...Reflective practice account Based on Gibbs reflective cycle Name Kielley Ann Myers Date 27th July 2012 When asked to do a self reflecting account on identifying a new skill achieved during the module, I could have chosen such accomplishments as VAC (Vacuum Assisted Closure) therapy, Maggot therapy or Nutrition and Dietetics. But I wanted to go back to basics and review and fully expand a skill that I knew of, which is Pressure Ulcers (also called pressure sores or bed sores). A stated by the NHS Choices website “It is estimated that in any given year fewer than half a million people in the UK will develop at least one pressure ulcer. About 1 in 20 people who are admitted to hospital with acute sudden illness will develop a pressure ulcer; this is usually people with underlying health conditions.” I have been a H.C.A (Health Care Assistant) for over 17 years to now, and I have always been aware of pressure ulcers, and how to try to avoid them but never really knew the complete details of What, How or When of them. I have been on many different courses for H.C.A’s through the years, but they have all really skimmed over the subject of pressure ulcers. I now work on a vascular ward of the hospital where many of the patients are bed or wheelchair bound due to lower limb amputations, caused by complication from diabetes mellitus to circulatory problems. So I thought that by widening...
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...and communicate with individuals or groups in an organizational environment. It is the ability to be able to effectively and appropriately communicate with people and stay calm during many different or challenging situations. An example of this could include the inability to negotiate with challenging customers who are complaining about food they have ordered. People need to handle situations like these in a way which does not distress surrounding people. There are seven main areas of interpersonal communication and they include: * Problem-solving * Decision-making * Assertiveness * Verbal communication * Non-verbal communication * Listening skills * Negotiation Reflective Account- Reflective account is the aspect of looking back on previous communication with a client and recognizing whether you understood the content or not. An example of this would be a client asking for jam and onions on one whole sandwich; because it sounds unusual, the responder may want to ask ‘Sorry was it Jam AND Onions you would like on your sandwich?’ just to ensure that the message was correctly interpreted. Reflecting is the process of paraphrasing and restating...
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...MKTG304 Marketing Project Session 2, 2014 Reflective Journal Outline Department of Marketing and Management MACQUARIE UNIVERSITY FACULTY OF BUSINESS AND ECONOMICS REFLECTIVE JOURNAL OUTLINE Overview As part of evaluating the participative process, an individual reflective journal is required to be maintained throughout the course, due for submission after the group presentation and final group report has been submitted. There are two parts to this assignment. The first Part A consists of a pre-activity self-rating of graduate capabilities. The ratings are intended to be your perception of your own capabilities. This perception should draw on your prior experiences, including your university or other studies, paid employment or volunteer work, and from sport, hobbies and other interests. The self-assessment will not be graded, nor will it be shared with others in your class. Part A serves the purpose of allowing the student to focus on graduate capabilities and reflective points to be considered while collecting material and writing up the final reflective journal. Part A is due in your tutorial class in Week 4, Thursday 28th August. Part B, consists of the self assessment post activity audit of graduate capabilities and a 2,000 word reflective journal report. The self assessment post activity audit will not be marked, but will act as support for your findings in the final report. The final report provides your analysis and reflections about the process of...
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...MKTG304 Marketing Project Session 2, 2014 Reflective Journal Outline Department of Marketing and Management MACQUARIE UNIVERSITY FACULTY OF BUSINESS AND ECONOMICS REFLECTIVE JOURNAL OUTLINE Overview As part of evaluating the participative process, an individual reflective journal is required to be maintained throughout the course, due for submission after the group presentation and final group report has been submitted. There are two parts to this assignment. The first Part A consists of a pre-activity self-rating of graduate capabilities. The ratings are intended to be your perception of your own capabilities. This perception should draw on your prior experiences, including your university or other studies, paid employment or volunteer work, and from sport, hobbies and other interests. The self-assessment will not be graded, nor will it be shared with others in your class. Part A serves the purpose of allowing the student to focus on graduate capabilities and reflective points to be considered while collecting material and writing up the final reflective journal. Part A is due in your tutorial class in Week 4, Thursday 28th August. Part B, consists of the self assessment post activity audit of graduate capabilities and a 2,000 word reflective journal report. The self assessment post activity audit will not be marked, but will act as support for your findings in the final report. The final report provides your analysis and reflections about the process of...
