How To Write A Reflective Account

An event occurred that did not exemplify best practice as a nursing student, and soon to be registered nurse was when I was administering medication last week on a respiratory floor. I had given my patient the medication, and realized there was no water at the bedside. I quickly went to get my patient water for her to swallow the capsules more easily from the bathroom. When I arrived back, she stated that she had already taken them. I had informed my preceptor and she advised me to look on her bed or the floor to see if she had discarded them there. We had looked around the proximity of the patient, and found two of the pills amongst her bed sheets. Elaborate
My objective recall to the situation was that I prepared my patient’s evening medications, and had given them to her. I had explained what each medication was and its purpose. She had agreed to take them. I had noticed that there was not water at the bedside, therefore I had went into the bathroom for a very short amount of time to fill up her cup with water for her to swallow the medication. When I came back and handed her the cup she stated “it is okay I already took them”. I did not observe the patient swallowing her medications, which were stool softeners.
Factors that have influenced this event is that the patient was a respiratory, and psychiatric patient. She had a history of severe depression, anorexia, seizures, and schizophrenia. The patient was on a form 1, then placed off of it on my shift as she left the hospital and was found at home without official discharge. Also, she had stated she had a bowel movement the night before and did not want the laxatives and stool softeners. She felt that she did not need the medication as she was not constipated. There are no cultural, spiritual, developmental, social and economic factors to be taken into