This reflection paper will illustrate on a particular event that I have witnessed in my new work place, which is my first experience with elderly. The incident that I am going to write about involved an elderly women aged 75 year-old. In accordance with the ANMC (2008) Code of professional conduct, confidentiality shall be maintained all name have been changed to protect identity. Therefore an elderly women is discuss in this is represent as Mrs. X.
Description of incident:
Mrs. X was admitted to low care residential facility in a respite care. Generally Mrs. X was alert, orient and independent with activities of daily living (ADLs). Mrs X actively participated in exercises, knitting, book reading and was mostly attentive on activities organised by the facility. But once during my night shift Mrs. X was found wandering outside her room and was inappropriately dressed. When I approached, Mrs. X started screaming and used abusive language. Mrs. X was constantly asking for breakfast at that time. I reminded and reorientated about date, time and place; reassure her breakfast will be served in the morning and assisted to her to put on the bed. Mrs X’s room had a strong odour of urine, her bed was wet and her cloths were soaked wet. I assisted to make her dry and comfortable. That was the first episode of Mrs. X being confused and being incontinent. On my next shift two days later Mrs. X was feeling weak and unable to transfer herself and mobilise. Mrs. X required two assistances for transferring and mobilised with four wheel walker. Mrs. X’s confusion, mobility and behaviour were deteriorating. At the same time she isolated herself from all the activities and stayed inside her room all the time. On the following day Mrs. X did not showed up for the breakfast. I went to check in her room and found her on the floor near the bed. As she was confused, I was unable to assess the fall. Then immediately I rang paramedics for assistance and was transferred