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...A reflective account of my learning experience whilst undertaking my mentorship module. According to Schön (1983), the two types of reflection are reflection in action and reflection on action. Reflection in action is the process of reflecting whilst completing a task whilst reflection on action is the process of reflecting on what you have done. This is an account of my learning experience, combining both approaches, whilst undertaking the mentorship course. The Gibbs model (1988) is a popular tool use to analyse and describe reflection. It is a cycle with six stages: description, feelings, evaluation, analysis, and conclusion and action plan. The rationale for using this model is because it is clear and precise. The essay will take into account my personal journey and the skills I am bringing to this course. Confidentiality will be maintained in accordance with the Nursing and Midwifery Council (NMC, 2008). Informed consent where necessary was also gained in accordance with the NMC Code (2008). Description I am currently working as a Registered Mental Health Nurse involved with patients with various challenges, and with staff at various stages of professional development. Learning and mentorship is an important activity in such an environment. Some of my colleagues had already completed their mentorship training and their recommendation of the course as taught in this University inspired me to apply. Furthermore, I enjoy teaching people and thinking about the challenges...
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...Reflection on a ethical issue in practice/ Reflection on a therapeutic relationship Gibbs reflective cycle (1988) Description No names have been used during this account in order that confidentiality is maintained as required by The Code (NMC, 2008). Gibbs reflective cycle shall be used in order to explain and analyse the incident (Gibbs, 1988). During a period of placement I was involved with the care of a client who had taken an overdose and attempted to end his life. During that day I had been involved with settling the client onto the ward and filling out his paperwork. The patient was understandably distressed and we had had to ask some quite personal questions about how he had been feeling in the days leading up to the overdose and what had triggered his actions and his current feelings. Later that evening the client absconded from the ward and the team had to call security. The client was eventually found outside of the hospital and it was discovered that he had ripped the cannula from his hand. The patient was later detained under the mental health act as it was felt he was a danger to himself. Feelings During this process I felt quite uncomfortable and like I was invading the patient’s privacy. This I believe was due to the fact that I have not had much experience of someone who has just been involved in such a highly emotional and charged situation. I found it difficult to know how to react and what to say in case it was the wrong thing as I did not want...
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...care?" Administrative controls demonstrate due care by putting in place the necessary policies , procedures, and practices to reinforce policies of the organization. These controls are divided up into various elements from access list to control spaces, password and user identification for employees, separation of duties to ensure you mitigate the possibility of theft or take steps directed by management to limit incidents that can be perpetuated by employees. Thus, you cannot guard against collusion but you can have policies and procedures that limit the actual ability to carry out such incidents. The administrative controls that we will look at provide assurance of confidentiality, integrity, and availability of information assets through guidelines, standards, and best practices and make senior management responsible for providing that direct to employees and customers of and organization, to illustrate management takes administrative controls seriously. Administrative controls fall into two categories...
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...Examples of Reflective Writing Example 1 I arrived on the ward at 7:30 ready to begin a 12-hour shift. After receiving handover, my mentor assigned me the job of bathing Mr B with the help of a healthcare assistant. Mr B has Creutzfeldt-Jakob disease (CJD), a progressive disease of the nervous system with rapid deterioration due to spongiform encephalopathy. He is not expected to live to Christmas, even though he is only 19 years old. He is mentally aware of what is going on but is physically unable to demonstrate activities of daily living, including eating and drinking, has limited communication skills and is doubly incontinent. He is unsafe on his feet so mobilises with a wheelchair. I approached Mr B’s bed and asked his consent to take him for a bath. While the bath was running we began helping him to undress. He looked rather nervous. At the thought of myself being in his position, being the same age as him, I began to feel embarrassed too. I thought that I could not possibly be a professional individual if I let my embarrassment and sympathy get in the way of my nursing care. We assisted Mr B into the bath and started his wash. I knew he was uncomfortable and wanted to be able to wash himself, but was unable to do so. I was finding it difficult to look him in the eye, especially when it came to washing his genitalia. I tried to ease this by making conversation, but in a way this made matters worse. After the bath we dried Mr B, dressed him and returned him...
