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« Thread started on: Nov 16th, 2007, 1:39pm »
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This assignment is a reflective account of events that arose for a nursing student during their first clinical placement in a community hospital. A brief definition of reflection will be given, with emphasis placed on communication. This reflection has been chosen to highlight the need for nurses to have therapeutic communication skills, to provide holistic care for those diagnosed with dysphasia or speech loss and the scope of learning opportunities it has provided to improve practice in this area.
All names in this text have been changed, to respect the confidentiality of the patient and other healthcare professionals (NMC 2002).
Reflection, in this instance, is a way of analysing past incidents to promote learning and improve safety, in the delivery of health care in practice. The Gibbs reflective cycle has been chosen as a framework for reflection (see appendix 1).
Mr. Comer was admitted to his local community hospital for respite care. He has suffered multiple, acute strokes in the past, which has left him with severe disabilities. These include paralysis rendering him immobile, aphasia (speech loss) and dysphagia (swallowing difficulties). He relies on carers for all normal activities required for daily living (Roper et al 1996) and is