Leg ulcers
Reflecting on the situation that had taken place during my second placement working in the community. This will give me the perfect opportunity to develop and utilise my commutation skills in order to maintain the relationships with my patient. In this reflection, I am going to use Gibbs (1988) Reflective Cycle. This model is a recognised framework for my reflection. Gibbs (1988). Baird and Winter (2005,) give some reasons why reflection is require in the reflective practice. They state that a reflect is to generate the practice knowledge, assist an ability to adapt new situations, develop self-esteem and satisfaction as well as to value, develop and professionalizing practice. However, Siviter (2004) explain that reflection is about gaining self-confidence, identify when to improve, learning from own mistakes and behaviour, looking at other people perspectives, being self-aware and improving the future by learning the past.
In my context with the patient, it is important for me to improve the nurse-patient relationship. In this relationship, there is a sense of trust and a mutual understanding exists between a nurse and a patient that build in a special link of the relationship (Harkreader and Hogan, 2004). (Peplau 1952, cited in Harkreader and Hogan 2004) note that a good contact in a relationship builds trust as well as would raise the patient’s self-esteem which could lead to new personal growth for the patient. Besides, (Ruesch 2007) mention the purpose of the therapeutic communication is to improve the patient’s ability to function. So in order to establish a nurse-patient interaction, a nurse must show up caring, sincerity, empathy and trustworthiness (Kathol, 2003). Those attitudes could be expressed by promoting the effective communication and relationships by the implementation of interpersonal skills. Johnson (2008) define the interpersonal skills is the total ability to communicate effectively with other people.
References: Briggs, E. et al (2002)Pain at Wound Dressing Changes: A Guide to Management. EWMA position document: Pain at Wound Dressing Changes. London: MEP. Choiniere, M. et al (1990) Comparisons between patients ' and nurses ' assessment of pain and medication efficacy in severe burn injuries. Pain; 40: 2, 143-152. Clay, C.S., Chen, W.Y.J. (2005) Wound pain: the need for a more understanding approach. Journal of Wound Care; 14: 4, 181-184. de Laat, E.H. et al (2005) Pressure ulcers: diagnostics and interventions aimed at wound-related complaints: a review of the literature. Journal of Clinical Nursing; 14: 4, 464-472. Eichenbaum, H. (2002) Learning and memory: brain systems. In: Squire, L.R. et al (eds). Fundamental Neuroscience. San Diego, CA: Elsevier Science. Flanagan, H. (1997) Wound Management.London: Churchill Livingstone. Hack, A. (2003) Leg ulcers wounds - taking the patient 's perspective into account. Journal of Wound Care; 12: 8, 319-321. Harding, K.G. et al (2001) Cost and dressing evaluation of hydrofiber and alignate dressings in the management of community-based patients with chronic leg ulceration. Wounds; 166: 229-236. Heenan, A. (1998) Frequently Asked Questions: Alginate Dressings. www.worldwidewounds.com/1998/june/Alginates-FAQ/alginates-questions.html. Krasner, D. (1995) The chronic wound pain experience. Ostomy Wound Management; 41, 3, 20-25. Moffat, C.J. et al (2002) Understanding Wound Pain and Trauma: An International Perspective. EWMA position document: Pain at Wound Dressing Changes. London: MEP. Robinson, B.J. (2000) The use of a hydrofibre dressing in wound management. Journal of Wound Care; 9: 1, 32-34. Thomas, S. et al (1998) Odour-absorbing dressings. Journal of Wound Care; 7: 5, 246-250. Thomas, S. (1997)SMTLDressings Datacard. www.dressings.org/Dressings/sorbsan.html. Thomas, S. (1990) Wound Management and Dressings. London: The Pharmaceutical Press. van Rijswijk, L. (1996) The fundamentals of wound assessment. Ostomy Wound Management; 42: 7, 40-42. Van Toller, S. (1994) Invisible wounds: the effects of skin ulcer malodours. Journal of Wound Care; 3: 2, 103-105. Wilkes, L.M. et al (2003) The hidden side of nursing: why caring for patients with malignant leg ulcers wounds is so difficult. Journal of Wound Care; 12: 2, 76-80. Young, C.V. (2005) The effects of leg ulcers fungating wounds on body image and quality of life. Journal of Wound Care; 14: 8, 359-362.