Reflective Account

This assignment will show a detailed account based on an experience in my second year community placement.   The framework I shall be using to reflect is Gibbs’ (1988) model of reflection.
Within this model are six phases incorporated into a cycle.   Each phase will allow me to think systematically about the experience and identify areas where improvement is needed.
This reflective account will incorporate the Scottish Patient Safety Programme (SPSP) aim to ‘Prevent Pressure Ulcers’ (SPSP, n.d.a).   Pressure ulcers are defined as “an area of damage to the skin and underlying tissue that is caused by unrelieved pressure, friction and/or sheer forces” (Posnett and Franks, 2008).   The SPSP is co-ordinated by Healthcare Improvement Scotland (HIS) and aims to improve patient safety and reduce adverse events. (SPSP. n.d.b).   This aim is relevant to the patient involved in this experience as they are a high risk of developing a pressure ulcer therefore preventative measures need to be addressed.
To ensure privacy and confidentiality in accordance with the Nursing and Midwifery Council (NMC, 2012a), I have renamed this patient Mathew for the purpose of this assignment.

Mathew is an 82 year old man who recently suffered a fall within his home and was admitted to hospital with a fractured hip and subsequently had to have a total hip replacement.   Mathew was discharged from hospital back to his home with the care of District Nurses visiting him on a daily basis to administer his Clexane injection.   Due to Mathew’s injury his mobility has been compromised and has subsequently become incontinent.
During our first visit with Mathew my mentor asked me to carry out a ‘Waterlow’ assessment with him. This tool is a scoring system which identifies if a patient is at risk of developing a pressure ulcer (HIS, 2009).   As the score was above 10 Mathew was deemed ‘at risk’.
Both my Mentor and I discussed with Mathew regarding his risk level, we suggested a pressure...