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NUR1201-Patient Experience Of Preventing Falls

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Task

Background Information

Reflection is a way of thinking and working for Registered Nurses and is useful in raising our conscious awareness of aspects of care that may or may not be hidden from our view. This raised awareness about these aspects of care improves our understanding as nurses and assist us in directing action strategies that can improve both the patient and their family’s experience and the ‘partnering in care’ strategies that we utilise. Improving the ‘patient care experience and partnering in care’ and using Gibbs Reflective cycle (1988) as a framework in combination with drawing upon relevant theory provides a foundation for nurses to operate from and as such is required for task 2.
 
Instructions:
 
1.View the Case Scenario – Recording ‘The Age 75 Recording’
 
This Recording is located at the top of this study desk page within the white ribbon, under useful links: course recordings
 
2.After viewing the ‘patient experience and partnering in care’ case scenario recording – ‘The Age 75 Patient Experience and Partnering in Care’, write a 1300 word reflection using Gibbs Reflective Cycle (1988) as the framework, in an essay style.

3.Within your reflection aim to draw upon relevant literature/theory to help you analyse this patient experience with the goal to improve the care experience of patients and their families.

4.Drawing upon relevant literature (theory) will support and strengthen your reflection.
 
Examples of relevant literature you could draw from would include:
 
 

Answer:

Introduction

Evaluating risks of aged patient experience is critical in nursing related care (Bradley, 2012). The scope of current reflective argument applies Gibbs reflective cycle for evaluating a 75 year old male patient experience. William Taylor had faced immense challenge in public hospital and waited for a long period to get relief. The analysis evaluates the National Safety and Quality Health Service Standards to prevent falls and harm from falls. The patient had experienced had experienced significant pain and troubles getting appropriate care in public hospital and then nursing care, which was reflected in his interview. For analysing the client experience an E-Health record will be integrated, which will include any allergies or medications they are taking. The accessible e-Health record would allow doctors, nurses, hospitals and other healthcare providers such as physiotherapists to access individual health information and then devise appropriate path of action.  

Description

The patient experienced fall multiple number of times and had a bad experience in the public hospital to release pain. The patient’s condition can be described by the theory of psychosocial ageing, from Cumming and Henry’s (1961) disengagement theory which indicates drawing aloof of an older et. al., 2014). The patient had to wait long periods of time in order for his pain to get relieved. The patient condition worsened as he had multiple times injury and was treated differently each time. At one time he was staying in a rural town in outback Queensland, where inferior tubernates reduced to make breathing efficient. Information which will be uploaded in e-Health record will be that he suffers from allergic rhinitis, type 2 diabetes and hypertension. The patient does not use glasses for driving but just for reading purpose. The key theme focused in the current discussion includes care focus where the patient was not given adequate treatment as per the National Health standards.

Feelings and Thoughts

The experience that the patient had faced was extremely distressful. Feelings or thoughts related to the person is off empathy as the person in pain and during illness was passing through such a condition (Machenzie & Reedy, 2014). No one was talking to the person as well so I feel that nurses should be more responsive and need to interact with the patient to understand his condition of pain or suffering. I feel that nurse’s services are valued as they pay attention to patient condition and priority should not be set for patients who are in pain. Immediate relief and medication has to be administered to monitor that patient pain can be reduced or treatment can be paced up. The e-Health record need to include and maintain all information relative to the patient such as his multiple falls, which has hurt him.         

Values and Beliefs

Analysis

He did not receive appropriate care at the right time and the patient was also very irresponsible regarding opting for treatment at the appropriate time. At the public hospital he was made to wait, which was not at all appropriate, or correct (Wachter, 2009). The patient for pain relief was given Codiene, which needs to be included in the e-Health record. The patient used pain killers several times to relive his pain at home, this is another vital information to be included in patient e-Health record. the patient also had pill cam. The patient condition described here did not receive any kind of monitoring or evaluation to understand levels of pain, this reflects highly inefficient care. I believe that the GP or nurse present at that time did not consider the likely consequences of risks which might lead to the probable solution. The patient’s risk condition associated with fall is seen to be a major global health problem, which might also lead to causing accidental injury and even deaths. Consequences from such fall are also relatively high which increases rate of functional decline, reduced activity levels along with common injuries. Apart from physical there are psychological consequences of such falls as well (Australian Government, 2018). The patient was only treated for the ailment for which said orally, there were no additional tests or treatment that was provided for the patient. Only diagnosis of dizziness or through other ailment was the patient’s condition of anemia or other ailment ascertained. The patient should have been provided adequate care and nervousness of the patient could be reduced. Havighurst’s (1963) activity theory can best explain ways in which an ageing person can stay mentally and physically active. Nurses need to engage patients for great variety of behaviour, which will have a positive impact on the patient.   

