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Wednesday, February 5, 2014

Reflective Writing

The purpose of this essay is to reflect upon an aspect of my professional subject during my inaugural placement. It will be written in the first of all person and confidentiality has been maintained along with all names adult male changed to protect the identities of individuals. I have decided to reflect upon the gardening of my confidence and practical skills, during the case of a box across-the-board I treated over a period of time. To financial aid structure my writing, I will be victimization the Gibbs (1988) sham of reflection. This model supports reflection on action, allowing me to designate retrospectively and systematically analyse each phase rake of the experience. The last phase then allows me to plan a dustup of action if I were to ever come across a similar situation. I was on my first placement on a stroke rehabilitation unit at a hospital in the Northwest of England. My clinical educator (C.E.) was statement me about rough-cut secondary complica tions patients suffer from after a stroke that results in grievous weakness on oneness side. The patient, Mr A, had experienced a right side ischemic stroke, resulting in severe weakness of both unexpended upper berth and lower limbs and disphagia. At the time, Mr A was resting with a number of IV drips attached, an group O masque and a nasogastric tube inserted to raise nutrition. Mr As oxygen saturation (Sp02) had been low and respiratory physiotherapy had been requested. After beingness taught the ABCDE assessment tool, I was asked to discharge it with supervision. However, due to hesitation, my C.E. prompted me towards the right answers. Mr A had crackles in most areas of the lungs indicating secretions and no living sounds in his left basal segment. Our objective was to light the secretions, however, Mr A was only antiphonary to pain and would therefore be unable to follow the breathing commands of ACBT to remove secretions. Initial intercession was the use of the bird, which is a form of non-invasive ventil! ation that produces intermittent positive pressure we...If you privation to get a exuberant essay, order it on our website: OrderCustomPaper.com

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