Critical Reflection Essay Example Nursing Documentation

Reflective practice occurs when you explore an experience you have had to identify what happened, and what your role in the experience was – including your behaviour and thinking, and related emotions. This allows you to look at changes to your approach for similar future events. If reflective practice is performed comprehensively and honestly, it will inevitably lead to improved performances.

Other authors have described it as follows:

  • ‘Process of internally examining and exploring an issue of concern, triggered by an experience, which creates and clarifies meaning in terms of self and which results in a changed conceptual perspective’ (Boyd & Fales, 1983, p.100)                                     
  • ‘....requires you to stand back, to consciously analyse your decision making processes, drawing on theory and applying it again in practice’. (CSP, Information paper 31, 2005)             
  •  ‘Professional activity in which the practitioner thinks critically about their practice and as a result may modify their action or behaviour and/or modify their learning needs’ (CSP, Information paper 31, 2005)              
  • 'The way in which an individual develops a repertoire of knowledge and ability, which can be drawn upon in future situations'.  (Schon, 1983)

Nursing Reflection on Pressure Sores Essay

765 WordsMay 23rd, 20114 Pages

Critical incident
The aim of this reflection is to describe my personal experience in wound care and its management. Gibbs (1988) reflective cycle has been adapted in order to provide structure to the reflection process.

Description
At the care home I had to nurse many client’s who had developed pressure sores. One particular wound stands out from the rest, it belonged to a lady in her late 70’s who was immobile and suffers from incontinence and slight dementia.

Her wound was extremely large on her sacrum, black and very hard. At this point was extremely discoloured (black) but the skin was intact and only had a light exudate. However there was evidence of full thickness skin loss which was masked by the necrotic tissue, so…show more content…

I have learnt the importance of good communication and how it is essential for building trust. (Spouse et al 2008). I did feel a little vulnerable however but experience gave me the confidence to give the correct level of information. I have learnt that I need to show sensitivity and give the correct amount of information that was required to facilitate their reassurance.

Evaluation
Although the situation was quite challenging, it provided me with some useful experiences for the future practice. I understand that all institutions should have a policy for documenting the assessment of patients, including pressure ulcers (Morison 2001). I have come to be familiar with the homes assessment policy using the Sterling Pressure Sore Severity Scale and most importantly I have learned that by using a universal assessment tool it supports a systemic and consistent approach to pressure ulcer evaluation. This therefore supporting continuity of care.

I have significantly developed my skill in wound care assessment and dressing, in developing this skill I now recognize the importance of documenting each dressing. Morison (2001) supports this in saying that by detailing pressure ulcer assessment it provides a basis for deciding the effectiveness of the current treatment.

Conclusion
Skin tears and pressure ulcers are frequently seen in the elderly and care home residents are prime candidates (Stephen-Haynes

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