KIBOGORA POLYTECHNIC On18th April 2018
DEPARTEMENT: GENERAL NURSING
LEVEL: one REG. NO:2300193
CLINICAL PLACEMENT: I(100)
CLINICAL SETTING: kibogora level 2 teaching hospital
REFLECTIVE JOURNAL II
1. Introduction
In clinical placementI, this was the first week from23/9/2024 to8;10/2024 I was working in surgery
ward, in this week I performed the following activities including: vital signs monitoring, bed making,
vein puncture, urinary catheterization for male, bed bath, wound dressing, wound debridement, In this
week, I meet with many challenging events, here is one among them and I used to reflect on it, the
event was related to management of lapalatomy
2. Situation
On 30/9,2024 when I was working in surgery ward at the seventh day, I met with a case of 27 year-old
patient who was admitted to the unit for the management of abdominal problem . On the site of bed
there was a very s time the nurses were on machine billing patients, then y taking history he told me
that there is no problem but because I had picked up the problem early, I make physical exam by
focusing on the integrity of the hidden parts of skin and I found out that there is a sacral sinus pressure
ulcer, but the patient and had been ignored it, and nurses had skipped the wound care due to this foul
smell, the patient had been in hospital for a month. I made a wound dressing by irrigating much
exudates that last for several days, bed making, patient education and advocacy to this problem.
3. Effect
After seeing the deep wound, I felt feared due to is the first time I saw the one done surgery of
abdominal with wound.
4. Interpretation : wound is complex and caused by many factors like surgery operation combined
with the effects like: malnourishment, age, dehydration, lack of mobility, incontinence, skin
condition, weight; and extrinsic variables, moisture (Niezgoda and Mendez-Eastman 2006). For
this patient wound was due to surgical operation . Wound odour is often a complication of
bacterial infection .
Nurses should approach patients as well as possible to assess and taking care of them by preventing
complications of patient’s conditions and educating them. This patient had lacked the care of
repositioning because there was none to approach her.
5. Conclusion
Caring for this patient provided me the opportunity to improve my knowledge, understanding and
confidence about wound management in clinical practice. In future, I will aim to develop my assertive
skills when working with nurses, in order to ensure that the well-being of clients is maintained.
6. References
1. Graham, M. R., & Kahn, S. (2018). Principles of Wound Healing and Management.Journal of Wound Care,
27(5), 238-246.
2. Edwards, R., & Harding, K. G. (2004). Bacteria and Wound Healing. Current Opinion in Infectious Diseases,
17(2), 91-96.
