Kulosaari dayhospital is one of the five dayhospitals owned by Helsingin kaupuki. Dayhospital offers two-month treatment periods for 18 patients at a time. The fundamentals of the treatment are community support and various group therapies. Every patient will make treatment and rehabilitation plans with his or her physician and nurse. Patients come to the dayhospital every morning at eight o’clock and leave after coffee around two in the afternoon.
My mentor and I agreed that my contact patient is a woman who started her care on the second week of my practice so I will see how her treatment is planned and how she progresses during the treatment. My contact patient is diagnosed with moderate depression, anxiety disorder, multiple phobias and social anxiety.
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The helping relationship with the patient includes different phases. The first phase is called preinteraction phase where the nurse collects information about the patients before meeting him or her face to face. In my case I read my contact patient’s referral. The next phase is called introductory phase where the relationship opens and nurse introduces themselves to the patient, clarify the problem patient is facing and develop a mutual trust. The third phase is exploring and understanding feelings of the patient and taking action. The last phase is termination phase where the patient-nurse relationship
This paper will explain the seven principles of patient-clinician communication. It will then apply three of those principles to my interactions with my patients. Next, it will describe three methods being used in my area of practice to improved communication between the patients and clinicians. It will ultimately choose one of those principles that applies best to my practice and clearly describe how I use it. It will describe ethical principles that can be applied to issues with patient-clinician communication.
3. What are the nursing interventions that can be implemented to facilitate communication between the client and her
The Process of helping is client oriented as the helper focuses on assisting clients to meet their needs." Mary say " as a Human Services Worker she has to address if a client report the nursing department not meeting all the clients needs ." Mary said at time a clients could call a nurse in their room every five to ten minutes, but report neglect on the nursing department for not answer their call light. When problem like this occurs Mary said "she has to do a care plan to address the problem and come up with a solution." Mary say they have to also investigate the nursing department also to make sure no neglect has occurred.
A patient and nurse interact and communicate and form an interpersonal system that is affected by situational factors in the environment (Alligood, 2013). Alligood (2013) also identifies the fundamental concepts of this theory as: perception, communication, interaction, transaction, self, role, growth and development, stress/stressors, coping, time, and personal space. These come from the personal and interpersonal system concepts. While the personal and social systems effect patient outcomes, the system that seems to have the biggest influence on this is the interpersonal system.
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
My personal philosophy of nursing seeks to incorporate the art of conveying nursing science holistically with care and human dignity. The four nursing metaparadigm concepts are described in relation to nursing as a science and an art and provide the base upon which my view of nursing and my personal philosophy are derived. As a nursing student at UIC, I am well aware of the fact that the best outcome for any patient may not be improvement in health, but rather, a dignified death during the end of life care. End of life care includes a significant quality in care and human dignity.
Introduction: This assignment will explore the Roper, Logan and Tierney model used in first clinical placement and will explain how it helped to guide nurses to focus on the fundamentals of patient care. Patient dignity is upheld by using this model following the principles outlined in the Code of Professional Conduct and Ethics for Registered Nurses and Midwives as will be discussed. An outline of the philosophical claims of the nursing model that guides practice on the unit for first clinical placement.
The concepts of this theory include function of professional nursing, presenting behavior of the patient, immediate reaction, nursing process discipline as well as improvement (Petiprin, 2016). One of the roles of a nurse is to meet the immediate needs of the patient. Patients typically present to a facility with a requirement that should be identified and met by the nurse. The nurse should be able to identify the problematic situation from the patient to be able to address the need for help. The patient develops their perception of events and circumstances based on their automatic feelings and thoughts which causes the patient to have an immediate response.
To allow anything to develop in a relationship, both parties must allow the variable to grow and prosper. To develop a variable such as trust, one must possess a number of personal and professional qualities. When a person trusts another person it means opening up for an action and expecting the other (trustor) to act in accordance with his/her (trustee’s) wishes, interests or will (Rortveit K. et al. 2015). The power issue between patients and nurses can cause some patients not to avail of health care services (Rortveit K. et al. 2015). Trust is an important aspect of nursing and has been the focus of nursing theory and research (Rortveit K. et al. 2015).
What is reflection? Reflection is described as the process individuals use for self-development in their future career. The process of reflection has been used for many years in professional health fields such as midwifery and nursing (Lillyman. S & Merrix. P, 2012). Florence nightingale pioneered the practice known as reflection-on-practice, this is a tool that is needed in developing improvement and knowledge to enable an individual to grow in their nursing profession.
Showing a genuine interest in the patient's life and
Although reflection is an imperative foundation of nursing practice, it is only effective in promoting future clinical practice when the practitioner continually identifies their weaknesses and strengths to support their personal growth. They will also be required to develop this process during their practice to improve outcomes for service users (Johns, 2013). In accordance to the NMC revalidation process (2015) school nurses are required to provide a record of their knowledge and how it promotes their clinical practice. Clinical reflection is identified as a recognised educational tool for this process (Queens Nursing Institute, 2015). This evidence highlights the importance of the the student school nurse’s role in reflecting on this critical
Introduction This essay is a reflective piece of writing about the critical indecent of a medication error that occurred during my placement. It is a very concise piece of writing due to limited word count of 1500 words. Duke and Appleton (2000) did a literature review and devised a framework of critical reflection, which illustrates eight stages as compare to Gibbs’s (1998) reflective model that consist of six stages. I chose Gibbs reflective model not only it is easy to comprehend but also to illustrate a critical incident.
The physiological needs are met when the nurses provide the patient with the necessary amount of food, water, oxygen (if needed), blankets for warmth and sleep by providing pain or sleeping pills (if needed). The safety need will be met by the security of the hospital to help the patient feel secure and safe in his/her environment. Love and belongingness can be created through intimacy (if possible), affection and friendship. This can also be given to the patient by his/her family members or friends. To ensure that the patient’s self-esteem needs are met, the Health Care worker has to help to improve the patient’s confidence and independence.
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.