Essay about Patient Structured Reflection

2468 Words 10 Pages
Utilising John’s model of structured reflection I will reflect on the care I instigated to a patient with complex needs. The patient in question was admitted to the Emergency Assessment Unit for surgical patients then transferred to the ward where I work as a staff nurse.

The patient in question was admitted with suspected pancreatitis. This piece of reflection will pay particular attention to the care I gave the patient in the form of instigating admission documentation, assessing their condition, instigating care plans and administration of any medications required. The patient in question had complex needs and as a staff nurse and according to the NMC (2009) I should be able to provide the care he/she required.

The main aim of
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When Rob was transferred to my bay I was given handover, I had to make sure I had all the relevant information I required to care for Rob this would have included the following:-
1. Patients name,
2. Date of birth,
3. Next of kin
4. Emergency contact numbers
5. Past medical history
6. Presenting symptoms
7. Care, treatment and medications already instigated
8. Patients consultant
9. Dietary status
10. Allergies
11. Any outstanding treatment that the patient required. For example, X-rays or Ultra Sound.
Once I was happy that I had the relevant information I would accept handover and accept Rob onto the ward and into my care.

It was explained to me that Rob had suspected acute pancreatitis. This condition corresponds to the inflammation of the pancreas, due to auto-digestion (Parker, 2004). Although, pancreatitis is a common emergency it can also be potentially life threatening. Most episodes are mild and self limiting however up to a fifth of patients has attacks that can be fatal (Wilson et al; 1990). Nevertheless, recognising the early symptoms, good nursing care and clinical assessment can aid a rapid recovery (Parker, 2004). Robs presenting symptoms were a continuous epigastric pain radiating around his back that was accompanied with nausea and vomiting, he was also pyrexic (37.9oC) and hypertensive. His blood tests revealed that he had an abnormal CRP

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