Critical Incident – Preconceived Ideas

No names be used in this writing to maintain diligent confidentiality and ad fair(a) to the data protection mould 1998 hypercritical possibilitys originated in the United States, Colonel John C Flannagan was a psychologist who worked closely with the Air Force and their procedures for account evidence concerning effective or uneffective behaviour within discordent situations (Ghaye 200664-65). Tripp (1993 24-25) claims that tiny fortuitys appear to be typical preferably than critical at first sight, simply ar rendered critical through compend.Critical incidents can be either positively charged or negative They are unremarkably sustains that bring almost you consider the events that scram happened to exploit to give them some sort of intend (Hannigan, 2001). Using a critical incident as a track of reflecting dish outs individuals bring out practice that has been helpful or discouraging in a situation. The value of a critical incident can differ from person t o person it is usu eithery a personal experience with meaning to an individual, nonetheless critical incidents can be usable for a range of people for example, bookmans, lecturers, assist users and the general public.They give an insight into the intuitive opinioningings of the person writing and are often relatable to separates. In appendix 1 I cast described my critical incident. Following this I get out explain the importance of a critical incident and the effect on practice, in break awayicular how it has influenced my practice as a scholar obtain. This experience has greatly influenced my training in a snatch of ways. As a student nurse I believe it is hard to keep down having a preconceive judgement of a diligent. later on receiving a brief description of the forbearings diagnosing from my teach, I believed this affected role would possibly be frail and sedentary, placed in bed with a aiming quality of life. However what I was greeted with was the summari ze opposite. This is affected by the affected roles own judgement of her complaint, often receiving a prognosis such(prenominal)(prenominal) as this prompts a dramatic remove in the unhurrieds modus vivendi. It can be argued that this is the hardest part in accepting a diagnosis is the choose to change. In accessing readiness to change, we regard to look at the individuals allege (Broome 199831).If a particular forbearing is non ready to correct their lifestyle it can be fall out difficult for them to come to basis with their diagnosis. Patients unable to come to terms with their diagnosis or tolerants finding their tuberculousness difficult after a boundary of time are ilkly to suffer from depression or anxiety (Reid, et al 2011). However upon see this long-suffering it was puzzle out to me that this forbearing was able to accept her diagnosis and had readily accepted the challenge to adapt her lifestyle. To me this seemed like a phenomenal act for her to achi eve in such a short space of time next the diagnosis.Communication is a key aspect of whatsoever type of palm, in particular rod care as the long-suffering in question is likely to feel scare and anxious intimately their prognosis. There are a descend of different reasons for thisIncluding diagnosis and manipulation of their affection, long-term physiological alterations, fears of regress and death, dependence on caregivers, survivor wrong-doing and negative throw off on families. (Groenwald et al 1992 580)Communication should be an equal conversation that intromits two the nurse and diligent to include what they need to say.For a nurse it is important to harken to a patient as finding a therapeutic family relationship will often make the patient feel more open to discussion well-nigh their feelings and concerns. The therapeutic relationship facilitates the ability for a patient to achieve their desired state of maximum health (Brooker, and Waugh, 2007236 Kozi er, et al 201295-97) Patients should be able to freely express their beliefs, determine and concerns in a non-judgemental and supportive way (Barker 201031).A therapeutic relationship is essential in developing trust between a patient and nurse and is fundamental for care with service users such as my patient. A therapeutic relationship can be described as one that allows for the see of nursing needs to the mutual gratification of a nurse and patient (McQueen 20009). This should a handbag anxiety and may allow the patient to feel more contented in addressing any concerns surrounding the prognosis. This incident has do me think about the barriers to confabulation and the effects they can have on other staff members, patients and their families. Understanding the potential problems allows us to better find out how some subject might be able to work more expeditiously (Ellis 201188). There are a number of barriers to communicating for example physical barriers such as a door ma crocosm closed, perceptual barriers for example pass into a conversation sentiment