have with AB is she is finding speaking to me other then yes, no
and don't know very hard. She is shy and timid. AB does not engage in conversation easily. I
believe that it is important to find way of communicate as it is the way we express needs and
emotions. I chose to read her care plan and all records held at her property, written by...show more
content...
If AB is then not happy to communicate with me, I remind AB that I am there to support her and
will be here to talk to if she so chooses, as it is her choice. I also watch the type of body language
that AB is using to help work out how she is feeling about the situation. AB does also have picture
cards to help her to commute, but choose not to use them. I can check that she has understood what
I have said I by observing her reactions and short answers AB give.
By always reminding and allowing AB to make her own choices and respecting her wishes to
communicate with me or not I am working in a way to prevent discrimination.
Reflecting on how I communicated with AB, I believe that I worked to the best of my knowledge at
the time, but by doing some research I could find other ways of opening communication lines and I
need to watch out more for body language signs, about the way AB is feeling. Having notes from
other people about what they have tried and how they have worked or not, helps me know what
things that might help get the lines of communication open and what things to research. There are
many people that are working with or have a relationship AB, that I could ask for support and advise
like: speech and language therapies, family members, friends, GP, district nurse, other support works.
These people have different understands of AB's needs and knowledge of supporting individuals
with communication

Reflection Paper Accounting
Reflection paper
Accounting to me is challenge as a whole; it is a good subject to learn because accounting
knowledge is always in demand. So far, I am on a good path learning the basics of accounting. I've
learned how accounting affects business and how it allows organizations to identify cash inflows
and outflows.
This accounting course provided me a great opportunity to understand the various important aspects
of accounting that I believe will be helpful in my future practical life. I need to begin my own
particular business in future for that it 's important to have great knowledge of Financial and
Managerial Accounting. This course has helped me to comprehend numerous essential ideas of
accounting. This knowledge is going to help me...show more content...
Chapter 05
In chapter 05, I learned different imperative parts of merchandise transactions and there recording. I
found out about contra accounts Sales Returns and Allowances account, Sales Discounts account,
purchase returns and Allowances account and Purchase Discounts account. Two sorts ofinventory
processed took after i.e. perpetual inventory system and periodic inventory technique both having
their own particular benefits and negative marks and ought to be utilized according to the need of
specific business. Presently computerization as encouraged numerous firms to utilize perpetual
inventory method for instance it has get to be economical for some retail locations to utilize
perpetual inventory methodology notwithstanding for products of low unit value, for example, goods.
Chapter 06
Chapter 06 discusses the diverse methods of inventory accounting i.e. FIFO method, LIFO method
and Average cost method. All have diverse merits and negative marks under distinctive situations.
For e.g. the merits of FIFO methods are–(1) Easy application, (2) the expected flow of costs relates
with the ordinary physical flow of goods and (3) the balance sheet sum for inventory is liable to
surmise the current market and so on. Burdens of FIFO can be – amid continually rising prices FIFO
can offer ascent to paper profits. Amid times of rising prices, FIFO makes higher net income since
the costs charged to cost of goods sold are lower. However LIFO expect that the

Write A Reflective Account
This key experience challenged me to learn very early on that I had quickly formed an opinion of
the individuals I was working with, which caused me to judge these clients based on what I
thought I knew. I felt very quickly in my work with these individuals that the older gentleman
would need more help with activities as I felt he likely had a learning disability based on the fact
that he walked a little slower as if shuffling and the fact that his speech was not clear. The younger
gentleman I felt would be easy to work with as I did not anticipate or note any areas that I felt he
would have difficulty in. There was no concrete evidence to support my assumptions, they were
solely based on my

Reflective Account
At this point, we were some of the most successful farmers in the area. We were making enough
money that my family decided we could buy a new piece of property. A piece of property that
was much bigger and more in the city. We were able to find land in our budget much easier this
time. We were able to build the home in three moons with the help from some of our new
neighbors. While, it was being built we lived in the smaller home, along with the three other
families. The house we now had was much bigger. It was a one story home that had three separate
rooms and we were even able to build an outhouse with it. Now, we as a family were all
merchants. The three other families we lived with in the past, would farm our ground. We would
go pick up the crops at the end of the season, then take the crops into the market to sell them. We
would then give a portion of the proceeds to them. When the crops were not ready, we would sell
other items as merchants. We were not stealing the items we were selling this time, though. In
fact, we were actually making them. Since we had more money now, Ibi was able to get the items
he needed to create products for others to buy. His artistic and craftsmanship really came out of
him in this time. If it wasn't for Ibi, I doubt we would of made very much money at all. My sisters,
Atet and Kiya, were...show more content...
Alexander the Great already had his army stationed and ready. He did not have many men
showing disrespect to us, though. We started the fight by running in and clashing with the Greece
army. I started and went off by searching for Alexander the Great by myself. On my way to him, I
killed many men and fought my way to him. There were so many men. Then, I finally had him
right where I wanted him. He was alone and without a weapon. Suddenly, about twenty men come
out from every direction. I surrender because I was not going to die like a

