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Gibb’s (1988) reflective model will be utilised to reflect on my experiences in the last three years from novice to competent.Professional Development from Novice to Competent Level Reflective practice (Gibbs, 1988) allows healthcare practitioners to improve current practice by learning from incidents and one’s own experiences. (2009) explains that one’s own experiences are another form of evidence in healthcare.In this brief I will focus on the domain of communication and interpersonal skills since these form the foundation of my relationships with my patients.
For patients in the advanced stages of dementia, the main aim of nutrition is to maintain hydration and comfort feeding.During mealtime, I talked to the patient and informed him that I would assist him in eating his food. He only stared at his food and did not seem to understand my instructions.I placed the utensils near his hand so he could grab it and eat.Meanwhile, some patients could also suffer from swallowing problems, making it more difficult to ingest food (Lin et al., 2010).The hospital ward environment is also new to older patients with dementia and might trigger anxiety and fear (Lin et al., 2010).Most of these patients suffer from cognitive impairments, which make it difficult for them to communicate their feelings and concerns (NICE, 2006).A significant number of older patients with dementia who are admitted in hospital wards are underweight (World Health Organization, 2014). (2010) explain that many of these patients have forgotten how to eat and chew their food while others lack cognitive abilities in understanding instructions on feeding.The Nursing and Midwifery Council (NMC) has set out at least four domains of competencies for entry to the register in Adult Nursing.In this brief, I will focus on the second domain of communication and interpersonal skills.Since patients are in unfamiliar surroundings with unfamiliar people, they might express their fears and anxieties through aversive behaviours (NICE, 2006).It is shown that nurses react negatively to aversive behaviours of older patients with dementia (Jensen et al., 2010).