reflective Writing for nursing

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PART A: A MEMORABLE SITUATION & METAPARADIGM CONCEPTS

(20%) Due Class 4

Reflect on and describe in detail a ‘health’ related interpersonal situation that is memorable for

you. Consider why this situation was memorable and summarize your analyses of these

questions: Why does this situation stand out in your mind and what was special about it for me

(good or bad)? What does this description tell me about what matters to me as a person? As

someone starting out in nursing.

I recall when my father was terribly ill, and we had to rush him to the hospital every other week. My father had an infection in his pancreas, making it difficult for him to consume anything other than bland foods. This situation is the mosot unforgotable even of my lfe because we had hoped he would recover and we prayed he would live longer but after taking him to different hospitals, spending months of nights and days there and spending so much money and after so much of his suffering, we lost our hope. We do not eat much bland food in our culture, and that is what he has been consuming since childhood, which made some of his days very difficult to cope with the pain caused by the infection and calculi. Not only for me, but I believe that family is the most important aspect of everyone's life. At the time, I was still a nurse, but in a different place. My family would not tell me what was going on, so I was still worried. Though I knew there were certain restrictions and plans to meet for my father, when we arranged for the operation, it was cancelled because another case of his heart disease was discovered, and because he was so sick, he was only 30 kgs at the time he was in NPO for almost a month, and I can imagine how critical and difficult it must have been for him.

The following questions may help guide your reflection:

Who: Who was involved? Who was ‘the other’ as a person? Who was I as a person in this

situation? People involved were me, my mother, father, nurses and doctors in the hospitals. The patient was my father and I was a patient’s family/ visitor.

What : What were the events? What were the needs for caring for the person? What was

the interaction like between this person and myself? What responses did I offer? What other

responses might have been possible? The events were when my father was exmined and told ther disease was discovered for his heart an it was only pumping 40 % and the risk of doing the surgery was very high.

Where: Where did this happen? Might this situation have been any different in a different

context? This happened in a hospital far form the city were we actually lived. The city hospitals said they are very negative abut the prognosis and need to shift him to a bigger national hospital far form our place in the capital of my home country.

When: When did this happen? Consider not only when in terms of the year, but also in

terms of your own development (i.e., were you young, a student, a confident expert?)

How: How did it play out? How did you feel? How did you behave? How did other people

behave?) This started in 2017 and continued throughout the year, when I was a newly graduated nurse, just 23 years old, and working far away from home. I understood the theoretical aspects of nursing, but I lacked the ability to distinguish between what was wrong and what was right in different circumstances. My father was the family's sole breadwinner, and I had just recently started working as a nurse, which my father and family understood. I was still there for him when he needed me, and they needed to clear medical doubts and read lab tests in every situation. Since I was so close to my father, he knew I would freak out if he were taken to the hospital, so they would only tell me when he was released. He passed away in 2018, and still, now I cannot believe that happened. I was in Canada at the time and could not meet him on time. I believe I should have done more, or at the very least convinced him to take the chance of surgery, but in our community, we say that no one can change what is in one's fate and what has already happened.

Based on your reflection, consider the metaparadigm concepts as indicated below. Describe

each metaparadigm concept based on an analysis of your own memorable experience. Your

description does not necessarily need to be limited to the nursing situation that you’ve

described, but should be related to the ideas that you have uncovered through this analysis:

a. Person

What did you think of the person in the situation? How did you address the person, relate,

communicate, etc.? Do you have any general beliefs about human beings that may have

had an influence on this situation (e.g., human beings have the right to make their own

choices and deserve to be respected, etc.)

The person in the situation is though critically ill he is capable of making the decision he wanted. There were 2 choices presented before him , one was surgery with high risk and the other to live with the pain for few years. He decided with the family not to take the risk. He was diabetic, low blood pressure and the with heart block. Nothing was in his favour as he was extremely low weigh.

b. Environment- how would you define the environment in this situation? What kinds of things

would be included in the environment? Were you consciously aware of this definition at the

time?

c. Health- how would you define health in this situation? In this case, I agree that health is a crucial part of our lives that overshadows every other aspects of life. You have a life if you have good health; you can spend time with your family and friends without feeling confined, and you are stress-free. When a person's health deteriorates, the depression begins with the patient, then spreads to the family, there is a financial strain, and the sadness continues until the person recovers. Moreover, if it is a chronic condition, it causes more stress, mainly if the patient is the family's breadwinner. A person's health is affected by several factors, and various aspects of life are also influenced by ill health.

d. Nursing- how would you define nursing in this situation? Were you able to accomplish the

goals of nursing in this situation or not? Please explain. For me, nursing, in this case, means honouring the patient's and his family's situation. Nursing with the main character of empathy should empathize and sympathize when needed with a chronically ill patient's family and himself. The importance of remaining silent and not displaying high expectations and respecting the client's decision cannot be overstated. Apart from loving and respecting the patient, I persuaded my father to continue with the plan and obey the diet plan to improve his condition. I would not say I followed it to the extreme, but my words were adequate until he was admitted to the hospital.

