Episode of care
Summative reflective essay, make use of NMC
Episode of care (Summative Reflection)
1. A diabetic patient in care of the elderly ward.
2. Has a dementia
3. High risk of fall
4. Went hypoglycaemia
5. Patient went into comma
6. Dr asked CBG to be done and ECG (pulse high)
7. Patient had a fall a day to his discharge to a care home.
Note: I am a first-year student and must write on the above. Could you please help. This is an Inpatient ward.
Episode of care
The following is a detailed reflection according to my experiences after an observation of a patient called MK (in accord with NMC confidentiality), a diabetic patient utilizing the reflective cycle as it offers space in the third phase (Griffith, 2019). During my practical placement, I was keen on observing and comprehending the nursing care offered to MK, a 55-year-old male patient who has been ailing from Type II diabetes for the last 15 years. Upon the reflection, I noted that being involved in the patient’s care, indirectly helped me gain vast knowledge about the illness that was not being of there before. This helped me gain vital insights that I would rely on in the future.
I have this gained practical expertise that has shaped the ongoing development of my skills and knowledge base. This aspect of reflective practice is well expounded in the reflective cycle which is an active process of exploring and discovering and which in most cases leads to an anticipated result. In the first case, I am more informed about the NMC code of conduct about providing high standards of practice and care at all times to ensure that the patient in question is accorded quality care. This was as a result of being keen on the due consideration offered to MK as an individual diabetic patient, who has individualized needs and illness history.
A comprehensive valuation was undertaken by the nurse I was observing and the nurse expounded that this was vital to ensure that MK received quality nursing care to meet his specific needs. An interview helped me learn that on a previous day MK began feeling nauseated, and shivery and her body ached all over. By the following morning, he had diarrhea and began vomiting. The continuous vomiting had been the main cause of losing appetite as the patient had been unable to eat since the moment she ate she could vomit after a short while. Such encounters triggered the fear of having hypoglycemic reactions and as a result, she refrained from administering her daily dose of insulin injection this worsened her condition since for the last 15 years after being diagnosed with type II diabetes he has been depending on insulin for survival and good health.
By the next morning, the wife became very concerned because of the husband’s state as he was weak, breathing strangely, and was drowsy. She was worried that the health of the husband was deteriorating and that if she did not take measures then the worst was bound to happen and had to act as the caregiver as the husband has dementia and has a high risk of falls. She thus called an ambulance and MK was rushed to the hospital immediately for medication after the husband fell and went into a coma. A measurement of the relevant signs indicated that her urine had large amounts of ketones and glucose and this was the main issue why her health condition was worsening (Dyson et al., 2018).
After the examinations, it was decided that fluid and insulin be administered to him through the veins, and after this administration, MK felt better. As a result of the reflection on this specific practice placement, I have successfully generated various new insights in relation to my current knowledge of respect for a patient’s individuality. These procedures are a vital precursor to the integration stage of the reflection. This is because it permits earlier knowledge to be modified to accommodate essential and new ideas. One of the most substantial facets of learning is the capacity to link new material to previous knowledge.
The integration stage entails drawing inferences according to the information being appraised. In this case, I have merged into my cognitive structure of considering patients as individuals as they all have unique needs, and thus the recognition of this examination is vital in attaining this goal. This acquisition of the new standpoint is termed a comprehension by gestalt psychologists and this is when a student is aware of the applicability of a specific learning encounter. In this case, I have developed awareness of the nursing process as it streamlines the planning of the interventions that need to be laid out to cater to specific patient needs. An assessment should entail a detailed, problem-solving strategy to fulfill meeting nursing and healthcare needs as all patients should be offered quality care (Aqtash et al., 2022).
Therefore, I observed the implementation of individualized care, that helped MK to survive a diabetic ketoacidosis episode. I have also comprehended the value of the nursing process of offering a framework to lessen the challenges that the patients may be encountering (Dineen-Griffin et al., 2019). My encounter has helped me have the opportunity to merge theory with the reality of the nursing practice and this has enhanced my development knowledge and skills. I am confident that I have gained knowledge to help me acknowledge the importance of the NMC code of conduct which highlights the significance of practical encounters to advance professional competence and practice.
Before MK was discharged, he collaborated with the nursing team by deliberating the paramount techniques for managing his diabetic condition. This process aligns with the structure of managing long-term conditions which accentuates the significance of individualized care for individuals with chronic diseases (American Diabetes Association, 2018). In this case, observing the planning of MK’s post-discharge care, I now comprehend the importance of appreciating the expertise and knowledge of people with long-term conditions and in specific diabetic patients.
Upon reflection, I am now mindful of how insolent it is to criticize diabetes for poor self-management by concentrating on blood control (Strain et al., 2018). The consultation showed that MK has suitable adherence to different aspects of the self-management of his diabetic condition. Thus, he did not require information on ways of managing his condition daily. On the other hand, MK approved a strategy that entailed different practical tools to aid in examining the risks and planning the actions to take in case of illness. Partners should be allowed to be partners in their care as this offers a structure where they can select care to cater to personal needs as well as other necessities rather than assuming that standard care suits all patients (Nichol et al., 2021).
The final stage of the reflective activity focuses on the sentimental results. This is supported since I am looking for to opportunities of developing my professional practice to help me expand my professional competence and value base. It is vital to understand that reflection has the aim of making us ready for new encounters. Considering personal care is this important and this has become part of my value system which will help me gain professional development (Muth et al., 2019). Also, handling and treating patients with long-term illnesses as individuals, is important as this assists in offering high standards of health care. Also, the needs of the patients are individualized hence avowing medication errors that occur when generalized care is offered.