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Question: Disuses About The Documentation Helps To Generate Evidence? Answer: Introduction The purpose of the essay is to reflect on the aspect of my learning, that I have learned as registered nurse. I am planning to use this knowledge in my nursing practice, wherever I will be placed in future. The core of the critical refection process is the reflective practice, while focusing on observation and documentation helps to generate evidence (Fook, 2016). The essay uses critical reflection framework for the reflection on the personal experience in nursing profession. To integrate research, theory and practice, it is the good opportunity to use critical reflective process. Week 5 learning was focused on the culture, health, and care for older adults. Reflection Older adults aging involve the concept of social, cultural and historical processes. Australia being multi cultural nation, different perspectives have emerged for the aging population (Keddie, 2014). The health care providers should respect the beliefs, preferences and values of the patient to ensure the patient centered care. Reflecting on my nursing experience in aged care, I have witnessed a situation where a male older client was in confused state as a result of dementia. The client has decreased mobility and was using wheelchair. Thus, he had increased risk of fall. When I met this client he was restless on not able to find the lavatory. He was agitated on frequent occasions and had troubled speaking. I saw him calling for help from a nurse, who moved towards him slowly, She said, How may I help you?. The client was stammering and all he could say was, I nee...I need to go to thaa. The nurse instead of trying to identify what went wrong assigned him to another nurse and walked out. It could be the sign of incontinence and other nurse soon initiated his assessment. I can relate this with another incident where the fellow nurse demonstrated unsuccessful cultural competence, which is however essential in addressing the disparities in the health care (McClimens et al., 2014). She was assigned to care for a Arab patient.The nurse was scared to attend him, as the religious beliefs of the patient were completely different from the nurse. It was wrong to be judgemental as the 89-year-old patient was in need of emotional support. The nurse was not passionate in being open or flexible with the client. She was not curious to know about his culture. These are the good opportunities to refine the communication skills and to create and purposefully create cultural encounters (Hanson, 2014). I have noticed in on incident that a nurse would attend the aged client only for medication, therapy and two meals in the dining room. When confronted she told me that she finds not hing in common with the senior client and do not know how to talk. This action demands for change in attitude else the old patients will feel disrespected. I realised upon reflection that that there is a need of increased understanding of the dementia care for my future practice. It will help me to identify and attend to people in confused state and address their concern immediately. Older people demonstrating the signs of falls or cognitive impairment are at the risk of functional decline. It is essential to prevent this by identifying and responding to the needs (Di Napoli et al., 2013). For my future practice, I am planning to develop the cross-cultural skills and gain cultural knowledge. According to Bozorgzad et al. (2016), knowing the health beliefs of the patient by obtaining the cultural knowledge will aid in gaining their worldview. For instance, Muslims prefers to maintain the dietary standard by eating food that would be preferred by their family members. Muslim patients tend to prefer carers of same sex or gender. Thus, without knowing the cross cultural skills, it will be difficult to maintain the dignity of the patients. I have realised that I need to interact more with the seniors, as they were once young too. It will help me learn their ageistic view I would too become old one day and would not expect nurses to interact with me only for medication. If would be the old patient, I would expect patient centered care. Therefore, I would like to change personal perspective towards the older adults. Ageing people have variety of lived experiences such as grief, bereavement, trauma, separation from children, financial insecurity, and burden of illness and others. They should be treated like our own parents. They may suffer from loneliness and need a help to reconstruct their thoughts (Bacsu et al., 2012). Conclusion In conclusion, effective communication is essential for older care. It is the fundamental principle for high quality care. Lack of cultural competence, knowledge on the aged care standards and poor perspective of aging may hamper the nursing practice. The reflective practice was helpful in identifying areas of improvement supported with evidence. References Bacsu, J. R., Jeffery, B., Johnson, S., Martz, D., Novik, N., Abonyi, S. (2012). Healthy aging in place: Supporting rural seniors health needs. Online Journal of Rural Nursing and Health Care, 12(2), 77-87. Bozorgzad, P., Negarandeh, R., Raiesifar, A., Poortaghi, S. (2016). Cultural Safety: An Evolutionary Concept Analysis. Holistic Nursing Practice, 30(1), 33. Di Napoli, E. A., Breland, G. L., Allen, R. S. (2013). Staff knowledge and perceptions of sexuality and dementia of older adults in nursing homes.Journal of Aging and Health,25(7), 1087-1105. Fook, J. (2016). Finding Fundamental Meaning through Critical Reflection.Practising Spirituality: Reflections on Mean-making in Personal and Professional Contexts, 17. Hanson, R. M. (2014). 'Is elderly care affected by nurse attitudes?'A systematic review.British Journal of Nursing,23(4). Keddie, A. (2014). Australian multicultural policy: Social cohesion through a political conception of autonomy.Journal of sociology,50(4), 408-421. McClimens, A., Brewster, J., Lewis, R. (2014). Recognising and respecting patients cultural diversity. Nursing Standard, 28(28), 45-52.