that the person isnt going to understand or be inte balance wheeled in what you are going to say. Emotions can also be barriers to communication as well as cultural, gender, social and intellectual (Kozier et al 201246).I believe my patient may have had emotional barriers to communication with the nurse and myself. She had already accepted her diagnosis and her decision not to converse with us about her condition may advise that it was difficult for her to discuss it with others, despite universe comfortable with it herself. The fact that the patient was comfortable with her illness made me think about the description of health. My patient had said she felt healthy and therefore to her, despite having an illness, she didnt consider herself as unhealthy.The human health organic law (WHO) describes the definition of health as a state of completed physical, mental and social well-being and no t merely the absence of disease or infirmity (WHO 1948 Kozier et al 20126) although this is the most ordinarily used definition for health, seeing this patient led me to re see to it its significance. The patient I saw clearly didnt view this definition to be the same as her meaning of health. Health differs for every individual, my patient felt well and therefore in her opinion she was healthy.It is understandable that she didnt hope to be continually reminded of her cancer, it was enough that her license had been reduced due to the fact the nurses were advent into her home in the first place. My mentor and I decided to respect the patients wishes and allow her to come to us when she felt she would like to talk rather than forcing her to speak to us, we staged to keep nurse interaction with this patient to a minimum so she could concur some normality in her life. Patients are made aware that they have the effective to choose, accept or decline treatment and these decisions a re respected and supported. (NICE Guidelines 2012) It was at this raze I began to understand the value of capital of New Hampshire. McKinnon (201169) states a partnership of equals on which care see is negotiated, concordance enables patients to not sole(prenominal) make decisions about their care, and to work in parallel with the health care professionals towards a mutually agreed outcome. It could have been golden for my mentor to disregard the patients wishes and focus solely on her shock care and expect her to simply obey as the nurses are considered to be the experts, still her feelings were recognised and her autonomy wishes were responded to.My mentor displayed an first-class example of holistic care concord to Linsley (2011273), who states that nurses have to be aware of the social, environmental and psychological aspects of health and not moreover physical signs and symptoms of an illness. Before relateing this patient, I didnt realise how daunting the experien ce of health care professionals can be, I had always wrongly presumed people would be happy to receive care to make them feel better, yet in this spokesperson it has proved to me that not everyone has this view.It has enabled me to think about my role as a student nurse and it has made me reflect on so many different aspects of redeeming(prenominal) nursing care, from communication and concordance to holistic care. Before my interaction with this patient, I didnt understand just how important it was for patients to have their say. I couldnt help but wonder if I had been the registered nurse in that situation, would I have been task orientated and wanted to get the job make rather than taking into consideration the patients wishes? As a first year student I am aware of my limitations and understand that I have a exercise set to learn.I thought about how I would feel if I was in the patients situation and of course Id want to be involved in the decisions made concerning my care. The experience with this patient has enabled me to develop as a student nurse, and will inform my practice throughout the totally of my career. Seeing first hand such a good example of concordance and holistic care from my mentor has apt(p) me a great platform to base my learning experiences on. References Barker, J (2010) Evidence-Based Practice for Nurses. capital of the United Kingdom Sage Publications Ltd. Berman, A. Erb, G. Harvey, S. Kozier, B.Morgan-Samuel, H. and Snyder, S (2012) basic principle of breast feeding Concepts, process and practice. Harlow Pearson. Broome, A. (1998) Managing Change. Hampshire Macmillan Press Ltd. Ellis, P. (2010) Evidence-based practice In breast feeding. Exeter Learning Matters Ltd. Ghaye, T. and Lillyman, S. (2006). Learning journals and Critical Incidents. second ed. Hampshire Palgrave Macmillan. Groenwald, S. Goodman, M. Hansen Frogge, M. and Henke Yarbro, C (eds. ) (1992) Comprehensive crab louse breast feeding Review. Sudbury Jones and Bartlet publishers Inc. Linsley, P. Kane, R. and Owen, S. eds) treat for Public Health Promotion, Principles, and Practice, Oxford University Press. McKinnon, J. (2011) The nurse-patient relationship in Linsley, P. Kane, R. and Owen, S. (eds) care for for Public Health Promotion, Principles, and Practice, Oxford University Press, pp. 64-74. McQueen A. (2000). Nurse-patient relationship and partnership in hospital care. journal of Clinical Nursing. 