There may be factors in the history suggestive of osteoporosis e.g. Secondly there may be underling osteoporosis leading to fracture with minimal trauma. Firstly taking an adequate history of the accident, including details of the mechanism of the fall, will help the clinician to decide whether the amount of force applied to the bone would be of the degree that would be expected to cause that particular fracture. I saw her at 11.20 hours.Īn understanding of the pathophysiology of fracture is important if important aspects of the patient’s history are not to be missed. She had been brought to the department by car by her husband.īetty was seen by the triage nurse and subsequent upon waiting her turn was allocated a cubicle. We shall call her Betty but, in order to protect confidentiality, that was not her real name. “Success of this process would occur only through additional thought and reflection” (Murray, 2006).Īt 11 am a 64 year old lady presented to the Accident and Emergency Department with a painful right wrist following a fall. The final step is the action putting the new theories (if appropriate) into practice to ensure that such cases continue to be managed appropriately in the future. Theorizing is the next step which looks at the theories for developing a new approach building on the theories that were identified that were supporting the present approach. This includes analysis of beliefs, rules and motives supporting the present approach (Imel, 1992). Analysis involves identification of the factors that lead to and the assumptions that support the present approach. Identification would be made of the context and the reason the clinician wants to change the practice and their feelings about this. The first step is the description of an aspect of practice the clinician wants to change. Peters’ (1991) reflective framework incorporates a guideline called DATA comprising four steps This framework has been used and favourable evaluated within education (Bell and Gillett, 1996). Introduction The reflective framework chosen for this case study is that of Peters (1991). Share this: Facebook Twitter Reddit LinkedIn WhatsApp
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