course material

1. Clinical Reflection
Clinical ReflectionClinical ReflectionPermalink: https:// /clinical-reflection/ ?Briefly discuss
what, how, and why you created/tad the assessment approach you utilized.I started my
assessment by providing privacy in order to make the patients comfortable during the
assessment process, and to induce them into telling me as much detail as possible. As I set
the room, I engaged the client and observed them in a wise manner to establish their
general condition. This helped me to know whether they needed any urgent attention
before carrying out the assessment. I then took the history of the client taking note of where
a focused health assessment may be required. I followed this with physical assessment
through the systems approach and the SPICES model. Through SPICES, I was able to access
for sleep disorders, challenges with eating disorders, confusion, evidence, of falls and skin
breakdown. My patient, a mister Kelvin Jones, 76, is stable, apart from some pain that is
being treated through painkillers.Areas undertook well in carrying out the assignmentsI
ensured a foundation of good nurse-patient relationship by first creating a rapport with my
patient. After that, I introduced myself and explained the purpose of the health assessment I
was to undertake. I then asked Mr. Kelvin some general questions about the current
admission. This assisted me to know more about his social history, family history, and the
events that led to his admission to the hospital. This is important because it relates to
patient and family centered care. I thus asked Mr. Kelvin about his family, and sought to
understand whether his family is ive. This helped me establish about psychosocial-state of
my patient. While talking to Kelvin about his family, I also wanted to understand whether
the family might have a big impact to his illness. I was also able to establish whether Mr.
Kelvin was comfortable with the achievements he had made in life or he was disturbing him.
By using SPICES, I was able to assess my patient using my understanding of the general
health determinants for old people. SPICES directed me to assess the sleep disorder,
problems with feeding or eating, incontinence, confusion, evidence of falls and skin
breakdown. I realized that the rapport I created and the conversational manner of
interviewing that I used had a great impact in assisting m get valuable information.While
taking history ad doing the physical assessment, I used open-ended questions as they have
an advantage of a smooth flow of information, and they are patient-centered. As old people
like to talk o ouch and give a lot of irrelevant details, l led the conversation with questions
that were relevant to the health assessment. Through this, I ensured that the patient did not
deviate from the topic.eventually improved the credibility of the results. I was thus able to
systematically do the neurological assessment, psychosocial, cardiovascular, genitourinary,

2. digestive and respiratory. After this, I documented all my results. This will help
communicate the other members of the health care team.The areas I need to improveOne
strategy that Ihis system, I realized later that had cut him a short while he wanted to
explain about his friends. This would have helped me establish his complete system of .
Another strategy I need to employ I my future assessments are to garner enough confidence
ad to prepare adequately. My phone, for example, rang as I was taking blood pressure and
the process was started. I had to wait for some time in order to take the correct readings.
However, I continued with the other aspects of the assessments as I waited.On reflection, I
also realized I did not use the best strategy while assessing the digestive system. In the
mouth, I did not realize that the patient had dentures. Also, while assessing the abdomen, I
used the wrong sequence, as I would have started with an inspection and auscultation
before doing percussion and palpation. This would have prevented interruption f bowel
sounds in order to get the correct impression o auscultation. Finally, I forgot to wash my
hands after the assessment. It is a hygienic practice that helps prevent infection, that one
should wash hands before and after a procedure.