Management Skills in Adult Nursing Essay (4000 word reflection is to

Management Skills in Adult Nursing (4000 word reflection is to enable to develop a deeper, critical understanding of the development of knowledge and skill in Management) - Essay Example In order to improve my practice, I will reflect on this incident, and address issues of effective discharge planning, communication, and handover. The themes I will consider for this topic would follow the various questions raised by Johns’ reflective model. This model is meant to be implemented by sharing with fellow practitioners or with a mentor, which then transforms the learning to a faster pace. Johns’ model emphasizes the value of experienced knowledge as well as the power of the practitioner to access and implement information which has been secured via empirical processes (Grech, 2004). More specific themes on discharge planning, communication, and handover shall be incorporated into the text. The critical and analytical aspects of this discussion shall flow from the reflective process, with an evaluation of the specific actions based on standards of the practice (Callara, 2008). The scenario under evaluation involves the discharge of Patient X, a 65 year old male patient who recently underwent hip hemiarthroplasty surgery. During the discharge planning process, there were several orders which I was not sure how to implement. One of the discharge orders indicated that I needed to refer the patient to the rehabilitation ward for physiotherapy and occupational therapy, and that I needed to refer the patient to a physiotherapist and an occupational therapist, and arrange future schedules for therapy. Discharge orders also indicated that I needed to recommend an appropriate health and diet plan for the patient. Health and diet plans for elderly patients, especially those who have recently suffered hip fractures must be established because these elderly patients are prone to possible re-injury (Beaupre, et.al., 2005). Beaupre, et.al., (2005) discussed that the hip fracture would likely limit the mobility or elderly