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Reflection on Experience With Surgical Wound Care

"Reflective Practice is something more than thoughtful practice. It really is that form of practice which seeks to problematise many situations of professional performance in order to become potential learning situations and so the practitioners can continue to learn, expand & develop in and through practice" (Jarvis 1992). Moon (2004) defines reflection as part of learning and considering. We reflect in order to find out something, or we learn therefore of reflecting, and the term 'reflective learning' stresses the goal to learn from current or previous experience.

Using the Gibbs (1988) reflective model for research, I will be relaying my thoughts and emotions through this essay which discusses my experience in achieving my learning outcome on operative wound good care.

DESCRIPTION

As I began my version program in the medical ward, I am expected to be dealing very much with medical wound care. To reinforce my knowledge & skills on the management of operative wounds, I studied on the similarities & variations that I've discovered from our routines back home and from what is utilized here. I known the several types of dressings & cleaning solutions used and the various methods & protocols regarding management of wounds. I detected how my mentors altered the dressings, how they removed stitches and staples and how they cleaned the surgical wound. I also detected how difficulties are avoided by providing patient education and observing the principles of proper hand washing and contamination control.

During my entire version stay, I was able to develop my skills in the management of medical wounds. During my previous training back, we were not given the opportunity to perform steps such as changing dressings, purifying medical wounds, and taking away stitches since it was the operative citizen doctors' responsibility to do that. Although I know how to do it because of the numerous times I've seen them perform these methods, it still feels different when you do these methods yourself because you'll be able to enhance the skill and gain more self-assurance when you do it more often.

FEELINGS

The whole training curriculum gave me the possibility to apply what I know when performing strategies of managing medical wounds. Each time I finish undertaking any procedure, Personally i think really relieved understanding that I am improving my skills in this aspect more & more and realizing that I am more self-assured with the experiences I've experienced.

I also became well informed with providing patient education and focused on guidelines on wound good care & hygiene, bathing, and reduction of problems. Aseptic approach was always discovered whenever I touched the patients' wound to avoid infection. Every time I come in contact with the patient's skin area, I always retained these principles at heart.

EVALUATION

The entire experience gave a great deal of positive outcomes for me. I comprehended more about issues such as structure viability & wound recovery and I was more acquainted with the several dressings widely used.

Another new experience for me personally was whenever i could witness how to improve vacuum dressings for an individual who possessed a chronic wound in his foot. As identified by Thomas (2001), Vacuum aided closure (also called vacuum therapy, vacuum sealing or topical negative pressure remedy) is a complex development of a standard surgical procedure, the utilization of vacuum aided drainage to remove blood or serous substance from a wound or operation site. I used to be impressed with how vacuum may help in wound treatment.

ANALYSIS

According to NHS article, 1998, 'Wound treatment has, before, not been well maintained as a result of limited understanding of the healing process and the insufficient range of dressing materials available. Wound management has now come back to where it started, back again to Hippocrates' process and dressings are being developed to provide the ideal environment for character to do its work'.

Most operative wounds are categorised as severe wounds, curing without complication in an expected timeframe (Bale and Jones, 1997). However, like all wounds, curing is influenced by intrinsic and extrinsic factors that may result in complications (Baxter 2003). Operative complications include illness, dehiscence, evisceration or bleeding at the operative site.

During the whole of my training, preventing difficulties was another goal in taking care of surgical patients. The complete experience made me warn at observing out for any sign of problems by making sure that frequent assessment is done, principles of infections control are observed at all times and patient education has been delivered.

Looking at the whole experience made me conscious about the great offer of learning I've achieved. I've observed how much I've increased with my skills with the help and guidance of my mentor.

CONCLUSION

Through this experience, I have utilized reflection to assist me in attaining an optimum level of learning by not only concentrating on my knowledge but especially on the positive changes that I've achieved with my skills. Because of this learning experience, my medical skill on surgical wound management was further improved.

If I were to make any changes within my entire learning experience, what I possibly could have done was to seize any opportunity that would come my way. Whenever we had an individual with a vacuum dressing, I was hesitant to change the dressings because I got afraid to make any problems especially that it was a significant complicated method. Now I've recognized how much opportunity I've lost realizing that we did not have many patients who possessed that type of dressing. This realization helps it be clearer if you ask me that I should become more assertive when opportunities on new methods arise.

ACTION PLAN

This experience made me guarantee to myself that whenever I'd be faced with more opportunities for learning, I'd not hesitate to seize them. I should learn to be more assertive next time and try my best to find more means of reaching professional development.

In the future, I would want to keep my studying medical wound management by keeping myself up-to-date concerning this topic & regularly reading new literature. I would also want to know more about other types of dressings that we am not familiar with and discover more strategies of learning through seminars, trainings and knowledge improvements.

Moon, J.

(2004) Reflection and Employability, LTSN

http://www. heacademy. ac. uk

/resources/York/documents/ourwork

/tla/employability/id339

_representation_and_employability. pdf

NHS article on wound care www. nhsdirect. nhs. uk

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