Entrepreneurship for Health and Social Care -MyAssignmenthelp

Question: Discuss about theEntrepreneurship for Health and Social Care Practice. Answer: This essay introduces the implementation of Gibbs reflective cycle in health and social care practice that provides an opportunity for the support care workers to evaluate the situation in details and strategies accordingly for help. As commented by Bulman and Schutz (2013), Gibbs reflective cycle is widely used in health and social care practice, as individuals are able to learn from experiences thereby, contributing to continuous personal and professional development and improvement. The main concept of Gibbs reflective cycle is to reflect systematically on a particular situation ensuring that all the aspects are considered and analysed thereby, assisting the individual in understanding the required actions to be undertaken when a similar situation is identified. Gibbss reflective cycle consists of the description of the situation, feelings of the individual, analysing the situation and concluding the result. Finally, determination of the action plan is conducted if the individual encounters a similar situation in future (Husebo, ORegan and Nestel, 2015). This essay emphasises on the reflection of my experience on a patient with Alzheimers patient and my encounter with a support care worker. Gibbs reflective cycle helped me in understanding the situation and learning through my experience. I am describing a situation I encountered as a support care worker. I was feeding a patient who was in adverse poor health and was detected to be malnourished as the patient always refused to eat. While feeding the patient, another patient in the next bed grabbed my attention, as something was not normal was not normal regarding her behaviour as she was suffering from Alzheimer. As commented by Balthazar et al. (2014), Alzheimer patients encounter discontinued memory due to brain malfunctioning. The Alzheimer patient was moving independently with the support of a Zimmer. Though the patient had no history of falls, her movement was distinctively slow. The patient also looked disoriented of time and place and was slightly deaf. While moving, the patient started murmuring to herself stating that she needs to pick up her children. As my patient was severely malnourished, I preferred feeding her first before she falls asleep instead of going and talking to her. Therefore, when the patient started collecting her things in order to pick up her children, her support care worker entered the room. The support care worker came in and stood beside the patient with arms crossed. This showed that the support care worker was annoyed and irritated towards the patient. With an extreme displeasure, the support care worker enquired what was she doing. The patient replied that she was getting prepared in order to pick up her kids as they need to be picked. The support care worker very rudely told to the patient that she is confused and she is not supposed to pick up her children but the patient refused to agree. The support care worker asked the patient to sit down with respect to which the patient loudly said she needs to collect her children. The support worker orders to the patient that she needs to stay in there, as she requires care and is not allowed to leave the premises. The patient expressed her frustration and stated that she is kept there without her consent. With time, the conversation became very repetitive and disturbing for other patients in the room. Moreover, as the sit uation was getting out of control and uncomfortable for others, I advised the support care worker to leave and let the patient calm down. However, the support care worker even answered me with complete displeasure and advised me to stay out of the matter. Though I advised that sometimes, it is better to leave things until it calms down, the support care worker showed inappropriateness of my advice. Lack of respect and patience towards the patient in health and social care is a major issue that needs to be addressed as poor behaviour can affect the health of the patient thereby, delaying recovery. Negative feeling developed within me after I witnessed the situation. I was sad, disappointed and annoyed with the behaviour of the support care worker towards the Alzheimer patient. After I finished feeding my patient, I went to communicate with the Alzheimer patient and spent some time with her. I shared my negative feelings with another nurse and avoided the support care worker for the rest of the shift. I raised my concern regarding this issue in health and social care that compromises with the self-esteem and respect of the patients. Poor and disrespectful behaviour from the support care workers can worsen the situation as the patient might get out of control, harm them or deteriorate their health significantly. According to me, the support care worker lacked patience while dealing with the patient. The conservation showed that the support care worker lacked respect towards the wish and preference of the patient that worsened the situation. The patient was discomfort able and frustrated as she lacked affection and comfort from the support care worker. Moreover, the way the support care worker was communicating with the patient reflected anger in the behaviour. Instead of showing care and affection, the support care worker was mostly ordering and instructing the patient in spite of knowing the patient was suffering from Alzheimer and the consequences of the illness. I felt the respect and health of the patient were compromised. I was also angry and annoyed towards the support care worker as she lacked self-awareness and reconsider the effect of her actions. Moreover, I also felt the pain of the patient as the support care worker did not emphasise of undertaking an alternative approach, as the needs of the patient remained unattended. I also felt that the dignity was compromised as the actions