9 (5) 723-731. Reid, A. Ercolano, E. Schwartz, P. and McCorkle, R (2011) The caution of Anxiety and Knowledge of Serum CA-125 After an Ovarian Cancer Diagnosis. Clinical journal of Oncology Nursing 15 (6), online, Available from http//web. ebscohost. com. proxy. library. lincoln. ac. uk/ehost/ exposit? sid=7e50352a-778c-4db4-be37-388bb618120d%40sessionmgr114&vid=1&hid=103&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3ddb=c8h&AN=2011371794 Accessed 26th February 2013. Tripp, D. (1993) Critical Incidents in Teaching, maturation passe-partout Judgeme nt. Routledge London. NICE Guidelines (2012) Supporting patient choice online National Health go online. Available from http//www. nice. org. k/guidance/qualitystandards/patientexperience/SupportingPatientChoice. jsp accessed tertiary February 2013. Nursing Times (2004) Reflective thinking turning a critical incident into a topic for research online London, Nursing Times online. Available from http//www. nursingtimes. net/reflective-thinking-turning-a-critical-incident-into-a-topic-for-research/200145. condition Accessed 3rd february 2013. World Health Organisation (1948) World Health Organisation exposition of Health online New York, World Health Organisation Online. Available from http//www. ho. int/about/definition/en/print. html Accessed 1st defect 2013. Bibliography Barker, J (2010) Evidence-Based Practice for Nurses. London. Sage Publications Ltd. Barrat, D, Wilson B, and Woollands, A (2012) Care planning A fill for nurses. Second edition. Harlow. Pearson Education Ltd. Benner, P. (1984) From Novice to Expert, virtue and Power in Clinical Nursing Practice. Menlo Park Addison Wesley. Berman, A. Erb, G. Harvey, S. Kozier, B. Morgan-Samuel, H. and Snyder, S (2012) Fundamentals of Nursing Concepts, process and practice. Harlow Pearson.Brooker, C. and Waugh, A. (eds. ) (2007) Nursing Practice Fundamentals of Holistic Care. Philadelphia Elsevier. Broome, A. (1998) Managing Change. Hampshire Macmillan Press Ltd. Ellis, P. (2010) Evidence-based practice In Nursing. Exeter Learning Matters Ltd. Ghaye, T and Lillyman, S. (2006). Learning journals and Critical Incidents. 2nd ed. Hampshire Palgrave Macmillan. Groenwald, S. Goodman, M. Hansen Frogge, M. and Henke Yarbro, C (eds. ) (1992) Comprehensive Cancer Nursing Review. Sudbury Jones and Bartlet publishers Inc. McQueen A. (2000).Nurse-patient relationship and partnership in hospital care. Journal of Clinical Nursing. 9 (5) 723-731. Tripp, D. (1993) Critical Incidents in Teaching, Developing Professional Ju dgement. Routledge London. (Appendix 1) During placement I have managed to throw experience with remainder cancer patients. When you go into a patients house, I feel you cant help but have a preconceived idea of the type of patient you are about to meet. I was raged when visiting one patient, as I was told earlier I entered the home that the patient had terminal epithelial ovarian cancer. This type of ovarian cancer arises from a malignant variation of the ovarian surface epithelium, how this transformation occurs is unknown. (Groenwald et al, 1992 466-467) When I met this patient I was unsure of what I would discover. I expected a charwoman that was going to appear physically ill and I imagined her to be like all the other patients I had seen with terminal cancer. To my surprise we found her sitting in her conservatoire reading the newspaper looking well, she was togged up appropriately and had her hair and makeup done.The patient seemed genuinely happy and didnt meet any of the previous preconceptions I had when I was originally told about her. We were there to change a fluid bag from the patients abdomen and support the patient if she had any concerns about her illness. This is the only thing the nurses do for this patient, her partner, with some help from the Macmillan need care team complete the rest of her care. This patient had a persistent disease that couldnt be controlled. She had previously been tough with chemotherapy to try and eliminate the cancer however this had been unsuccessful.The patient had then decided on with the healthcare professionals, to withdraw treatment and only accept pain relief and support. The represent of ovarian cancer is based on surgical evaluation and forms the basis of ensuant therapy. (Groenwald et al, 1992 466-467) The district nurse has only just become involved in her care, currently she is 5 months into her diagnosis. When the nurse and I assay to speak to the patient about her illness and how she wa s feeling, she seemed reluctant to talk about it. The patient decided she felt well in herself and didnt want to be reminded of her illness, she went on to explain that she had already