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...Examples of Reflective Writing Example 1 I arrived on the ward at 7:30 ready to begin a 12-hour shift. After receiving handover, my mentor assigned me the job of bathing Mr B with the help of a healthcare assistant. Mr B has Creutzfeldt-Jakob disease (CJD), a progressive disease of the nervous system with rapid deterioration due to spongiform encephalopathy. He is not expected to live to Christmas, even though he is only 19 years old. He is mentally aware of what is going on but is physically unable to demonstrate activities of daily living, including eating and drinking, has limited communication skills and is doubly incontinent. He is unsafe on his feet so mobilises with a wheelchair. I approached Mr B’s bed and asked his consent to take him for a bath. While the bath was running we began helping him to undress. He looked rather nervous. At the thought of myself being in his position, being the same age as him, I began to feel embarrassed too. I thought that I could not possibly be a professional individual if I let my embarrassment and sympathy get in the way of my nursing care. We assisted Mr B into the bath and started his wash. I knew he was uncomfortable and wanted to be able to wash himself, but was unable to do so. I was finding it difficult to look him in the eye, especially when it came to washing his genitalia. I tried to ease this by making conversation, but in a way this made matters worse. After the bath we dried Mr B, dressed him and returned him...
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...Auditing and Assurance Services, 15e (Arens) Chapter 4 Professional Ethics Learning Objective 4-1 1) Ethics are: A) needed in the professions, but is not needed for society in general. B) a set of moral principles or values. C) not formed by life experiences. D) always incorporated in laws. Answer: B Terms: Ethical Principles Diff: Easy Objective: LO 4-1 AACSB: Ethical understanding and reasoning abilities 2) ________ means that a person acts according to conscience, regardless of the situation. A) Caring B) Fairness C) Integrity D) Respect Answer: C Terms: Ethical principles and integrity Diff: Moderate Objective: LO 4-1 AACSB: Ethical understanding and reasoning abilities 3) One of the main reasons people act unethically is that they choose to act selfishly. A) True B) False Answer: A Terms: Ethical Principles Diff: Easy Objective: LO 4-1 AACSB: Ethical understanding and reasoning abilities Learning Objective 4-2 1) A six-step approach is often used to resolve an ethical dilemma. The first step in this process is to: A) identify the alternative actions available. B) identify the ethical issues from the facts. C) determine who will be affected by the outcome of the dilemma. D) obtain the relevant facts. Answer: D Terms: Ethical dilemma Diff: Moderate Objective: LO 4-2 AACSB: Ethical understanding and reasoning abilities 2) Describe an ethical dilemma that an auditor or an accountant might face in his...
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...studies. Reflection offers an opportunity to learn through an experience. This allows us to develop or sustain effective practice (Johns, 2000). I will be using the Gibbs (1988) reflective framework to structure my reflection (see appendix A). I find this framework very easy to follow, and as Clodagn (2003), explains it allows a person to implement alternative actions to an event, if followed. The incident will be described and the influence of key issues relating to ethical theories and decision-making, illness journeys and lay and professional perspectives will be explored. Principles of nursing models will be looked at and their contribution to individual patient care. I will also look at resource management, quality assurance and the role of evidence-based practice. For the purpose of this essay, to maintain confidentiality, the patient will be referred to as Mr Charlie Wood, (NMC code of professional conduct 2002; 5.1). Incident The incident occurred when I was a student on a medical ward. Mr. Wood, age 80 had been admitted to hospital following a stroke. From this he had lost the ability to mobilise and speak effectively. He was a very dependent gentleman and counted on the nurses to undertake all aspects of his care. His wife, whose name has also been changed for confidentiality reasons (NMC 2002), was very dedicated to him and stayed most days. As a student nurse I spent a lot of time looking after Mr. Wood’s needs and also helping Mrs. Wood emotionally...
