Reflective Journal of Clinical Experience

I observed for redness, drainage and bleeding at the stoma site, then listened to breathing sounds with a stethoscope. and monitored O2 saturation level. These were the tangible treatment activities undertaken when assessing the patient’s condition.However, outside of the tangible activity being performed, issues of holistic patient care had to be considered in order to provide a more emotion-focused series of outcomes for the patient. Holistic patient care “is based on the idea that there should be a balance between body, mind and spirit” (Ellis and Narayanasamy, 2009, p.886). At the same time, having never performed this procedure before, there were personal issues with self-confidence about performing the tracheotomy for the first time. I realized during this patient intervention that my own performance and ability to project confidence would give the patient more confidence and trust in my ability to successfully complete the task of health care.Prior to approaching the patient at the interpersonal level, I had to become visibly-composed and provide body language which suggests that I am familiar with the procedure and am confident about its successful delivery. Patients who are undergoing complex treatment in an unfamiliar hospital environment are likely to have a wide variety of negative emotional adjustment issues, therefore nursing competence as a practice goal brought this patient better holistic care. I realized that if I had conducted the tracheotomy without careful analysis of my internal emotional condition, the patient could have picked up on many non-verbal cues and realised that his caregiver was mildly concerned about their own ability to successfully complete the procedure independently. Nursing competence and the outward reflection of personal competence and task mastery gave the patienta more relaxed and less-anxious experience during this patient intervention.