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Reflective Case Study Of 6 Year Old Boy

2262 words - 9 pages

Reflective Case StudyThe concept of reflection as a learning tool in workplace education can enable the student to problem solve in practice. By exploring the individuals own unique situations and past experience they can, in order to learn, consider past thoughts and memories to achieve a desired outcome. (Rolfe, 1998). Taylor (2000) suggests that, to reflect on action from an event, we must remember our thoughts and memories. Then we must use the ability of contemplation, meditation and consideration, which will enable us to make sense of them in order to modify our behaviour, should we encounter a similar experience in the future.IntroductionThe following reflective account aims to explore specific complications and difficulties encountered after obtaining a history and performing a physical examination on a young patient that presented to the Accident and Emergency (A&E) Department. The incident that I have chosen to look at took place whilst on a placement in the Minor Injuries Unit based in an A & E Department following a theoretical module on Patient Assessment. Confidentiality has been preserved throughout in accordance with the Health Professions Council (HPC) Code of Professional Conduct (HPC, 2002).To achieve and understand the use of reflection in a structured manner, the Gibbs (1988) Reflective Cycle will be utilised. Bulman and Schutz (2004) believe that reflection is a dynamic progression, and using a cyclical framework is of an advantage in providing structured guidance through a learning experience.DescriptionI was told by one of the Doctors in the A&E department, there was a young boy in one of the cubicles that had fallen over and bumped his chin on the seat of a chair as he fell. The Doctor thought that this would be of interest to me, as the child would need some sort of intervention i.e. a steristrip, glue or suture. When I found the little boy, Jamie, he was 6 year old and sitting quietly on his mother's knee. He looked frightened and his eyes were red as if he had been crying. I introduced myself as an experienced paramedic, but on placement to gain some extra experience in a controlled setting, with the aim to become an Emergency Care Practioner (ECP). I sought permission from Jamie's mum to obtain a history and examination Epstein et al (2003) state that by gaining a concise, methodical history will guide you to a diagnosis in 80% of cases.Jamie's presenting problem was that he had fallen against a wooden chair, sustaining a cut under his chin approximately 2 cm in length that had now stopped bleeding. He had his accident at school during lunchtime and the teacher had immediately contacted mum, who was at work, and she had brought Jamie straight into the A&E department. Apart from the odd cough and cold the child was normally fit and well and had used Calpol to good effect to relieve those symptoms. Jamie lived at home with both Mum and Dad and had an older sister, who attended the same school. He was not...

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