Whilst on Community placement, an event occurred which enabled me to reflect on how important it is to understand the aetiology of wound care in order to practice holistically when delivering care to patients. In order to assist the reflection process the Gibbs (1988) Reflective Cycle will be used which encompasses 6 stages; description, thoughts and feelings, evaluation, analysis, conclusion and action plan which will help me to continually develop and improve my nursing skills and knowledge through evidence based learning whilst developing my self confidence in relation to caring for others (Siviter 2008). To maintain confidentiality and comply with the NMC Code of Conduct (2008) all names have been changed.
My mentor and I had visited a patient, who will be known as Mary (NMC 2008) in her own home. Mary is an elderly lady, who lives alone and had been suffering with chronic leg ulcers for a number of months which had not shown any signs of improvements for a number of months. The purpose of the visit was to take down the existing dressings, assess any improvement or deterioration in the wounds and to treat and redress the wounds in accordance with the current care plan. As predicted there was no significant improvement in the wound. Therefore I debrided the wounds, applied an emolument and redressed with NA dressings, gauze and applied a 4 layer bandage which is recommended in the study by ( ) under the supervision of my mentor.
After leaving a patient's house my mentor and I discussed the visit and talked about the importance of not just treating the obvious problems but taking an holistic approach. During this discussion my mentor asked me to assess Mary's nutritional status and if required talk to her about the importance of healthy eating and the positive implication it may have on wound healing during our next visit.