On 8/8/2017, CM met with the client to complete Bi-Weekly ILP Review. CM inquires the reason client was no show for her previous face to face meeting. Client reported she had a doctor appointment. Client in the meeting was wearing a short pant and a t-shirt. She was well groomed.…
This writer addressed the patient's AWOL from yesterday as she reported that she overslept. This writer informed the patient about the risk of missing her dose as she is placing herself at risk for relapse, which the patient agreed to this writer comment. The patient admits to using crack cocaine by smoking, but only a…
“The Boy Who Was Raised As a Dog” by Dr. Bruce D. Perry is an extraordinary book following many cases of child trauma that Dr. Perry has worked on. In each of its 10 chapters it describes one child who experienced trauma and how it affected them and Dr. Perry tries to find out why they turned out the way they did. It is really interesting as he isn’t trying to prove or disprove anything, he just is figuring out how experiences when you are young can affect you later on. Even though most people don’t experience things like this it helps him to better understand the human mind and human reaction to trauma.…
To ease some of the client’s anxiety, the nurse could educate the client about the disease process using appropriate terminology.…
Yuma required verbal prompting and encouragement to participate in the session. Yuma continue to have difficulty participating in the session. Yuma appeared to be in good physical health and responded that he is feeling okay by nodding his head in response, when asked how he was feeling. Yuma was given the opportunity to respond to the intervention by nodding his head, yes or no or writing his responses down. Yuma continues to make no progress towards his goals.…
O: I want to learn better ways to cope with my depression. A: MHS reinforce coping techniques taught in past sessions. MHS and the member identified techniques that are helping the member. MHS discussed implementing skills into the member’s daily routine.…
My responsibility for this workshop was to proceed with a handover of a patient to an intern (played by Dr. Michael Adamson). This was a particularly disasterous session. My performance was not only unfit within the scope of academic criteria, but was clearly short of acceptable for a real-world SBAR. During the reading of the scenario I was daunted by the task of having to SBAR report a patient to admission at a hostpital, based on information I was reading for the first time; my practice with the hand-over system was minimal prior to the session.…
The first goal was to increase the client’s understanding with regards to her disease to prevent injury and this was partially unmet. The client disclosed some learning associated with understanding that when she ambulates, her disease affects her activity tolerance. I clarified the pathophysiology of this disease, which made it more evident to acknowledge that her disease induced this increasing dyspnea during activities and not her age. Also, she showed a significant increase in appetite by eating her meals slower and more spread out during the day, I saw a significant improvement in her breathing patterns during her meals, she didn’t cough as much or complain of pain, which justifies that she has gained some understanding behind the purpose…
Using clear and simple language when communicating can help, as it may be difficult for the patient to process for the patient to process the information and this may lead to frustration and…
Dr. Bruce Perry and Maia Szalavitz produced a novel, called The Boy Who Was Raised as a Dog, which focused on the development of the human brain and how this development can be altered when a child is exposed to severe trauma. Perry has personally experienced the negative effects trauma can have on the brain through his work. Doing so, has allowed Perry to introduce the Neurosequential Model. The Neurosequential Model allows a person to assess a child’s history and present functioning with a focus on the child’s current strengths and weaknesses to better help this individual.…
Recently, Dr. Harvey has been unresponsive to many questions asked of him in class and has been exhibiting a “selective hearing” behavior in regards to certain conversation topics. The behavioral funnel will be used to assess Dr. Harvey’s behavior and the appropriate responses. According to Hawkins (1979), the behavioral assessment is similar to the shape of a funnel. The beginning of the assessment should be broad and consider all possibilities while having a narrow scope of the behavior.…
The communication between both sides can also help build up the motivation for the clients that are finding it difficult to make any progress and are getting frustrated and disappointed due to this; this also allows to build up the patients and determination enabling them to adapt to the individual’s needs and personal lifestyle. It is a profession that is centred around helping people with their challenges which show how important and helpful these relationships with the patients, communication and the team work with the professional teams are; this can also be very…
Client was new to dental procedures and ended up swallowing the liquid, resulting in ulcers in his food pipe. It was a perfect case of how important part communication plays in overall experience of the client. I noticed that the dental hygienist was listening to the client very empathetically and smiling constantly in order to make the client feel at ease. Overall she took a few extra minutes in order to explain the procedure to the client. She was very gentle while taking x-rays and then while doing the scaling.…
Self-Critiques Video 1 I found this first session challenging because my classmate was the client. Even though I was playing the role of counselor, my mind was struggling to consider my classmate as the client. The session began with me feeling uncomfortable, feeling that time was not moving, and feeling a range of discomfort.…
On October 21, I recorded a 25-minute session with Sarah Alford. We spent the session brainstorming, discussing ways Sarah could research her topic, and planning how Sarah could develop her paper in the most efficient way. By the end of the session, Sarah wrote down a tentative plan to complete the first draft two weeks from now. After I watched the video to review my performance, the video revealed that I have improved in keeping eye contact with the consultant, letting the consultant do most of the talking, and asking appropriate questions to get the consultant thinking; at the same time, the video showed I still have improvements to make with body language and tone of voice. The first question I asked Sarah was, “What would you like…