of the support care worker made her feel dumb. I also tried to intervene the situation but it was unsuccessful as the support care worker considered my suggestion inappropriate. My self-respect and individuality were shaken as the support care worker underestimated my suggestion and had the least respect towards me, as I was a student nurse. My inability to make the situation better also developed a sense of frustration and stress within me. Evaluating the encountered experience helped me in determining both the positives and negatives of the situation along with considering individual and others reaction. Post evaluation of the situation, I felt that the situation remained unresolved. After I got rid of the anger and frustration, I started looking into the matter both positively and negatively. As commented by Andersen, Davidson and Baumeister (2013), compromising with respect of the patients is a major issue in health and social care practices. The support care worker was impatient and ride towards the patient that worsened the situation. The patient was more difficult to control as the nature of the support care worker was dominating and disrespectful. While trying to control the situation, the support care worker even considered my suggestion to be inappropriate that disturbed my self-esteem. In spite of the negatives of the experience, I tried to evaluate the positives of the situation from the patient and the support care worker's viewpoint. According to Munn-Giddings and Winter (2013), this was an initiative towards the positive reframing of the situation that resulted in self-blaming partially that is regarded as an emotion-based coping strategy. According to the emotion-coping strategy, I also tried to interfere the situation verbally. Moreover, I failed while trying to minimise the negative consequences of the situation. As asserted to Rowlinson, YunyanJia and ChuanjingJu (2014), an effective way of mitigating stress is by venting. According to the Nursing and Midwifery Council, raising a concern when such a practice is encountered is appropriate. Wessel et al. (2013) suggested that failure in reporting such practice by student nurse is increasing the issues hugely in healthcare. The fact that my action was appropriate boosted my confidence as I learnt that I am fol lowing the principles of health and social care. On the part of the support care worker, I did not notice any ill practice. As commented by Ali (2012), patients suffering from Alzheimer become uncontrollable, stubborn and aggressive. Under such circumstance, the support care workers need to handle the situation wisely, as the patients might harm them. Therefore, as the patient was acting stubborn and not listening, the support care worker behaved strictly with her to prevent her from leaving the premises. However, as argued by Gomez-Gallego, Gomez-Amor and Gomez-Gracia (2012), being strict with Alzheimer patient might compromise with the well-being of the patient. The analysis of the experience made me aware the appropriate action that would have prevented such an incident. As mentioned by Riley (2015), high-level of self-awareness can be developed due to the ability of the individual to enact suitable under particular circumstances. Self-awareness is considered as the fundamental of good nursing practice. As asserted by Bulman, Lathlean and Gobbi (2012), self-awareness provides an opportunity for individuals to recognise their strengths and emphasise on characteristics that require further development. Therefore, individuals are able to shape continuously their future development by reflecting on them and analysing both inter and intrapersonal characteristics. According to the above information, I could have been more assertive on my part while communicating with the support care worker. The comment that the support worker was instigating the patient instead of handling her with care and affection was inappropriate. The support care worker was senior to me, therefore; such a comment might have embarrassed her in front of others. Though my intention was to suggest an alternative approach for handling the patient, the support care worker perceived me incorrectly. Since this incident, I have become more aware of how my actions might be perceived by others around me. Such self-awareness within me will highly enhance my skills for future nursing practice. I will consider myself while approaching a challenge. Other than my behaviour, the approach of the support care worker would have prevented the situation initially. Alzheimer patient tends to forget things and live their life on assumptions. Due to this, the patient assumed that pick up is required for her children. Under such circumstances, the support care worker needed to be more patient and respectful towards her. As the support care worker was not listening to the patient, she grew to be more frustrated and stubborn. Therefore, more patient, caring and affectionate behaviour towards the patient would have completely prevented the occurrence of such a situation. According to Gibb's reflective cycle, it can be concluded that a different alternative is appropriate. Inappropriate behaviour towards patients in health and social care is a significant issue. Therefore, when encountered such situation, I would have brought into notice such behaviour of a support care worker. Disrespect and impatience towards patients in health and social care are increasing over the years. Therefore, bringing such an incident in the limelight would have helped mitigate such issue henceforth. Moreover, according to me, the support care worker could have handled the patient more patiently. As the patient was suffering from Alzheimer, unpredictable behaviour is expected from her side. Nevertheless, the behaviour on the part of the support care worker was inappropriate. In retrospect, I would do things differently. Firstly, I would have communicated with the patient directly when she was