Mr T is an 87 year old male recovering from a stroke at St Acres

Nursing Home. Mr T is unable to swallow and also suffers from

dementia. Mr T has been receiving fluids via Intravenous for the past 3
weeks and the Doctor is concerns about Mr T nutritional status and
weight loss. Dr Bendale discussed his concerns with Mr T POA and
they both agreed that the best option for Mr T was to insert a G-Tube
feed to ensure that he receives the proper daily nutrients required.
You are a newly hired PSW at St Acres Nursing Home and you are
assigned to care for Mr T. In report you were told that Mr T is
 Alert/Awake
 Total care
 2 person assist with care
 Incontinent stool and urine
 NPO
 G-tube feed
 Right side weakness
 Limited range of motion (ROM)
 Transfer to geri chair via ceiling lift

You are also assigned 7 other patients and have received your report.
You did your POP for your assignments and Mr T morning care was to
be done at 10:00. On providing care for Mr T you forgot to ask the
nurse to stop the G-Tube feed. While providing peri care both you and
your peer observed that Mr T was vomiting and having difficulty
breathing.

Write a L.E.A.R.N to reflect on this experience.

Student Name: Student Reflection Feedback

Week:

Step 1. Look Back-Look back and describe the

experience or event.

Step 2. Elaborate and Describe-Elaborate and describe

what happened during the experience/event. Make sure
to include a description of how you felt. Describe the
outcome/result whether or not you were surprised by
what happened; whether it turned out the way you
expected.

Step 3. Analyze the Outcomes-Think about why this

event/experience was significant and important. This
means examining why you felt or reacted the way you
did and reflect on how this event/experience could affect
you, your team and supervisor, future client and/or
family members who are involved with the
resident/client.

Step 4. Revise and Approach-Based on your review of

the event/experience, think about how, or if you would
change your approach. This might involve asking others
about ideas for dealing with the situation next time.
Collecting feedback from Preceptor and/or Faculty
Instructor. Explain how you can use your own reflection
or the feedback of others to change, or improve upon
your role and practice as a PSW student.

Step 5. New Perspective-Put your new approach into

action. Describe how you will put your new plan into
action to ensure success in your professional
development and in the program. Please be sure to be
SMART and be specific with your plans.