Ritical Reflection on the role of the Emergency nurse Practitioner (ENP) in relation to the management of sprained ankle .
This piece of work is a critical reflection of my role as the nurse practitioner in the management of ankle sprain.working at the Urgent care centre.
Use GIBBS model of reflection.
there should be an introduction about ankle sprain or ankle injury, about the rate or percentage of this kind of injury,importance of assessment LIKE PHYSICAL AND history taking as part of MY ROLE AS Nurse Practitioner, importance of having knowledge, skills and experience in dealing with this case. and please reference it accordingly. etc………………
As a nurse practitioner I have dealt with this problem before that is why I am confident managing this case. so you can do a reflection as well about my experience ..will this help me come up with proper diagnosis?
DESCRIPTION: A 23 YEAR OLD MALE PATIENT PRESENTED IN THE URGENT CARE CENTRE WITH ANKLE INJURY. HE SUSTAINED THIS INJURY FROM PLAYING FOOTBALL AND TWISTED HIS LEFT ANKLE. PATIENT ARRIVED IN THE EVENING AT UCC LIMPING DUE TO INCREASE PAIN AND SWELLING.
FEELINGS: THIS IS ABOUT HOW I FELT DEALING WITH THE CASE.WHAT WERE I AM THINKING?
EVALUATION: WHAT WAS GOOD AND WHAT WAS BAD ABOUT THE EXPERIENCE… MAYBE THE BAD FEELING WOULD THAT I SENT PATIENT FOR X RAY AS THIS RESULT RADIATION EXPOSURE….THEN REFLECT WHY DID I DECIDED TO SENT PATIENT FOR X RAY..THEN YOU PUT REFERENCE TO THIS.
ANALYSIS: WHAT ELSE CAN I MAKE OF THE SITUATION?
CONCLUSION: WHAT ELSE COULD I HAVE DONE?
ACTION PLAN: IF IT ROSE AGAIN WHAT WOULD I DO?..WILL I USE THE SAME MANAGEMENT APPROACH? LIKE THE OTTAWA ANKLE RULES? PRICE/POLICE? AND WHY? PLEASE SUPPORT THE STATEMENT WITH CORRECT REFERENCES…AND, MAYBE TO UPDATE MYSELF BY ATTENDING STUDY DAYS RELATED TO THIS KIND OF INJURY? SO TO INCREASE MORE MY KNOWLEDGE AND SKILLS IN THE ASSESSMENT AND MANAGEMENT…
Consider the use of the OTTAWA Ankle rules..HOW RELIABLE THIS OTTAWA ANKLE RULE WHEN IT COMES TO THIS KIND OF INJURY? CRITIQUE ON THIS … JUST TO LET YOU KNOW THAT I PUT AN EXEMPTION INTO THIS CASE AS I SENT THIS PATIENT FOR AN XRAY TO RULE OUT ANY BONY FRACTURE.. BUT THE RESULT REVEALED NO FRACTURE.
Consider the management of such injury using PRICE (protect, Rest, Ice, compression and elevation) what is the importance of this kind of management? Is there any other means of management aside from this? then reflect and analyse.Does it matters if I will use PRICE or POLICE approach? then why? reference this.
ALSO CONSIDER THE USE OF ANALGESIA ..WHY ANTI INFLAMMATORY MEDICINES OR NSAIDS ( non steroidal anti inflammatory drugs) SHOULD NOT BE USE IN THE FIRST 48-72 HOURS .. MAKE SURE TO REFERENCE EVERYTHING.
CONSIDER ADVICE ON NON WEIGHT BEARING .. THEN REFLECT AND REFERENCE THIS. THE USE OF CRUTCHES HOW IMPORTANCE CRUTCHES ARE ON THIS CASE? REFERENCE IT.
HOW COULD THESE MANAGEMENT MAKE AN IMPACT TO MY PRACTICE?
PLEASE USE NICE GUIDELINES
NMC CODE OF CONFIDENTIALITY
COCHRAINE DATA BASE.
BRITISH MEDICAL JOURNALS
Added on 04.06.2015 19:08
HI! PLEASE KINDLY NOTE THAT THIS IS A LEVEL 7 WRITING FOR CRITICAL REFLECTION.