Reflective Account of Assessment of Breast Lump
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- Date Submitted: 12/23/2014 11:26 PM
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UNIVERSITY OF BEDFORDSHIRE
FACULTY OF HEALTH AND SOCIAL SCIENCES
COURSE TITLE: MSc ADVANCED NURSING STUDIES
UNIT CODE: CEL017-6
MODULE TITLE: ADVANCING HEALTHCARE PRACTICE: CONCEPTS & PRINCIPLES
ASSESSMENT: REFLECTIVE ACCOUNT OF AN ASSESSMENT TECNIQUE
STUDENT NUMBER: 1417786
WORD COUNT:
INTRODUCTION
Self-improvement in every day clinical practice has been reported to result from reflective practice (Silverman, 2005). This paper uses the components of Gibbs’ model (Gibbs, 1988) to give a reflective account of the assessment technique I used to arrive at a diagnosis during my clinical practice many years ago. It is adopted because it has been opined to logically structure reflective thinking in health practice (Regmi and Naido, 2013). Finally, conclusion will be drawn from the relevant learning arising from the incident.
DESCRIPTION
While on duty as a young nurse at the family planning unit of an X hospital, a 35 year- old lady walked into the clinic apparently worried and anxious. I offered her a chair, reassured her and made her comfortable as much as possible. Boykins, (2014) reported that reassurance promotes therapeutic relationship in nursing care. Thereafter, I obtained her present health history in order to gain insight into her problem and to formulate a diagnosis (Basford et al., 1995; Cox, 2010,). She reported being well until that morning when she discovered a painless mass on her right breast, while taking her bath. This sudden discovery of a lump causes her considerable anxiety. Her past history for breast cancer risk revealed slight discomfort and tenderness on her breasts prior to her menstrual flow, which is often relieved by a warm bath. Varying degrees of discomfort and pains prior to menstrual flow has been described to be physiologic and hormonally mediated (Ganschow, et al 2004). Also, she reported no variation in breast size, color or discharge from nipples and no history of a regular breast self-breast examination....
FACULTY OF HEALTH AND SOCIAL SCIENCES
COURSE TITLE: MSc ADVANCED NURSING STUDIES
UNIT CODE: CEL017-6
MODULE TITLE: ADVANCING HEALTHCARE PRACTICE: CONCEPTS & PRINCIPLES
ASSESSMENT: REFLECTIVE ACCOUNT OF AN ASSESSMENT TECNIQUE
STUDENT NUMBER: 1417786
WORD COUNT:
INTRODUCTION
Self-improvement in every day clinical practice has been reported to result from reflective practice (Silverman, 2005). This paper uses the components of Gibbs’ model (Gibbs, 1988) to give a reflective account of the assessment technique I used to arrive at a diagnosis during my clinical practice many years ago. It is adopted because it has been opined to logically structure reflective thinking in health practice (Regmi and Naido, 2013). Finally, conclusion will be drawn from the relevant learning arising from the incident.
DESCRIPTION
While on duty as a young nurse at the family planning unit of an X hospital, a 35 year- old lady walked into the clinic apparently worried and anxious. I offered her a chair, reassured her and made her comfortable as much as possible. Boykins, (2014) reported that reassurance promotes therapeutic relationship in nursing care. Thereafter, I obtained her present health history in order to gain insight into her problem and to formulate a diagnosis (Basford et al., 1995; Cox, 2010,). She reported being well until that morning when she discovered a painless mass on her right breast, while taking her bath. This sudden discovery of a lump causes her considerable anxiety. Her past history for breast cancer risk revealed slight discomfort and tenderness on her breasts prior to her menstrual flow, which is often relieved by a warm bath. Varying degrees of discomfort and pains prior to menstrual flow has been described to be physiologic and hormonally mediated (Ganschow, et al 2004). Also, she reported no variation in breast size, color or discharge from nipples and no history of a regular breast self-breast examination....