You have now created a nursing theory for the situation you described. Re-read your responses

and provide the reader with a brief “overview” of your nursing theory. Consider what it means to

have looked at your own practice and your own beliefs from a theoretical perspective.

Nursing philosophy, in my opinion, should include a conscientious nurse, a patient who has the ability to make his or her own decisions but also requires emotional support from family and friends to motivate for a quick recovery, and an atmosphere that includes a clean and quiet environment as well as good food for the client's recovery because I believe that drugs cannot work alone in any body. In this situation, I believe that health is an important aspect of life that decides whether people who love someone who is ill or who is in good health will enjoy life with him or will suffer with him for the rest of their lives.

Required elements:

I. Maximum 3 pages, double space, APA 7th ed.

II. No references required

III. Introduction (1-2 paragraphs that describe to the reader your focus and grab the reader’s

attention)

IV. Memorable situation

V. Definition of 4 metaparadigm concepts using headings for each concept

VI. Analysis

VII. Conclusion

Marks will be assigned on

a. Evidence of critical thought with clear and penetrating ideas

b. Logical focused presentation of structured ideas

c. Easy ordered flow of ideas

d. Evidence of excellent writing skills throughout paper

e. Habitually and consistently correct spelling, punctuation, and grammar

f. Within required page limit

I recall when my father was terribly ill, and we had to rush him to the hospital every other week. My father had a pancreas infection with calculi that made it impossible for him to eat anything but bland foods. We had hoped he would recover and prayed he would live longer, but after taking him to various hospitals, spending months of nights and days there, spending so much money, then seeing so much of his pain, we lost hope. This is the unforgettable situation of my life that I hope no one else has to go through. Not only for me, but I believe that family is the most important aspect of everyone's life. At the time, I was a newly graduated nurse, just had started working but in a different city. My family neglected to tell me what was going on because they feared I might become worried. Though I knew there were certain restrictions and plans to meet for my father, when we arranged for the operation, it was cancelled because another case of his heart disease was discovered. As he was only 30 kgs at the time, staying on NPO for almost a month, and I can imagine how critical and difficult it must have been for him.

People involved were me, my mother, father, nurses, and doctors in the hospitals. The patient was my father, and I was the patient’s family/ visitor.

The city hospitals said the prognosis was poor and that he needed to be transferred to a larger national hospital outside of my home country's capital. The incidents occurred in a hospital that was located outside of the city where we resided, when my father was examined and informed that a disease had been found in his heart, and that it was only pumping 40% of the time, with a high likelihood of surgery.

This started in 2017 and continued throughout the year, when I was a newly graduated nurse, just 23 years old, and working far away from home. I understood the theoretical aspects of nursing, but I lacked the ability to distinguish between what was wrong and what was right in different circumstances. My father was the family's sole breadwinner, and I had just recently started working as a nurse, which my father and family understood. I was still there for him when he needed me, and they needed to clear medical doubts and read lab tests in every situation. Since I was so close to my father, he knew I would freak out if he were taken to the hospital, so they would only tell me when he was released. He passed away in 2018, and still, now I cannot believe that happened. I was in Canada at the time and could not meet him on time. I believe I should have done more, or at the very least convinced him to take the chance of surgery, but in our community, we say that no one can change what is in one's fate and what has already happened.

In this case, I agree that health is a crucial part of our lives that overshadows every other aspects of life. You have a life if you have good health; you can spend time with your family and friends without feeling confined, and you are stress-free. When a person's health deteriorates, the depression begins with the patient, then spreads to the family, there is a financial strain, and the sadness continues until the person recovers. Moreover, if it is a chronic condition, it causes more stress, mainly if the patient is the family's breadwinner. A person's health is affected by several factors, and various aspects of life are also influenced by ill health.

For me, nursing, in this case, means honouring the patient's and his family's situation. Nursing with the main character of empathy should empathize and sympathize when needed with a chronically ill patient's family and himself. The importance of remaining silent and not displaying high expectations and respecting the client's decision cannot be overstated. Apart from loving and respecting the patient, I persuaded my father to continue with the plan and obey the diet plan to improve his condition. I would not say I followed it to the extreme, but my words were adequate until he was admitted to the hospital.