Using Gibbs: Example of reflective writing in a healthcare assignment

reflective writing

Using Gibbs: Example of reflective writing in a healthcare assignment

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Introduction

I am using Gibbs (1988) model of reflection as a template for my essay to enable me to analyse this situation. For the purpose of confidentiality, I am renaming my patient Jim (Nursing and Midwifery Council (NMC) 2008). Jim is a 69-year-old man, attending the pulmonary rehabilitation programme (PRP). He also has chronic obstructive pulmonary disease (COPD) an is prescribed short burst oxygen therapy (SBOT) to alleviate his symptoms.

The World Health Organisation (WHO) (2013) defines COPD as a lung disease interfering with air flow to the lungs due to a chronic obstruction therefore; normal breathing pattern is not mentioned and the adverse affects of COPD are not fully reversible.

Description

During my placement, I worked closely with the respiratory team when I was given the opportunity to attend the PRP as an insight into education and exercise for patients with COPD. The focus of the education session was on breathing techniques, in particular pursed lip breathing (PLB).

When assisting on the exercise programme I documented Jim’s score on the Modified Borg Scale (MBS)(Borg 1982). Shortly after starting the walking exercise Jim became very breathless, anxious andde-saturated. From the mornings education session I encouraged Jim to use the PLB techniques. After approximately ten minutes of reassurance, Jim had regained his breath and was much more calm and relaxed. However, Jim was unable to continue on the exercise programme that day.

Feelings

As I have worked on the respiratory clinic within my placement, I felt calm and confident in assisting Jim to help reduce his anxiety and breathlessness. I had a feeling of helplessness, as I could not physically do anything that would take away the debilitating symptoms Jim was experiencing. However, I felt by applying the techniques from the morning’s education session and mywords of reassurance helped and were comforting to Jim.

Evaluation

The morning’sactivities on breathing techniques was invaluable in this situation, as it was fresh in my mind and we had been through the education session together. I felt this helped in building a therapeutic nurse-patient relationship.

Jim’s opinion of his experience of the PRP was very positive; he commended the programme and said it had benefitted him enormously. Puhan et al. (2011) and Holland&Hill (2011) support this as they state that the PRP has improved outcomes for patients with stable and unstable COPD.  This can reduce hospital admissions, anxiety and…………………

reflective writing