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The consultation took place with just myself present, no other nurses were in the room at the time of the appointment.The consultation lasted around half an hour, during which time myself and the patient discussed the history of his problems with his skin and the emotional distress that the spots were causing him.
The essay reflects on an incident that occurred while I was working in one of the orthopedic wards.
I have chosen this incident as my first clinical emergency experience.
For example, he has been bullied at school and is feeling apprehensive about starting sixth form in September because he believes that he will be the only sixth former with spots.
Based on the reasonably lengthy history of the acne, the presence of acne on the face and the negative emotional effect that the acne was having, a three month dosage of oxytetracycline was prescribed for the patient.
The two main types of professional reflection are reflection-on-action and reflection-in-action (Somerville and Keeling, 2004).
Reflection-on-action encourages individuals to re-live past events, with an emphasis on developing a more effective action plan for any future, similar events that may occur.The patient disclosed that he had begun to get spots at around age 14 when he had started puberty and that it had begun to make him feel extremely self-conscious.The patient described the negative effect that the acne was having.However, the review also found that acne treatment may lead to improvement of the psychological disorder that are so often co-morbid.This made me feel re-assured that prescribing oxytetracycline had been the right thing to do.Four days after the surgery, the patient became very sick during my shift.He showed signs of discomfort, acute pain and became was quite vocal about it.During the consultation I had a number of feelings.Primarily I felt sympathy for the client because his situation reminded me of my own time as a teenager.He complained of low self-esteem and is feeling fed up and depressed because of pimples and spots on his face.The patient was worried that girls would not be attracted to him because of the spots.