I shall be using Driscoll’s reflective cycle (countiesmanukau.health.nz, 2013), a recognised framework for reflection to demonstrate my ability to reflect on my practice. The Driscoll’s reflective cycle has three stages, namely “returning to the situation, understanding the context, and modifying future outcomes” (docstoc.com, 2011). The reflection will concentrate on the difference between aseptic non touch technique in the community setting and within the hospital setting, whilst recognising weaknesses within myself. In accordance with the Nursing and Midwifery Councils (NMC) (2008) guidelines on confidentialality the alias of Mrs B will be used to protect the patients identify.
During my community placement, I went with my mentor to Mrs B’s home to redress her wound. Mrs B is a 63 year old lady who suffers from diabetes and has a diabetic ulcer on her left heel. After getting the permission from Mrs. B to enter her home, I introduced myself as a student nurse and asked Mrs B’s consent to change the dressing on her heel. She agreed to this. Consent means agreement that is a fundamental prerequisite of any kind of medical treatment. “Patient autonomy, respect for such autonomy and the right to information underpins this concept of consent” (Daly, 2009, p. 3). Taking consent of the patient before initiating any kind of treatment does not only make the patient feel respected but also improves the patient’s level of involvement and cooperation with the nurse, because the patient has granted his/her consent for the commencement of that treatment.
I consulted the patient’s care plan and wound chart to ascertain which dressing was to be used. Reviewing the care plan of a patient is fundamental to the selection of the most appropriate treatment. Care plan not only serves as a therapeutic tool, but also plays the role of a legal record that the care has been given (Turnmore and Thomas, 2000). The care plan also stated that the wound needed to be ...
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