The essay is a reflection on a clinical incident involving a patient with congenital heart disease. It should include a critical appraisal of the relevant evidence base, the ethical aspects of the situation, and the holism of care given. The essay must include the following elements: – Introduction • A brief introduction to the topic of your essay, outlining the areas to be discussed • A statement concerning confidentiality if applicable. You should use pseudonyms for any staff or patients that are discussed in your work so that they cannot be identified. • You should also ensure that the care setting cannot be identified from your writing. Clinical incident • A brief description of the incident, and a rationale for choosing to reflect on it. Keep this concise and relevant. Critical analysis • Use a published model of reflection • Analyse your own actions, as well as those of others, with reference to published literature and guidelines. Discuss and critique research findings where available. • Consider the ethics of the situation, if appropriate, and the holism of care given Conclusion • Summarise the main points of your reflection • Suggest how you would approach a similar situation in the future • Identify any learning that has taken place