The following reflection is referring to an episode, which happened during my first week of my practice placement on a medical ward. To reflect upon this event, I am going to use DRISCOLL’S model of reflection, which will support me in reviewing my experience, analyse and evaluate, in order to help make future changes to my practise (Bulman and Schutz, 2008).
The reason why I returned to this incident is because not only it was my first patient to refuse an observation, but also his aggression towards me led to a very challenging act of communication, which had a great impact on my professional skills. A reconstruction of this situation, developed my knowledge and added the meaning to my experience (Rodgers, 2002).
That day my mentor and I were looking after a bay that had six patients. One of them was a 38 years old gentleman. To comply with the Nursing and Midwifery Council code of conduct (2008) which relates to clients confidentiality, I have changed the name of the individual, so for this reasons my patient will call Bob.
Bob was admitted to hospital, due to general swelling and pain to his abdomen and legs as a result of his decompensated alcohol liver disease, oesophageal varices and depression. During his stay in hospital his condition deteriorated .I communicated with the patient on several occasion, providing holistic approach to meet his psychological and physical needs. That day when the incident happen, I was asked by my mentor to do Bob’s vital observation. I went to his bed, and simply said “hello Bob”, he just turned his back on me and with aggression in his voce asked me to leave him alone. I did not expect this reaction at all and was lost as to what to do and say.
This is where the challenge begin, I felt so unprepared and inexperience to deal with such situation, my first thoughts were to ask a Staff Nurse to come and speak to him, but something was telling me not to leave him alone. He need my help,” I have to behave...