William Gibbs Reflective Model

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Introduction
Mr. Browne is 72 years old. He has a medical history of type 2 diabetes, hypertension, and left total knee replacement. Mr. Browne is admitted to surgical ward for right knee arthroplasty (total knee replacement). This paper discusses the role of the nurse in preventing deep vein thrombosis in both Pre and post-operative care. The paper is presented using Gibbs reflective cycle, which was developed by Professor Graham Gibbs (Wilding, 2008). The Gibb’s reflective cycle have 6 stages namely description, feelings, evaluation, analysis, conclusion, and action plan (Wilding, 2008). The figure 1 below illustrates the Gibb’s reflective model. This model will be applied in the research to clinical practice regarding the medical condition
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Feelings
I feel that old people suffering from diabetes should be nursed with a lot of care, especially when undergoing a surgery. There is a feeling that Mr. Browne has been neglected for a while. The fact that his left knee was replaced and nothing was done to prevent the damage of the left knee makes me feel that Mr. Browne’s condition has been neglected. One is left to feel pity for Mr. Browne due to his conditions. One feels that most of the nurses are not knowledgeable about handling patients with diabetes. This could be the reason why the replacement of the second knee was not avoided.
With proper knowledge and practice, the condition could have been managed to save the second knee. I feel that more research should be done on preventing damage to the knees due to diabetes type 2. Better research will help come up with ways of managing diabetic patients to prevent the situation from worsening and knee damages. I am also afraid that the operation on Mr. Browne may go wrong. The operation may lead to complications such as stiffness of the knee, wound infection, bleeding of into the knee joint, nerve damage at the joint, blood clots or deep vein thrombosis, and persistent pains in the knee. Of particular concern to me, is the risk of Deep Vein Thrombosis (DVT). I feel that if the nurses do not the necessary care, this complication may
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Deep vein thrombosis (DVT) is an avoidable complication that can worsen the conditions of a patient (Kahn, 2006). It can lead to problems such as chronic leg ulcers and post-phlebitic syndrome among other complications (Hughes, 2004). DVT can be life threatening if it occurs. There is a lot of research on the deep vein thrombosis (Pearse, Caldwell, Lockwood, & Hollard, 2007). However, many nurses do not appreciate the need of preventing the occurrence of deep vein thrombosis (Wallis & Autar, 2001). Many physicians do not address the problem of DVT due to lack of knowledge and as a consequences many patient continue to suffer needlessly (Wallis & Autar, 2001). Most of the deep vein thrombosis conditions do not have symptoms; therefore, it is difficult to detect its presence (Pearse, Caldwell, Lockwood, & Hollard, 2007). Therefore, it is easier to prevent the DVT from occurring than trying to cure it (Wallis & Autar, 2001). To prevent deep vein thrombosis, nurses should ensure that patients are given proper care before and after operation (Kahn, 2006). The DVT prophylaxis should be conducted effectively by the nurses. The nurses can use devices such as graduated compression stockings and intermittent pneumatic compression to reduce the risks of deep vein thrombosis (Pearse, Caldwell, Lockwood, & Hollard, 2007). Low molecular weight heparin is also an effective device for

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