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...1) The Sarbanes-Oxley Act applies to which of the following companies? A) All companies. B) Privately held companies. C) Public companies. D) All public companies and privately held companies with assets greater than $500 million. Answer Terms: Sarbanes-Oxley Act Diff: Easy Objective: LO 1-1 AACSB: Reflective thinking skills Topic: SOX 2) Which of the following is considered audit evidence? A) Oral statements Written Auditor made by management Communications Observation Y N N B) Oral statements made by management N C) Oral statements made by management Y Written Communications Y Auditor Observation Y Written Communications Y Auditor Observation Y D) Oral statements made by management N Answer Terms: Audit evidence Diff: Moderate Objective: LO 1-1 AACSB: Reflective thinking skills Written Communications N Auditor Observation Y 3) Evidence is paramount to audit and attestation engagements. List the four basic types of audit evidence. 4) The criteria by which an auditor evaluates the information under audit may vary with the information being audited. A) True B) False Terms: Criteria which an auditor evaluates information Diff: Easy Objective: LO 1-1 AACSB: Reflective thinking skills 5) The criteria used by an external auditor to evaluate published financial statements are known as generally accepted auditing standards. A) True B) False Answer Terms: Criteria used by external auditor to evaluate...
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...HEALTH PROMOTION ON OBESITY This reflection will focus on a health promotion experience. During my placement period. According to the World Health Organisation (WHO 2013) health promotion enables people to increase control and improve their health. The Driscol and Teh (2001) model of reflection which has three cue questions, what, so what and now what will be used. The rationale for using this model of reflection is that it has further questions which will help in the reflective process. To maintain confidentiality, the To maintain confidentiality, the patients name has been changed to pseudonym Mrs Smith, in accordance with the Nursing and Midwifery Council Code (NMC 2008)' What? Whilst I was on placement period, I had the opportunity to surgical pre- assess Mrs Smith with mentor supervision. lt is a protocol for the Trust that all patients who will go for elective surgery under anaesthesia need to be assessed prior to surgery. The purpose is to identify, minimise, eliminate or accommodate any risks of surgery and anaesthesia in order to give the patient the best chance of recovery. I surgical reassessed Mrs Smith who was overweight and was to have a total abdominal hysterectomy. So what? According to National Obesity Observatory (2010) obesity and overweight is caused by genetics, food environment, societal influences, food consumption' quantity, quality and frequency of individual diet and low levels of physical activity'. Obesity is associated with social and economic...
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...that ‘critical incident analysis has been espoused as a valuable method of promoting reflective practice in nursing and it can be used as a tool in developing curriculum content’ (p770). The Reflective Cycle of Gibb’s (1988) (appendix 1) will be used as a framework to conduct this assignment. My reasoning for choosing Gibb’s can be explained by [anon] (2006) ‘Gibb’s reflective cycle is fairly straight forward and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, and analysis to make sense of the experience’. The assignment will also be organised into sections based on the reflective cycle. Pseudonyms will be used to maintain anonymity and confidentiality in accordance with clause five of the NMC (2004). The critical incident which I have chosen is an inappropriate assessment and application of mouth care in a pre-operative patient. ‘Oral assessment is required in planning effective care, and that the incidence of oral complications was reduced by the frequency of care’ Ginsberg (1961) cited by Mallett, J and Dougherty, L (2000 p361). I have chosen this as I found that mouth care is a valuable skill to perform on a NBM patient, and the appropriate assessment will reduce a patient’s discomfort. The managerial concepts I have chosen will appropriately explain my reasoning for implementation of this into practice. A full account of my critical incident can be found in appendix 2. Naylor (2004) cited by Mullins...
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...gender, sex, race, age, disability, sexuality or social class and understand beliefs and assumptions. This is important as it promotes trust and respect between practitioner and client and it shows the practitioner cares and fully accepts the client. Promoting individual rights and beliefs – which includes the rights to; be different e.g. sexual orientation, freedom from discrimination e.g. not to be treated differently, confidentiality e.g. have all personal information kept private, choice e.g. make own decisions, dignity e.g. respected, effective communication e.g. have things explained and to be listened to, safety and security e.g. protection from harm and privacy e.g. having own space which isn’t invaded by others without consent. Maintaining confidentiality – This is an appropriate protection of personal and private information about clients and this is done by; keeping all records safe and secure, only passing information on to others if it is needed to do so and policies and procedures need to be followed. It is important that confidentiality is maintained as it is part of The Data Protection Act 1998[1] Codes of practise set out the...
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