The concept of reflective practice has found wide application in the field of education, for learners, teachers and those who teach teachers.
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Continuing improvements in health care, nutrition and disease prevention have led to ageing of the population, a trend which is set to continue. Older age of retirement and greater reliance on older adults for economic sustainability will drive incentives for health ageing. Vaccines are low hanging fruit for healthy ageing, yet under-utilized. There is a gap between rates of funded infant and elderly vaccination which is leaving older adults susceptible to preventable infections. Adult vaccination is a growing area of need. This includes the elderly and at-risk non-elderly adults in various risk categories such as travel, and with specific medical risk factors for disease. The elderly have a higher incidence and greater severity of vaccine-preventable diseases, due to both immunosenescence and co-morbidity, and represent the largest group with age-based recommendations for vaccines such as influenza, pneumococcal and herpes zoster. Whilst the number of available vaccines for the elderly and the need for these vaccines has increased, health provider attitudes to elderly vaccination remain negative. Reasons for this, including ageism in healthcare, will be reviewed, and solutions discussed. The need for a new approach to elderly vaccination will be reviewed.
Looking back on the events of scenario 1, it seems that there were both positive and negative aspects to the experience. During transfer to CT scan and the emergency situation which followed, the author felt that there was good teamwork between the different professionals involved in the care of the patient. Because of this, prompt action was taken, preventing cardiac arrest.