Critical reflection is an important tool in evidence-based nursing practice that involves analyzing experiences to improve future care. It ensures patient safety and holistic care. This document discusses describing a past event from the nurse's and patient's perspectives, evaluating positives and negatives, and creating an action plan for improvement. Elder abuse is a growing issue, and one elderly patient died from neglected pressure sores at a nursing home, highlighting the need for thorough wound evaluations and documentation. Critical reflection can help prevent such incidents by improving nursing practice.