Reflective Account On Account
I have assisted in yearend in all my previous roles. I was involved in preparing financial statements
in my previous role as Assistant Financial Accountant. I was responsible to finalise figures for
revenue and input them on profit and loss accounts. I was also responsible for calculating provisions
figures and input them on Balance sheet. I was also required to review full financial statements to
check for any errors and ensure additional notes coincide with figures in financial statements. I also
reviewed backing documents for journals and workings for assertions in financial statements before
presenting them to auditors for external audit. I was also involved in stock valuation process to
determine the final figure for inventory.
My current

Reflective Account On Team Work
As you will note from my CV, I hold a First Class BA Honours Degree in Childhood and Family
Studies and Education Studies. Whilst the majority of the modules I studied were based around
developing my knowledge of working with children and families, some modules were focused on
my professional and ethical practice.
Whilst all of my previous work experience has been voluntary work, the skills I gained from them
all is invaluable. Working within a school has helped develop my professional persona and
strengthened my ability to remain calm and focused when working under pressure. Similar skills
were gained from working for ChildLine, which also helped further my communication,
problem–solving and team working skills. Meanwhile, working in the

Reflective Account.
INTRODUCTION For this assignment I will be writing a reflective account which will identify a
significant episode of care in which I had been involved with, by identifying the pathophysiology
and the disease process for the chosen patient; this will be presented by giving a brief outline of the
psychosocial influences of the illness for the patient and others who may have been involved with
the care. I will also reflect upon this episode by using a reflective model and examining the nursing
process, using a holistic perspective throughout the reflective framework. Maintaining confidentiality
is a key element, outlined in the Nursing Midwifery Council the Code (2008). The care for this
patient was assessed using Roper Logan and...show more content...
The blood pressure and pulse was taken and the reading of 149/90mmHg which is showing
hypertension, and 79 pulse which both would be regarded holistically as high for this patient,
this may be due to the stress being caused. The ECG is a simple and effective electric recording of
the heart rhythm which was taken with the patient still very anxious. I decided that this was
becoming very traumatic for the patient and felt that I needed to hold the patients hand by using a
touch technique. The ECG was performed and did provide significant results for the doctor. The
actual test of taking an ECG reading did provide some difficulties due to the patient's pain and also
the psychological pain as the patient was under extreme stress and worry at that time, as referred to
before that. "Angina is the pain or discomfort experienced. Angina may also be brought on by
emotional upset". The GTN was soon administered and relieved the patient's pain near enough
automatically. The patient was assessed at 5 minute intervals and later 15 minute intervals to make
sure that the observations were at a normal standard with the blood pressure being previously high.
The Patient was also assessed throughout the night. The blood pressure did reduce to a normal rate.
The one thing the Patient asked was "that we should not say to his wife and family that the angina
episode had

Reflective Account
Reflective Account On Communication!
Whilst on shift one day I needed to ask my key resident Mr H what clothes he wanted to wear for
that day. Mr H is very hard of hearing but refuses to wear a hearing aid as he states they make his
ears sore. Mr H has no speech difficulties. Before I proceed with Mr H's care I check his care plan
where it is documented how he likes to be communicated with. Any changes to Mr H's
communication ability should be reported and documented straight onto a daily diary sheet and
into his careplan where other staff members are able to see the changes noted. I then knock loudly
on Mr H's door so that he is aware of my prescence and await his reply, he called for me to 'come in'.
On entering the room I...show more content...
I could tell if Mr H had understood or heard me correctly by his verbal responses and his facial
expressions. Whilst communicating with Mr H I reviewed his hearing ability by making a mental
note of the times he hadn't heard me correctly and compared this with the previous day, at present
Mr H's hearing ability doesn't appear to have changed, I recorded this in the communication
section of Mr H's care plan where others could see there were no changes at present. A short while
later the nurse visited Mr H, to help support Mr H I privately, to ensure no breech of cofidentiality
was broken, explained to the nurse the difficulties Mr H had with his hearing and explained to her
the ways in which I communicate with Mr H in accordance to Mr H's preferences documented in
his care plan. They both appreciated this as there were no misunderstandings and they both fely
more at ease with eachother. I then indicated to Mr H that I would leave them in private by pointing
to the door and waving, Mr H nodded his understanding and waved

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