Several times during the session, the practitioner brought up something the patient had said earlier (e.g.
Several times during the session, the practitioner brought up something the patient had said earlier (e.g.
I have been in a psychiatric facility for the first time. Of course, there are some stereotypes about what is psychiatric facility looks like people picture from the movies or media. I tried to read about therapeutic communication and nontherapeutic communication before going to that facility to have a better way to talk to them. But it was not easy to use these ways because of what I saw there was different from what I expect. The first observation is that they look like normal people in many facets and if I have not been told that they are psychiatric patient, I would not figure it out myself.…
The client and the clinician agreed on 4 out of 7 of the ratings. The client successfully completed a fill-in-the-blank worksheet based on the book Clifford Goes to Dog School by Norman Bridwell. The client and the clinician engaged in shared writing as they constructed a list of people to invite to a party. The client also practiced and used her “clear and slow” speech during a…
In this situation there is a conflict between patient comfort and the type of treatment ordered. Family education was a big part of resolving this…
Hi Rupinder, I really enjoyed your post and the strategies you suggested. I especially liked the breakdown of the different patient types that we will encounter. From the reading your post and Lalaine’s response to this discussion, I realized how flexible and adaptively we have to be as health care providers. We never know who enters our exam room that day and what may be going on in their personal life. Even with the same patient, each encounter may vary.…
Michaela P. Capulong NU 333-01: Physical Assessment for the Nursing Professional June 1, 2015 Journal 3 A good assessment technique is a strong foundation in our nursing career. Gathering an accurate history is vital in determining the etiology of a patient's problem. Also, having excellent communication skills will help nurses to collect data accurately.…
He was willing to share his honest feelings and thoughts with me. I was good at using therapeutic communication without even realizing it. However, there were moments where I felt lost at what to contribute to the conversation. At times I said things that were most likely nontherapeutic. This interaction with the patient was not perfect, but I think it was good for my first try.…
Being self-aware of both you and your patient’s verbal and non-verbal cues will help break down the patient-practitioner communication…
In a health and social care setting, your communication varies depending on the person you’re talking to. Communication is extremely important when it comes to a health and social care message. Communication is passing a message on to a person/people using different types based on the person. An example of some different types of communication is: verbal, written, visual, touch, sign language, and even braille.…
It is not uncommon that patients are discharged early and return to the emergency room with symptoms of leakage after several days. The patient delay that is created has far-reaching consequences, with late leaks (>5 days) being associated with more complex treatment and adverse outcome. It is of upmost importance to treat this complication as early as possible, and thus establish an early diagnosis. Clinical observations could be of more importance in speeding up this process.…
I begin by showing respect to the patient and by letting the patient feel comfortable to assist them with sharing information. This principle is the first step towards a trustworthy patient-clinician relationship. After gaining mutual respect, harmonized goals is applied by completing my assessment using Situation, Background, Assessment, and Recommendation (SBAR). It is completed through the assessment and the development of the plan of care.…
We noticed that each student showed improvement in their understanding of patient illness, correlations, interpretations, skill acquisition, self-confidence and communication as they progress from first to fourth reflective journal. Using the comment in the reflective journal, we identified noticed that each student had progressive improvement in areas of (1) expectations of the patients, (2) understanding of focused assessment, (3) interpretation of medications, laboratory data, and diagnosis, (4) communication with patient,? ( 5) collaboration and inter-professionalism, (6) prioritizing interventions, (7) skillfulness with interventions, and (8.) incorporation of skills and information into real patient…
Huynh interacted with his patients at the facility and realized that I wanted to treat my future patients in the same way. One patient in particular stood out to me: he was a middle-aged man in the end stages of liver failure. More than just discussing the efficacy of his medications, Dr. Huynh took to the time to further his relationship with his patient by discussing his psychological well-being. This experience confirmed for me that the additional training osteopathic physicians receive will play an integral role in the way I intend to practice. Dr Huynh invited me to observe him again on a second day as he visited his mentally-ill patients in a number of board-and-care facilities.…
Role Play Reflection Before doing the video, I became somewhat anxious at the thought of being on camera; knowing that I was going to be evaluated did not help my anxiety at all. After all, I am an introvert; even at that I love listening to people talk about their life’s experiences, and love to help them resolve their issues whenever possible. This is one reason I am looking forward to learning more about the social work field. I have always been careful at how much advice I offer a person; even more so now, after this class, because I recognize that if a worker is not prepared to help in the proper way she can do more harm than good to all the parties involved in the process. I am also aware that I am a social work student, and that my…
This consultation occurred during a fully booked morning surgery post triage and was set in my own room. I was not running late so was relaxed and not stressed or rushed at the time. The patient had pre booked a routine appointment the week before and wanted to discuss a lump he had found on the left side of his neck. He was a 26 year old male, previously fit and healthy and worked on a construction site. The total consultation lasted approximately 14 minutes.…
My first clinical experience was at St. Vincent hospital on a geriatric unit, when I was a second year nursing student. During my time there, nurses often approached me to provide small learning experiences and teach students how to be efficient. When a nurse on the unit asked for help with a bed bath for a patient with whom I was not familiar, I agreed. I wanted to get as much experience as I could. The nurse led me to the patient 's room right away.…