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Reflective acount of patient with the onset on type 2 diabetes

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Reflective acount of patient with the onset on type 2 diabetes
The experience of reflection as a implement for understanding in workplace education, can allow the student to problem solve in practice. By exploring the persons own unique circumstances and past experience they can, in order to learn, bear in mind past beliefs and recollections as a basis to accomplish a desired learning result. (Rolfe, 1998). Taylor (2000) suggests that, to reflect on action from an event, we must recollect our thoughts and memories. That is when we must use the faculty of contemplation, meditation and consideration, which permits us to realise the insight of our past experiences and thoughts, in order to adapt our behaviour, should we encounter similar related incidents in the future.

Introduction

This reflective case study has been written using the Gibbs (1998) model of reflective writing. Confidentiality has been preserved throughout in accordance with the Health Professions Council (HPC) Code of Professional Conduct (HPC, 2002) and I have chosen the pseudonym of Joyce Charles for my patient.

Although this was the first week of my second placement in general practice this was the first time that we had met, therefore, I introduced myself and made clear at the practice and explaining that I was a Paramedic undergoing further training to become an Emergency Care Practitioner (ECP) (as described by Silverman et al 1999). Joyce gave me verbal consent (Department of Health 2001) to take part in her consultation and treatment.

Description

The rationale for reflection in relation in to this topic is to understand the difference in today 's standards and how important the Health Care Professionals role will impact in providing care for patients suffering chronic disease.

Joyce had returned to the surgery following a glucose tolerance test, for diabetes, she was a 43 year old clinically obese female. The previous week she was seen by the Doctor as she had some sores that were not healing properly. Joyce was asked to return to see the diabetic



References: Baile W.F. et al. (2000) SPIKES-A six-step protocol for delivering bad news:application to the patient with cancer. Oncologist. 5. (4):1597-1599 Benner, P Bulman C., and Schutz S. (2004). Reflective Practice in Nursing. 3rd ed. Oxford. Blackwell Publishing Ltd. Department Of Health (2001) Good practice in consent implementation: consent to examination or treatment. London. Department Of Health Department Of Health (2001) National Service Framework: Diabetes Dreyfus, H.L.; Dreyfus S.E. (1997) Uses and abuses of multi-attribute and multi-aspect model of decision making. Harper and Row. New York Gibbs (1988) Learning by Doing: A guide to teaching and learning methods Hatton C.and Blackwood R. (1991) Lecture notes on Clinical Skills. 4th ed. Oxford. Blackwell Publis Holloway, A & Whyte, C House of Commons. (1995) Long-term care: NHS responsibilities for meeting continuing health care needs. First report, session 1005-1996, HC 19-1 Annexe 2. London HMSO Health Professions Council (2003) Kadushin, A. (1992) Supervision IN Social Work. 3rd edition. Columbia University Press. New York L 'Aiguille Y (1994) Pushing back the boundaries of personal experience Lustman, PJ, Griffith, LS, Freedland, KE, Clouse, RE; (1997) The course of Major Depression in Diabetics Gen Hosp Psychiatry New York 19(2) 138-143. McGlone F. (1992) Disability and dependency in old age: a demographic and social audit. Family Policy Studies Centre London Mueller P Palmer A, Burns S, Bulman C (eds)(1994) .Reflective Practice in Nursing. Blackwell Science. Oxford. Rolfe, G. (1998) Beyond expertise: reflective and reflexive nursing practice. In: Transforming Nursing Through Reflective Practice, (eds C. Johns & D. Freshwater). Blackwell Science, Oxford Silverman J.,Kurtz S Simon C. et al (2003) Oxford Handbook Of General Practice. Oxford. Oxford University Press Tones B.K United Kingdom.House of Commons Health Committee (2004) Obesity, Third Report of Session 2003-04 volume 1. London. TSO. (Chairman D. Hinchcliffe MP)

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