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Reflection on a patient receiving high frequency oscillatory therapy.

This reflection on practice is written by two members of a primary nurse team at the Chelsea and Westminster intensive care unit (ICU)/nursing development unit (NDU). Johns's (1993) tool for structured guided reflection was used to reflect on the care of an ICU patient given by her primary and associate nurse. The issues highlighted include: The importance of knowing your patient through a primary nursing approach. Collaboration between the primary nursing team and the anaesthetists. Negotiation between the patient, her family and the primary nursing team. Empowerment of the patient to express her view.