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Clinical learning outcome - a reflective account.  

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CLINICAL LEARNING OUTCOME lll A REFLECTIVE ACCOUNT I initially met Claire during a clinic appointment following discussion with a colleague that she was concerned about the negative feelings Claire was expressing. Claire was recovering from a mastectomy and was about to undergo radiotherapy. Following discussion she revealed to me her unwillingness to look at her mastectomy scar and that she felt isolated. Most other patients she had met had had lumpectomies; she was the only one who had received a mastectomy. She was surprised to learn that many other women feel similarly. We discussed how she felt about her scar and eventually she felt able to view it in the clinic room mirror, expressing a sense of achievement. Claire had had a good rapport with her local Breast Care nurse so I encouraged her to contact her to discuss meeting other mastectomy patients and to arrange to attend a support meeting. I suggested that psychological support...

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