murmuring and organising things by herself. This would have provided me with an op portunity to know the reason and handle the situation differently. I might have been able to make the patient that she is not supposed to pick her children and that she needs to stay in the hospital premises as she requires care. Moreover, I could also have diverted the mind of the patient by talking about something else such as interesting topics or engaging her in activities. Therefore, the focus of the patient would have shifted thereby, avoiding such a situation to happen. Moreover, my behaviour and attitude towards the support care worker would have been different. Instead of making her feel, she is instigating the patient; I could have used assertive words towards her. I could also have asked the support care worker to use a different approach towards the patient. Moreover, I would have communicated more appropriately with both the patient and the support care worker. The action plan developed based on the encountered experience would provide me with an opportunity to strategies my action in order to handle such a situation. This would contribute to my personal and professional development and help me in pursuing my career in healthcare effectively. In future, if I encounter such a situation, firstly I would try to make the support care worker that she needs to handle patients more patiently. According to the principles of health and social care, the patients in the centre need to be treated respectfully and their wish and demands need to be fulfilled. A patient cannot be forced to do something against their will. I would also suggest the support worker handle tactfully, as the patient well-being of the patient is of top most priority. I would have spoken about the incident with my fellow nurses and brought into their attention such ill treatment towards the patients. Moreover, instead of avoiding the respective support care worker for the rest of my duty, I would have directly confronted the support care worker. I would have made her aware that the health of the patient is our top priority, therefore; they need to be handled accordingly and appropriately. I would have brought into her notice that the support care workers are not supposed to encounter patients with anger and frustration. I would make the support care worker understand the significance of care and affection while taking care of patients. Moreover, I would have made the support care worker understand that instead of ordering and showing anger to the patient, the support care worker could have diverted her mind in a different direction by involving her engaging activities. As a result, the patient would have not frustrated and her health would have been maintained. In this essay, it can be concluded that Gibb's reflective cycle provides an opportunity for individuals to learn from their experiences thereby, allowing overall personal and professional development. As a nursing student, I encounter a situation while placement where a support care worker was angry and showed displeasure while handling a patient who was suffering from Alzheimer. The support care worker was disrespectful and impatient towards the patient that adversely affected the patient. The support care worker suggested my interference into the matter inappropriate. The incident developed negative feelings within me thereby, shaking my self-esteem. I was angry, annoyed and disturbed towards the behaviour of the support care worker. However, I considered evaluating the positive side from the situation by raising my self-awareness that plays a crucial role in health and social care. According to the principles of health and social care, each patient needs to be handled respectfully as the health of the patient are of top priority. However, if I encounter such a situation in future, I would report the incident to the management of the hospital because the failure of the student nurses to report such incidents are hampering the service provided by health and social care. References Ali, N., 2012.Understanding Alzheimer's: An Introduction for Patients and Caregivers. Rowman Littlefield Publishers. Andersen, R.M., Davidson, P.L. and Baumeister, S.E., 2013. Improving access to care.Changing the US health care system: Key issues in health services policy and management, pp.33-69. Balthazar, M.L., Pereira, F.R., Lopes, T.M., da Silva, E.L., Coan, A.C., Campos, B.M., Duncan, N.W., Stella, F., Northoff, G., Damasceno, B.P. and Cendes, F., 2014. Neuropsychiatric symptoms in Alzheimer's disease are related to functional connectivity alterations in the salience network.Human brain mapping,35(4), pp.1237-1246. Bulman, C. and Schutz, S. eds., 2013.Reflective practice in nursing. John Wiley Sons. Bulman, C., Lathlean, J. and Gobbi, M., 2012. The concept of reflection in nursing: Qualitative findings on student and teacher perspectives.Nurse education today,32(5), pp.e8-e13. Gmez-Gallego, M., Gmez-Amor, J. and Gmez-Garca, J., 2012. Determinants of quality of life in Alzheimer's disease: perspective of patients, informal caregivers, and professional caregivers.International psychogeriatrics,24(11), pp.1805-1815. Huseb, S.E., O'Regan, S. and Nestel, D., 2015. Reflective practice and its role in simulation.Clinical Simulation in Nursing,11(8), pp.368-375. Munn-Giddings, C. and Winter, R., 2013.A handbook for action research in health and social care. Routledge. Riley, J.B., 2015.Communication in nursing. Elsevier Health Sciences. Rowlinson, S., YunyanJia, A., Li, B. and ChuanjingJu, C., 2014. Management of climatic heat stress risk in construction: a review of practices, methodologies, and future research.Accident Analysis Prevention,66, pp.187-198. Wessel, M., Helgesson, G., Olsson, D., Juth, N., Alexanderson, K. and Lyne, N., 2013. When do patients feel wronged? Empirical study of sick-listed patients experiences with healthcare encounters.The European Journal of Public Health,23(2), pp.230-235.