Reference no: EM133554240

Case Study: David Daniel is a 54-year-old man who has presented to the emergency department (ED) for investigation of ongoing headaches and nausea. David was accompanied by his wife Jane who tells RN James, the ED nurse, that David has been confused at times over the past few months and a little unsteady on his feet. Jane says that David frequently leans on furniture or the wall for balance when mobilising around their home and that she has been worried he may fall and hurt himself. RN James jots this information on a piece of paper meaning to document it in David's chart. The ED receives a critical emergency however, and RN James forgets to document the conversation. Another nurse takes David up to the medical ward for admission. Jane, assuming that the ED nurse has passed on the information that she provided about David, does not mention again her concerns regarding David's cognitive state and balance problems. On the evening shift, David gets up to go to the toilet, loses his balance and falls hurting his wrist and arm. David calls out in pain and RN Harris responds to his calls and the sound of the fall. He races in to to the bathrooom area to find David lying on the floor. RN Harris immediately called for help, and places a pillow under David's head, covers him with a blanket, and sits with him, calmly reassuring, till help arrives to review him and assist him up to his feet. After helping David was reviewed by the on- call doctor and assisted back to bed, an x-ray was attended confirming a fracture of the wrist. The orthopaedic surgeon was contacted, and after checking David's xray decided to take him straight to the operating theatre to repair the badly fractured wrist. The surgeon obtained a consent form and asked David to sign it, which he did. After the surgeon left, RN Harris started to prepare David for surgery when David got quite agitated and said, "what are you doing, don't touch me". RN Harris explained that he was preparing him to have his wrist fixed in the operating theatre and David replied, "No, I'm not having an operation, get away from me, leave me alone!". RN Harris immediately stopped what she was doing and called the surgeon to let them know because she felt it was not in David's best interest to continue while David was agitated and confused.

Question 1. Relate to the case study state Professional values and the ICN Code of Ethics for Nurses as it applies to the case study.

Question 2. Using the first three (3) stages of Gibbs Reflective Cycle as a guide, provide a reflective paragraph on your experience of working as a team member in a group. Stage 1 - Description - What happened? Stage 2 - Thoughts and feelings - What were your thoughts on working in a group? How did you feel about working in your group? Stage 3 - Evaluation - What is your evaluation of working in a group? What are your personal values and beliefs of how working in a group might benefit you in the future?