Case Scenario Rolfe Reflective Model
Reflective essay on a case scenario - Rolfe reflective model
Reflective Essay
This reflective essay will adopt Rolfe 's model of reflection, (Rolfe, G et al. 2001) which was derived from Borton 's developmental model. (Boyd E et al. 1983)
The scenario is presented as Appendix 1 and the patient has been anonymised as ‘Lee ' in accordance with the NMC guidelines (NMC 2008)
What?
When analysed in overview, one can note that the main issues contained in this scenario are that a schizophrenic patient, who may therefore be psychotic, who is certainly confused due to his metabolic disturbances (hyponatraemia) and possibly idiopathic confusion, has made an allegation of physical assault against another staff member. The patient is also forgetful and …show more content…
The action of the Sister in removing the ‘Special ' from caring for Lee also seemed appropriate and proportionate. It may have been considered more appropriate to suspend the ‘Special ' from work, but in circumstances when one is dealing with a confused and psychotic patient and there is a significant element of uncertainty about the veracity of the allegations, this might be considered inappropriate and unduly prejudicial to the ‘Special '. (McMillan J 2005)
At the time of the reporting of the incident, I apologised to Lee myself and reassured him that such a situation would not be allowed to occur again. I feel that this was also a professionally appropriate course of action, as it not only communicated a professional sense of responsibility to Lee, but also it demonstrated the fact that I was taking his complaint seriously and was sorry that it had happened. (Kozier, B et al. …show more content…
' he said, 'three days ago a special slapped my arm and pinched me. And he said 'I was waiting for her to finish her shift to inform a staff nurse, by then I had forgotten '. I hope when my son will visit me, I will remember to tell him what has happened.
I reassured him that this will not happen again and I also apologised on her behalf and told Lee that particular specialist will not be caring for him any more.
I reported the incident to the Ward Senior Sister and together we filled in an Incident Report Form (IR1).
References
Boyd E & Fales A (1983) reflective learning: the key to learning from experience. Journal of Humanistic Psychology, 23 (2): 99-117
Brooke C; Waugh A Eds (2007) Foundations of Nursing Practice, Fundamentals of Holistic Care. Lond Mosby Elsevier.
Carrick P (2000) Medical Ethics in the Ancient World. Georgetown University press : Philadelphia
Jasper M. (2007) Professional Development, Reflection and Decision – Making. Blackwell Publishing, Singapore.
Kozier, B, et al. (2008) Fundamentals of Nursing: Concepts, Process and Practice. Harlow: Pearson Education.
Nicol M N, Bavin B C, Bedford-Turner S B, Cronin P C Rawlings-Anderson K R (2004) “Essential Nursing Skills” 2nd ed. Churchill Livingstone,
Reflective Essay
This reflective essay will adopt Rolfe 's model of reflection, (Rolfe, G et al. 2001) which was derived from Borton 's developmental model. (Boyd E et al. 1983)
The scenario is presented as Appendix 1 and the patient has been anonymised as ‘Lee ' in accordance with the NMC guidelines (NMC 2008)
What?
When analysed in overview, one can note that the main issues contained in this scenario are that a schizophrenic patient, who may therefore be psychotic, who is certainly confused due to his metabolic disturbances (hyponatraemia) and possibly idiopathic confusion, has made an allegation of physical assault against another staff member. The patient is also forgetful and …show more content…
The action of the Sister in removing the ‘Special ' from caring for Lee also seemed appropriate and proportionate. It may have been considered more appropriate to suspend the ‘Special ' from work, but in circumstances when one is dealing with a confused and psychotic patient and there is a significant element of uncertainty about the veracity of the allegations, this might be considered inappropriate and unduly prejudicial to the ‘Special '. (McMillan J 2005)
At the time of the reporting of the incident, I apologised to Lee myself and reassured him that such a situation would not be allowed to occur again. I feel that this was also a professionally appropriate course of action, as it not only communicated a professional sense of responsibility to Lee, but also it demonstrated the fact that I was taking his complaint seriously and was sorry that it had happened. (Kozier, B et al. …show more content…
' he said, 'three days ago a special slapped my arm and pinched me. And he said 'I was waiting for her to finish her shift to inform a staff nurse, by then I had forgotten '. I hope when my son will visit me, I will remember to tell him what has happened.
I reassured him that this will not happen again and I also apologised on her behalf and told Lee that particular specialist will not be caring for him any more.
I reported the incident to the Ward Senior Sister and together we filled in an Incident Report Form (IR1).
References
Boyd E & Fales A (1983) reflective learning: the key to learning from experience. Journal of Humanistic Psychology, 23 (2): 99-117
Brooke C; Waugh A Eds (2007) Foundations of Nursing Practice, Fundamentals of Holistic Care. Lond Mosby Elsevier.
Carrick P (2000) Medical Ethics in the Ancient World. Georgetown University press : Philadelphia
Jasper M. (2007) Professional Development, Reflection and Decision – Making. Blackwell Publishing, Singapore.
Kozier, B, et al. (2008) Fundamentals of Nursing: Concepts, Process and Practice. Harlow: Pearson Education.
Nicol M N, Bavin B C, Bedford-Turner S B, Cronin P C Rawlings-Anderson K R (2004) “Essential Nursing Skills” 2nd ed. Churchill Livingstone,