Some say that nursing is a straightforward profession, that a nurse only needs to look after poorly patients, administer medication, and write documentation. That caring is innate to human beings and doing it as a job is not so much difficult. But in my personal opinion, nursing is anything other than straightforward. Nursing as a profession requires critical thinking and sometimes spur-of-the-moment decision-making as the lives of people depend on such decisions.
(Reflective Model Used) This paper aims to apply my reflection on an incident that I encountered while doing my Supervised Practice at a nursing home. The model used is Gibbs Model of Reflection. (Gibbs definition)
(Learning Outcomes) Discuss and reflect on the ethical and legal implications of nursing in the UK in accordance with the NMC Code of Conduct. Discuss, implement, and evaluate the nursing process, care pathways and the care management of patients, families and carers.
When the paramedics arrived, Mr. EM was still on the floor. The nurse gave them the rundown of what happened, Mr. EM’s details – his medical condition, age, medication, and the DNR form in place. One of the paramedics instructed his colleague to fetch the heart monitor machine. He then spoke to Mr. EM’s daughter who was in the room all these time and said that base on his own personal observation, Mr. EM appeared to have passed away. He then said sorry to Mr. EM’s daughter that it had to come from him, and he kind of insinuated that Mr. EM’s death was expected anyway given that Mr. EM was 96 years old. The daughter appeared unshaken to me and muttered “Oh. Poor Dad.” The other paramedic came back with the heart monitor machine, attached the cords to Mr. EM and switched the machine on. I was surprised to see that it didn’t display a flat line and instead there seemed to be a heart beat going on. The paramedic explained that the machine is detecting electrical impulses from the heart, but Mr. EM’s heart was
References: Daamen, M. (2010). Prevalence of heart failure in nursing homes: A systematic literature review. Scandinavian Journal of Caring Sciences, (1), 202-208.