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Reflection Assignment 2 Following Johns Model of Structured Reflection For this placement I was on an elderly male medical ward As I have had no previous experience of care in a healthcare setting their where numerous thing with which I had to a customise myself with Johns Model of Structured Reflection Johns 1998 1Write a description of the experience Ask yourself What are the significant issues I need to pay attention to On my first day on the ward it was decided that I should shadow one of the staff nurses to acustomise myself with the ward During this induction we had to assist an elderly gentleman with sever diarrhoea the gentleman in question was quit large and almost completely immobile On inspection of the patient he was incontinent of both urine and faeces the staff nurse then talked with the patient explaining to him what had happened and that we needed to clean him and change his bedding It was very difficult to understand what he said in reply because as I found out later he was also suffering from sever oral thrush making it painful for him to open or move his mouth We began by removing the top sheet and counterpane and it was decided that because the patient was lying slightly to the left we would role him towards the staff nurse leaving me to do the majority of the cleaning As I had never encountered anything like this before I was getting more and more flustered as to what to do and whether I was doing it correctly and each time the patient moaned in pain I felt worse the staff nurse with me was helpful but as she would have done this kind of thing hundreds of times she was not very instructive as it probably seemed perfectly obvious what to do and how to do it Each time I did something I was thinking
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