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I exit outline a personal roll in the hay, which identifies both aspects of holistic care. I plan to reflect upon a young clinical experience and how certain issues were handled with reference to one special(prenominal) client. The areas I am termination to consider are throe and loss and I aim to explore my feelings in intercourse to each. I am going to use the Johns (1994) Model of Reflection, which I will be able to do with the aid of my ruminative diary. I feel that using this reflective model will benefit me, as I have had no experience of using this to date and wish to expand my knowledge and experience.
verbal description
A patient the author will call George Dillon, to wield confidentiality (NMC 2002), has spent many months on an orthopaedic rehabilitation ward. He was originally admitted after sustaining a fracture to his left cope of femur after a fall nine months previously. He is an 85 year old gentleman who has type II diabetes controlled by tablets and diet. He also has osteoarthritis, which affects mainly his hips and knees and mobilises with a walker frame. He had been readmitted to the ward four months earlier due to a breakdown in his wounding.
When the author arrived on her placement Georges wound had healed but he still suffered from pain and hindrance mobilising. He was being treated at diabetic outpatients as he also had infected ulcers on both his feet caused by neuropathy and ischaemia. According to Knowles and Dang (2002) nearly half of all patients who have had diabetes oer 25 years will develop diabetic neuropathy at some point. Poor eyesight caused by retinopathy, which Watkins (1998) states is present in over 60% of patients with long-term diabetes was also a business for George.
George had been preparing for discharge home with the support of his family. His wife was going to cooperate him with his personal care and a district nurse was going to come in daily to dress the wounds on his feet.
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