PART A: REFLECTION

Description
I was placed in the acute medical unit of Fiona Stanley Hospital and the incident took place
with me when Mr. Alex, a 58 years old man who was seeking for kidney transplant visited us.
I was appointed to check him as my senior was unable to understand his language. The
patient was quite depressed and was not willing to cooperate. His wife was trying to make
him understand the situation but he was continuously denying her.
Feelings
I was dealing first time with any such case in the acute medical unit and that’s why felt a bit
of nervousness. Despite this, I went to Mr. Alex and assured him that his treatment would be
successful. Also, there was always a pressure of convincing my senior for a particular task
due to communication gap between her and the patient. It was not good to see Mr. Alex’s
wife as she was struggling to make her husband understand to cooperate in the treatment.
Evaluation
Initially, it all started in a very negative manner for me as I was feeling lack of confidence in
performing the procedures due to lack of knowledge and practice. I felt afraid of any
mishappening and began doubting on my abilities and competence.
But very soon I was reminded by my senior that any difficult situation can be handled by
staying calm and positive. I used my effective interpersonal skills to tackle the situation. I
went to Mr. Alex and assured him that his treatment would be successful if he cooperates
properly. I tried to convince him by showing his wife’s situation that how she is struggling in
the life for his treatment. He was quite convinced and started cooperating in the treatment
procedures.
Analysis
Chronic kidney disease (CKD) is a sort of kidney illness where a continuous loss of kidney
capability happens over a time of months to years. At first generally no side effects are seen,
however later side effects might incorporate leg swelling, feeling tired, vomiting, loss of
appetite, and confusion (Kalantar-Zadeh et al., 2021). Continuous vomiting and swollen legs
were the symptoms which were clearly noticeable in Mr. Alex’s case so I dialled emergency
to notify a registered nurse. Due to his condition, Mr. Alex was sometimes shouting on the
medical staffs. He was continuously vomiting and saying that I am not being treated well.
I went to him with his wife and told him that your situation would be fine if you show some
patience and let us treat you well. After so many convincing statements and with the support
of his wife, Mr. Alex allowed us to go ahead with the necessary treatment.
Since conflict resolution and negotiation is a complex ability that must be sharpened by
training and practise, each registered nurse ought to go through the whole cycle, from
observation to analysis and then from decision to activity, followed by assessment and
reflection. These aided me in resolving the issue with my patient on time. I realised where I
lacked knowledge and experience, as well as how to handle a critical situation like this. That
is why conflict resolution and negotiation skills are necessary (Soler et al., 2021). The lessons
I learned from Mrs. Alex’s case made me handle critical situations in a well-organised
manner. Furthermore, I discovered from the case that more research on how medical nurses
anticipate and supervise patients about a particular conflict and negotiate with them in an
effective manner.
Conclusion
In conclusion, I might want to make reference to how Mr. Alex's case showed me to respond
right away and dependably in such an extreme circumstance. It improved my correspondence
and relationship-building abilities, which assisted me with planning with the patients and
guarantee them in regard to their treatment. If such conditions were to repeat the same thing, I
would feel prepared and wouldn't feel anxious or scared, as I'm likely mindful of what's
required and what I should do. I am aware enough of that now, because of this situation, I'm
sufficiently strong and will be extremely able with the various commitments that I am told to
perform during the training.
Action plan
I have reliably explored and learned enough about effective interpersonal, negotiation and
conflict resolution skills. In this way, later on, in the event that any such case comes to me, I
will not be annoyed and will confront what is happening with an exceptionally positive
outlook. It is my obligation to screen the clinical advancement of patients, and I would move
toward such circumstances serenely. I will attempt to speak with the patients and their family
members all the more really to guarantee them positively about their interests and to fabricate
major areas of strength for a patient relationship. I would utilize quick clinical strategies to
get a prompt response, and I would intently notice registered nurses' practices to gain
knowledge from them. Hospital's income and reputation witness development when patients
are dealt mindfully with extreme consideration (Weller-Newton and Kent, 2021).
References
Kalantar-Zadeh K., Jafar TH., Nitsch D., Neuen BL., Perkovic V. (2021). "Chronic Kidney
Disease". Lancet. 397 (10293): 001–017. Kalantar-Zadeh K., Jafar TH., Nitsch D.,
Neuen BL., Perkovic V. (2021). "Chronic Kidney Disease". Lancet. 397 (10293):
001–017. https://doi.org/10.1016/S0140-6736(21)00519-5
Soler, O. M., Aguayo-Gonzalez, M., Gutierrez, S. S. R., Pera, M. J., & Leyva-Moral, J. M.
(2021). Nursing students’ expectations of their first clinical placements: A qualitative
study. Nurse Education Today, 98, 104736. https://doi.org/10.1111/nhs.12897
Weller-Newton, J. M., & Kent, F. (2021). Community health placements for junior medical
and nursing students for interprofessional learning. Journal of interprofessional care,
35(2), 316-319. https://doi.org/10.1080/13561820.2020.1760803