The following reflection piece is based on an event which I experienced during my internship placement. Johns model of reflection will be used for this assignment. The reflection is based around my own personal experience with a terminally ill patient. It focuses on one main issue, providing hope for patients and how I felt about it. it also discusses my feelings, the knowledge I had, my knowledge gaps and what I learnt through literature during my reflection. This assignment also covers the importance of hope for patients and the role hope plays in terminally ill patients. I will also discuss ways in which health professionals can foster hope in terminally ill patients. I was on my placement on an oncology ward. It was my second week on …show more content…
It is a five-step process, comprising of questions within each step to allow you to self-examine yourself and the event. Step one is the narration of the experience, step two involves the reflection of what the main goal was, step three is the factors which influenced the reaction, step four is the assessment of what could have been done differently to improve the experience and step five focuses on the learning from the experience. Step five also allows health professionals to examine their own feelings about the experience. Johns model focuses on developing new knowledge and awareness of incidents which occur from health care practices (Johns, 2013). This model allowed me to gain a more in depth understanding of my experience, thus improving my own personal and professional development. The model allows health care professionals to reflect on experiences and find ways to improve their outcomes of different events. It not only looks at the situation but allows you to explore your feelings at the time of the event, as well as at the end of the reflective process. The model gives health care an opportunity to review their actions and explore what could have been improved with regards to their experiences (De Oliveira and Tuohy,
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Gina Kolata displays the view of a patient and how hope affects them. From time to time a patient could obtain high expectations, since they are unable to do anything else, “Many patients ask doctors to give them an unproven treatment” (Kolata). Although patients may contain high expectations, they contain low expectations as well. For the most part, a greater number of patients tend to not surrender and pull
Death, facing it can paralyze people with so much fear, anxiety, and/or regret that they lose sight of the life still left ahead of them. Death is something that everyone has to face, and sometimes we forget to look at the needs of others, or even our own needs, when death is near. Introduction to Health Communication showed me the amazing work that San Diego Hospice does for people, and has given me a new path to follow in life so I can one day work in a hospice to bring peace to those that may feel that they are at their lowest. Working at a hospice will have its own challenges that I am willing to face because compassion and caring is what we need more of in the world today. I will first explain how uncertainty affects patients at a hospice, then I will examine the problems the caregivers and the patients
The professional values that I have chosen to reflect on is consent. Using Driscoll (2007) model of reflection which is components circle involves three events: what? So what? Now what? A reflection account will focus on my experience of working in the surgical ward.
Maintaining hope is key for long-term survivors of diseases such as HIV infection and breast cancer. Healthy coping, however, differs from the common societal notion of “positive thinking.” Having the capacity to tolerate and express concerns and emotions not just the ability to put anxieties aside, and additionally, discussing these as well as uncertainties and fears, losses and sadness that usually accompany severe illness is generally
This reflection is sought about through the use of reflective cycles, for example Gibbs (1988). Reflection enables the student to develop his or her own theories behind why an event occurred, this is also achieved by linking theory to practice in order to gain a deeper understanding (Levett C. 2010, Stonehouse D. 2011). For this practice placement portfolio the reflective cycle that I have chosen is The Reflective Cycle by Gibbs (See appendix one) (Gibbs 1988). Although it wasn’t made predominantly for reflection through nursing scenarios, as it was developed for educational purposes, it does give the student a cycle which can be used easily to analyse their event in a linear fashion. Although Gibbs reflective cycle is one which is mainly focused on the event itself, rather than the knowledge that can be sought from delving further into the reasoning behind an event, it does create a cycle which allows the individual to focus on their actions and the reasoning behind what they did.
In all my experiences as a nurse, I’ve realized the importance of communication, providing holistic care to an individual and empowering them with the knowledge to manage their health. When an illness strikes a person, it affects not just his body, but also his mind and spirit. The art of communication is invaluable to patient interaction and establishing a therapeutic nurse-patient relationship, that facilitate coping mechanisms for patients, moreover it prepared myself as a nurse to meet their individual needs. Furthermore, there is at the moment an insurmountable demand for survivorship care as a result of the advancement in technology and medicine, which made living beyond life expectancy possible for increasingly more people. Living after cancer treatment is not free of complications as there are acute and chronic side effects of treatment that requires constant monitoring and attention, and this information spurred me to shift my focus from palliative to survivorship care.
