This is a psychological reflective essay to examine and gain a greater understanding of self-harm. (www.mind.org.uk)
I shall utilise Gibbs’ model of reflection (1988) to structure my essay and formulise my thoughts, opinions and research.
I will reference my work using the Harvard system of referencing. (www.libweb.anglia.ac.uk)
Description:
Whilst working as a cycle responder in central London I was requested to attend to a patient reported to be in a collapsed state and bleeding.
Feelings:
As I approached the scene I was cautious and slightly apprehensive, concerned about the causes of haemorrhaging, collapse and my own safety.
My patient was a late teenage female, her overall appearance was one of neglect, but overall fairly well looking, a visual primary survey indicated this was, at this point not a time critical patient.
She was on her own the sleeves of her clothing were blood stained and she smelt of alcohol.
She reported to me she had a history of self-harming which was the cause of the blood staining.
The lacerations were deep and with her permission, I dressed the wounds, suggested she went to hospital and requested a vehicle to transport her.
I felt pity for my patient that she was in such a state and driven to such drastic measures.
I was curious to how she had managed to self-harm as the idea of deliberately harming oneself is difficult to conceptualise as we spend our time attempting to avoid harming ourselves.
I was quite repulsed by the deep scaring from previous episodes which made me question her reasons and motives behind what she was doing and her state of mental health. I felt concern that self harm was evidence of an undiagnosed mental disorder and may possibly be linked to a future suicide attempt.
Evaluations:
I was glad she had she had decided to seek help on this occasion by calling 999, it would have been better if she called before she had self