Engaged In Process Of Continuous Learning †Myassignmenthelp.Com

Question: Discuss About The Engaged In Process Of Continuous Learning? Answer: Introducation Reflective practice is the ability of an individual to reflect on his or her own action so that he or she can remain engaged in process of continuous learning. Such practice helps the nurse to pay critical attention to the practical values as well as theories which informs everyday actions by the invigilating of the practice reflectively as well as reflexively (Synder, 2014). It helps the nurse to stop and think about his or her own practice, proper analyzing of the decision making as well as to draw on the theories for relating it to the existing knowledge which in turn help in generating new ideas and knowledge (James, Blomberg and Kihlgren 2014). This makes the care of the patient much better resulting in high patient satisfaction. I am a nursing student and I was placed under placement in mental healthcare ward during my third year of that I can develop some personal experiences and link my theoretical knowledge with practical situations. Although I has no stereotypes against mental health patients but the concept of handling aggressive patients scared me. I was always afraid that such patient could hurt me physically and how can I protect myself in such situation. I was also apprehensive about how mental health patients have the tendency of self harm in certain cases which could lead me to legal obligations. However working in the ward, I got suggestions from my seniors and I was gradually being able to learn as well as gain experience of how to handle trivial issues with expertise. I remember one such incident that happened in the placement months which helped me to overcome my fear and analyze my nursing skills to perform better the next time. A girl named Sarah of age 25 was admitted to the ward after she found her unconscious in her room and was brought to hospital by her roommate. It was found that she took medication of mixed drugs and doses and wanted to kill herself. She was facing divorce of her parents and the same time she was also having emotional turmoil in her intimate relationship with her office colleague. However, previous month she was diagnosed with bipolar disorder after she was having frequent outburst and her aggression level increased. Just before the incident, her roommate and she had planned to go for scuba diving the weekend and she was quite excited and happy about it. The real cause behind the certain change in mood for taking the attempt of suicide is not known by the patients roommate. After she was admitted, she was taken to the emergency department for flushing out the medications by making channels, the patients stomach was pumped out and activated charcoal was provided by mouth to absorb the drug. Proper medication was given to her and when she was out of danger, she was shifted to the mental health department. I was appointed as her nursing professional. After a brief period of sleep, she woke up. I checked her pulses and her blood pressure which was normal. I provided her the medication which was prescribed to be taken before breakfast. We started a normal conversation and she was aligning with the conversation with smile and pleasure. I checked her history and noticed that she was a bipolar disorder. All of a sudden, I got apprehensive as I saw that has self harmed herself. My fear clustered in my head and I was unable to judge situations properly. From her conversations, she told me that she is unable to accept the fact that she was hospitalized as she did not want to be alive. She forcibly removed her saline cannels and wanted to come out of bed. Although I tried my best to control her, she became aggressive and wanted to either hurt herself or me. She told me to ask the doctor to discharge her immediately. I tried to make her understand it is not the right time as she is fragile and n eeds care in the ward. However, Accounting However, I quickly removed the sharp object away from the patient so that she does not get scope to affect herself. I was very scared and could not understand what I should do in order to handle the situation. I felt that I was trembling and my critical thinking skills have completely diminished by the time. I again made her understand that she needs care and attention in a routine manner as her health condition in not well. Her vital signs need to be checked every intervals to ensure that she is out of danger from the effects of overdose of drugs. However, she kept on insisting and threatened me that if I did not arrange for her discharge, she will kill me or herself. Thinking of no way round, I went to consult with the senior nurse. Before going, I applied physical restraint on her to keep her safe form mood swings and to prevent herself form self harm. She was not wanting to apply the restraint but assessing the risk with her bipl;ora disorder I thought it would be best option. The nurse leader immediately came to the spot and opened her restraints. She made me understand that using of the medical restraint can affect the self esteem of the patient which may lead to bruises. This may deteriorate her condition more. Some of the immediate activities that I could have taken during that time is assessing the clients behavior and using calm and soothing approach rather than using force on the patient. I could have short and simple explanation or statements as short attention span limits understanding to small pieces of information. I should not have argued with the patient and should have helped her to releases her agitation and violent behaviors with physical outlets especially in an area of low stimulation like using of punch bags. After this, I should have decreased the environmental stimuli so that she can calm down. She even stated that that in extremes, I could have chemical restraints like tranquilizers which would have at least restricted her developing of bruises which she got when she was trying to make herself free form the restraints (DAmour et al. 2014). With the help of the senior nurse, I learnt the skill of counseling a vulnerable patient in a effective way by using the correct tone and making her feel that she is with persons who are her companions. Developing a compassionate and empathic conversation ultimately calmed her and made her peaceful. Therefore, with the help of the reflection in action practice, I was able to reflect the exact situation I was going through in the ward mainly due to lack of experience, excessive fear in strenuous situation, lack of proper critical thinking skill at the right moment and also ethical dilemma about putting on restraint or not. I successfully overcome my phobia of handling aggressive patients effectively which gave me confidence. With the help of the senior nurse, I developed more knowledge about handling aggressive patients in a more systematic way with proper interventions and thereby handle them effectively with better outcomes. References: DAmour, D., Dubois, C.A., Tchouaket, ., Clarke, S. and Blais, R., 2014. The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review.International journal of nursing studies,51(6), pp.882-891. James, I., Blomberg, K. and Kihlgren, A., 2014. A meaningful daily life in nursing homes-a place of shelter and a space of freedom: a participatory appreciative action reflection study.BMC nursing,13(1), p.19. Snyder, M., 2014. Emancipatory knowing: Empowering nursing students toward reflection and action.Journal of finance Nursing Education,53(2), pp.65-69. van Bendegem, M.A., van den Heuvel, S.C., Kramer, L.J. and Goossens, P.J., 2014. Attitudes of patients with bipolar disorder toward the life chart methodology: a phenomenological study.Journal of the American Psychiatric Nurses Association,20(6), pp.376-385.