It is crucial for a therapist to present a safe, peaceful and nonjudgmental environment to gain the trust of the client. When working with a crisis client, the therapist may have more of a challenge to obtain eye contact whereas a client that is not in crisis may feel ashamed. There is always a level of uncertainty with both the therapist and client in the first few initial meetings. The client may be wondering if they will be judged or accepted. Vulnerability is
On this day October 24th, 2016 many events happened at Jessie Trice Community Health Center (JTCHC). As usual, I was exactly on time to start my clinical rotation at 8 am. My rounds were made in the clinic looking for something out of place and improvise with my assistance. A morning huddle was hold at the nursing station. Everyone met to listen to the points Joel Polanco, RN would present. Topics on improvements in the clinic related to patient-physician needs were discussed. I was really an active learner since those administrative aspects were managed by the nurse manager at the clinic. After the meeting, we talk about the patients and their needs, what I have seen in this community, what would be beneficial for the patients coming to JTCHC,
This week at coastal hospice I felt more comfortable with the staff and was able to address some of the concerns without hesitation. The only thing I still do not like is how I have not been able to keep one consistent preceptor during my rotation. This would not be an issue if I was being trained to work there. I think it is a great idea to learn from multiple nurses and get an insight of the way everyone does something differently.
The key to establishing a trusting relationship is the integration, usage, and mastery of therapeutic communication skills (Belcher & Jones, 2009).Due to the high importance of effective communication in mental health nursing, it is essential in therapeutic interventions. (Peplau, 1952) states that effective interpersonal skills are central to a mental health nurse’s ability to form a sound therapeutic alliance and to the role of mental health nurses. Excellent interpersonal aptitudes are what every mental health nurse needs to communicate effectively with clients. Active listening is more than just hearing what the client has to say, nurse must be actively engaging with the client, physically, emotionally and mentally. Effective listening is therefore a cognitive, behavioural and an affective process (Arnold and Underman Boggs,
I have always had a strong interest and desire to work in the health care field. My professional goal to become a psychiatric and mental health nurse practitioner (PMHNP), along with the desire to acquire evidence-based knowledge, has been especially challenging as I searched for the right college for my advanced degree. The variety of colleges offering this course of study made it hard to decide on the school I wanted to attend. As I narrowed my search, my goal focused on the school that best met my nursing and personal goals, and desires to achieve a higher education as a PMHNP.
I believe as future therapist nonverbal communications can make or break you. I have had patients that wanted to give me attitude and wanted to be hard to deal with, but I always made it a point to redirect them and change the session around in a positive way.
They were not judgmental towards each other, because they are there for the same reason which is to overcome their challenges. I participated in their group therapy, recreational activities, and interacted with the patients individually. Also, I helped pass out trays and fill up the snack pantry. Conclusively, I did not know so many people have a mental illness. I completed five hours in one day, and another five hours in one day a week later.
Description: In week 7 we had visited Wesburn Manor, the Long-term Care (Clinical Placement) setting. It was our first time there, therefore as a group, we oriented the place. At this time, we went to each nursing station on each floor and introduced ourselves from the organization we were from and how we will be providing patient care to the clients in this setting. We were educated by our clinical instructor on the different access codes in the building, the policies and guidelines, our assigned floor and the appointed personal support worker. Our role of professionalism as a nursing student was represented as we came prepared and greeted each healthcare and staff member.
Therapeutic communication is a core factor in mental health nursing. It is important for a mental health nurse to have knowledge and interpersonal skills to communicate with a client who is experiencing a mental health disorder. Therefore, it allows a good relationship between a nurse and a client. Communication is an involvement with thinking, feeling and behaviour either its verbal, in writing or non verbal. Therapeutic communication is mostly client focused and is towards patient’s “goal directed”.
Clinical Nursing I Orientation. Today since I woke up I was nervous, anxious and you could say that even scared, but as I learn from my last experience with Fundamental class this kind of emotion of being little scary is normal because nobody knows what the day can bring to us. Also I felt pride and joy because I am proud of where I’ve come so far as being an immigrant who came to this country as many others looking for their dream without knowing the language or even the culture. All my classmates and I were looking forward to meet our instructor because since we started the classes we felt somewhat lost by not having clearly defined our situation with classes and teachers.
On my last day of clinical rotation, I was assigned to NICU and I was able to also witness two vaginal delivery. I was able to follow my NICU nurse and she allowed me to do some feeding as well as change diapers. I was able to witness a placement of the IV line through the umbilicus and saw a Nurse drawn blood for peak and through for erythromycin for the newborn. My overall experience was educational, amazing, and most of all, hands-on. I was scared at first because it was very different from Med Surg and Mental health, but with nurses that explained, demonstrated, and allowed me to be hands on, I felt confident at the
The first day I stepped onto the floor, I felt overwhelmed and I questioned myself if I was meant for this line of work. I was assigned 14 patients. Soon after interacting with all my patients, my perspective and doubts changed. After leaving for college; I started my college days as a full time pre-nursing student. I continued to work as a CNA and
Something that I consider to be both a strength and a weakness in my social work career is my gentle and reassuring manner. On the surface, this may seem like an excellent trait to have. I am very much a “people person” and others are naturally drawn to me. I tend to look at situations in a positive light as much as possible and have become an expert in removing tension between family members or dealing with end-of-life concerns. The majority of the residents value this quality in me and seek me out when a difficult decision needs to be made.
I really enjoyed my clinical rotation to Whelan Elementary School. I have to be honest in saying I was not looking forward to this rotation. I thought to myself, “How much could a school nurse do in one day? I’m going to be bored out of my mind.” Lucy the school nurse proved me wrong.