Reflective Analysis of Fall Assessment Scenario using Driscoll’s Reflective Model

QUESTION

Case scenerio

Oh, dear. He Oh! Oh, I help!

SPEAKER 1
Oh, you right, Tom? What’s happened? I can I’m just gonna open the door.

SPEAKER 0
Oh, Did you hit your head?

SPEAKER 1
I think so. I’m just gonna go and get the wheelchair for me.

SPEAKER 0
Yeah. Oh, Oh, you gotta be right now. Oh, I need I just get up.

SPEAKER 1
You gotta get up. OK, so what I want you to do, I’m just gonna put the brakes on here. OK, so you’ve hit your head. All right? Now, can I get you to squeeze my hands for me as you can That I can move and you can wiggle, my darling, I just And what was my name again? That’s no, I know what’s going on.

SPEAKER 0
I just need you and try and push up with

SPEAKER 1
that. And even if you jump on your knee Jesus.

SPEAKER 0
Oh, boy. Me? Uh, yeah, I think I Yeah, you just hang on to me and, uh Oh, there we go. There we go. Oh, it’s a bit of a I forgot my walker. That was a problem. Dar and I was rashing and I said, Yeah, I don’t read their mind. We might their mind. Yeah. Uh, Uh, no, I didn’t go more water. Yeah, I’m all right, darling. I just get in the wheelchair and go back to the bed, I think. Yeah. Thanks. Yeah. Oh, Oh,

This is a fall assessment that we need to reflect on-

Driscoll’s Reflective Model (1994; 2007) should be used with clear delineation between the three reflective steps. We suggest you use the three steps as headings (‘What’, ‘So what’ and ‘Now what’) with a short introduction and conclusion. Remember to click through to the MyLODriscoll’s Model of Reflection: Additional resources page for more information on how to use and follow the model.

What:

Under this heading, give a brief description of the scenario and outline the two (2) key areas of practice in the video scenario which could be improved. These should be practice issues that challenged you on a professional or personal level about the scenario. References are not required for this section.

So what:

Here you analyse the events. You will devote a greater portion of your writing to this section. Under this heading, you will need to describe how the two (2) two practice issues you have chosen to focus on made you feel. You will need to analyse why they made you feel like this, with reference to your upcoming PEP. While referring to PEP, you are encouraged to remain anchored on the scenario. This section will typically be more heavily referenced. Remember, you are analysing your reaction and feelings towards the scenario, and your references should reflect this.

Now what:

Here you should identify what the main learning is that you took from reflecting on your reaction to the two (2) issues you identified in the scenario. To help inform your written reflection in this section, think about the following:

• What are the implications for you in your future clinical practice based on what you have described and analysed?
• What two (2) key areas within your practice can you improve and what help/strategies can you identify to assist you to modify your practice if a related situation arises in PEP?

Again, this section will have references. As this section focuses more on the impact this exercise has had on your development as a student nurse, it will likely include reference to standards and/or codes that guide nursing practice.

ANSWER

Reflective Analysis of Fall Assessment Scenario using Driscoll’s Reflective Model

Introduction

This reflective essay analyzes a fall assessment scenario using Driscoll’s Reflective Model (1994; 2007). The scenario involves a patient who experiences a fall and requires assistance. The essay follows the three reflective steps of the model: ‘What’, ‘So what’, and ‘Now what’, to explore the practice issues, emotions, and learning derived from the scenario.

What

In the given scenario, two key areas of practice issues can be identified. Firstly, the lack of proper fall prevention measures and mobility aids, such as the absence of the walker, raises concerns about patient safety. Secondly, the communication and cognitive challenges experienced by the patient during the fall assessment highlight the importance of effective communication strategies and understanding patient needs.

So what

The scenario triggered a mix of emotions and challenges. Witnessing the patient’s vulnerability and struggle for mobility stirred feelings of empathy and compassion. The frustration caused by the patient’s difficulty in recalling basic information, like the nurse’s name, underscored the need for patience and clear communication. This situation made me realize the emotional impact that such scenarios can have on both patients and caregivers. The feelings experienced during this scenario also made me consider the importance of respecting patients’ autonomy and ensuring their comfort in moments of distress.

Analyzing these reactions, it is evident that the practice issues highlighted the significance of patient-centered care and effective communication. The emotions experienced reaffirm the idea that nursing is not just about medical interventions but also about offering empathy, comfort, and psychological support.

Now what

The main learning derived from this reflection is the importance of incorporating patient-centered care and effective communication in nursing practice. This experience prompts me to focus on enhancing my skills in building rapport and providing clear explanations to patients, especially those facing cognitive challenges. To improve practice, I will actively seek strategies to ensure patients’ safety, such as regularly assessing and providing the necessary mobility aids.

Implications for future clinical practice involve adhering to standards and codes that guide nursing practice, such as the American Nurses Association’s (ANA) Code of Ethics and the Standards of Practice. These guidelines underscore the importance of respecting patients’ autonomy, promoting clear communication, and ensuring patient safety.

In conclusion, the fall assessment scenario serves as a valuable learning opportunity. By reflecting on the practice issues, emotions, and learnings, this exercise has deepened my understanding of patient-centered care and effective communication. It highlights the role of empathy and clear communication in ensuring the well-being of patients, and it motivates me to continuously improve my nursing practice based on these insights.