 

Conclusions Drawn

Analysis of relevant standards in nursing care provides that nurses need to apply relevant standards for practices as described in national policies. Nurses need to provide comprehensive risk assessment by identifying and analysing possible risks, which might create challenge for the patient. The current patient related experience has revealed that providing care has to be a complete activity encompassing healthcare centers and the patient’s family (Wolf, Niederhauser, Marshburn & LaVela, 2014). The negative indicators of the patient are the risks from falling multiple numbers of times. These negative indicators can be overcome only in case proper risk identification and avoidance can take place. For the future, the family of the patient needs to be directed regarding change in care practice. The patient and his family members need to be guided regarding ways in which care in case of fall could be provided. Further, from his advice to nurses, it can be understood that nurses need to stay updated from their readings of books and journals such that they can render appropriate care to the patient. Though the patient was satisfied with the treatment administered with pain relief, medication and physiotherapy, emergency relief was not given. In the long term, the patient could face consequences from such pain reappearing again. There was concern related to blood test that was not undertaken, and feeling of dizziness which deterred the patient from returning home. Various theories have been used to explain the behaviour of the patient; this is where nurse’s role comes into play. Nursing intervention has to aim at catering patient care by maintaining self-esteem and independence of patients. This would ensure better acceptance of nurses as well. The GP, clinician and nurses did not conduct thorough monitoring of the patient, which is a significant lag ion providing comprehensive care and risks ascertaining. The care that was providing to the patient included on-site administration and not in-depth or thorough analysis of the same. Diagnosis for any kind allergies or any other bowel related ailment was not determined. Patient’s need to be analysed thoroughly especially aged patient prior to monitoring any kind of medication, which can prevent incidence of risks happening.             

Action Plan

In order to provide best possible care to the National Standards in patient care needs to be followed. Aged patients’ needs to be evaluated for possible risks to ensure that the system is in place. Nursing profession has set national standards that can promote safe and evidence based nursing care in accordance with Australian Health Practioner Regulatory Agency (AHPRA) and e-health records. In order to provide appropriate care, I in future will partner with the patient’s family, especially his wife to provide appropriate standards in care. I will conduct regular monitoring of activities as well which will allow avoiding risks related to falling again by risk identification. I, in similar cases during my nursing experience will highlight specific risk areas at his home and surrounding such that risks might be avoided and treated.

Conclusion

The scope of the current analysis deals with risks related to fall in aged patient care. Evaluation of the patient condition in the case study reflects that he had not received adequate amount of care. The patient’s condition had been evaluated using Gibb’s reflective cycle, where description, analysis and then an action plan was devised. The reflective cycle allowed adhering to understand the patient’s condition and then provide an appropriate plan for action. The entire reflective experience had been very detailed and allowed to understand the risks related to fall for aged patients according to National Standards and e-health records.   

 

References

Australian Government (2018). My Healthy Communities update: Patient experiences in Australia in 2015-2016: Overview. commonwealth of Australia.

Berman, A., Snyder, S.J., Kozier, B., Erb, G.L., Levett-Jones, T., Dwyer, T., Hales, M., Harvey, N., Moxham, L., Park, T. and Parker, B., (2014). Kozier & Erb's Fundamentals of Nursing Australian Edition (Vol. 3). Pearson Higher Education AU.

Bradley, C., & Harrison, J. E. (2012). Hospitalisations due to falls in older people, Australia, 2003-04. Canberra: Australian Institute of Health and Welfare.

Mackenzie, L., & Reedy, N. (2017). Risk assessment of the older person. In A.Johnson, Caring for older people in Australia (2nd ed., pp. 168-228). Wiley.

Wachter, R. M. (2009). Patient safety at ten: unmistakable progress, troubling gaps. Health affairs, 29(1), 165-173.

Wolf, J.A., Niederhauser, V., Marshburn, D., & LaVela, S.L. (2014). Defining patient experience, Patient Experience Journal, 1, 7 -19. 

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