The basis of this reflective report is to critically emphasize the Leicester Clinical Assessment Tool (LCAT) undergone whilst on placement in an orthopaedic ward. The reflection shows the engagement of safe, confident, competent, compassionate quality care whilst recognising the individual. To link theory to practice, the Driscoll’s (2007) model of reflection will be used. This model incorporates three stages, what? So what?
Health Care givers should be aware of the issues on what to say and how to act,give emotional support,and when to use hospice care. An article stated,”Several scholars listed the implications of spirituality,including preserving the patient’s hope,helping the patient find meaning in life and death,and helping the patient find spirit.. ”(Qiaohong Guo and Cynthia S Jacelon,An integrative review of dignity in end-of-life care.)What this means is it is there to help the patient have hope,remember the good moments in life,and find the feeling of completeness so they can pass on from the physical world with no regrets. Healthcare givers can encourage their patients without giving false hope.
Nightingale wrote “the very elements of nursing are all but unknown” through this statement she implied that nurses word be learning for the rest of their career (journals.lww, 2017). Reflection is when an activity or incident requires thought about the action, and is used to determine what points are positive and negative, and how it could be improved or changed if done again in the future. The reflection process begins with thinking about an incident and how the situation can be utilised in future situations. The process consists of being open, this would involve an individual looking at things from a different perspective. In addition, the process would involve being inquisitive, desiring knowledge.
Reflecting on this clinical practice has been unquestionably beneficial to me. It is helped me ascertain further information about dignity and the importance of it. It has also allowed me to evaluate the care I give and develop personally and professionally. Using the Gibbs (1988) reflective framework has enabled me to look at all aspects of the clinical practice and gain essential information relating the maintenance of dignity. I have found this assignment of reflecting extremely interesting and have enjoyed learning new things about myself and the care I give in clinical practice.
Reflection is like looking in a mirror and describing what you see. It’s about thinking back to an experience and questioning what I did, and emotions that I felt during the experience, and then reflecting on a better and more sufficient way of doing it in the future (UNISON, 2016). Gibbs Reflective Cycle is the model that I have chosen to use while reflecting back on the module “Learning from service users and carers”, Gibbs believes that this module is useful for helping people learn from what that they experienced. He calls this “Learning by Doing” (Mind Tools, 2016). When finding out that a module I would cover on the social work degree was learning from service users and carers, my initial thought was care homes and carers within them.
It is about person centred approaches which promotes individuality, this is also a tool that can be used for staff to reflect on how a service is suited to the citizen in their everyday lifestyle rather than how the same practice impacts different individuals. Reviewing and monitoring of outcome based practice is essential to receiving feedback on how the practice affects the individual, staff are able to work alongside the individual who gets support and discuss the positive impact as well as areas that could be improved to enhance the wellbeing of the citizen, it is very important the outcome based practice is realistic to the individual and not what they think they are expected to do. Additionally things change all the time so reviewing and monitoring the outcome based practice means that the feedback can help adapt the action plans or care plans to suit the individual, it needs to be person centred at all times, ensuring that the citizen is involved in the process of updating any information which supports the staff to apply an effective
Previous to this year, I had no idea who John Dear was, nor how he took a stand in history for human rights and nonviolence. The day it was brought to my attention was when my teacher showed me a list of influential people I could change my topic to. She had connections with some of the people on the list, and told me about him. I was convinced and started researching John Dear, an American Catholic priest with a great mind of ideas that could never be silenced.
This process recording will be a reflection of a session the student social worker shared with a client on 10/21/2015. This client is a Caucasian male veteran, 70, with a terminal cancer. As previously, emphasized in a previous process recording this client is knowledgeable of the services that hospice provides due to the loss of his wife seven years ago and her experience with hospice. The intent of this session was to build rapport and establish trust with this client, in attempt to reduce the sense of loneliness that this client expressed in our initial meeting.