In part 2 of this assignment the author is going to reflect the use of a psychosocial intervention with a client they met while on clinical placement. Reflection is an significant aspect for a student nurse, as it provides an opportunity to learn from one’s own experiences (Schon,1983). For the purpose of this assignment the author will use the Gibbs Reflective Cycle as a framework (Gibbs 1988). The Gibbs model consists of six stages: the first stage starts with a ‘description of the situation, then goes onto analysis of my feelings, evaluation, analysis the situation, conclusion and the final stage is an action plan’ (Gibbs,1988). The author will describe their experience on implementing a psychosocial intervention approach, while on …show more content…
The author used the ABC-E model of assessment as a guide, to gain a better understanding of Shane’s illness and how it is impacting his life. The author picked a quite room in order not to be disturbed, thus been able to engage and create a therapeutic relationship. Kingdon & Turkington (2005) has outlined that building a therapeutic relationship to enable engagement is the central process in therapy. The author noticed that Shane had difficulty answering the questions been asked. He was talking really fast about of lot of different things and had poor concentration. According to the National Institute of Mental Health (2015) patients having a manic episode feel like their thoughts are going very fast. Shane had expressed remorse for taking his parents car. The author asked Shane if he noticed a change in his behavior to which he answered “No” and states that “he didn’t recognized the symptoms of becoming manic”. The author asked Shane about his sleep patterns before the incident to which he replied “that three to four hours a night would be sufficient” for him and that he would have “loads of energy”. It was explained to Shane that energized behavior is a symptom of a manic episode. Due to Shane’s self-harming and suicide attempt in the past, the author asked if he had currently any thoughts of self-harm, to which he replied “no and that he feels safe on the …show more content…
Study from Perry et al (1999) which focused on teaching patients to identify early symptoms showed that using psycho education had fewer manic relapses. Withnell and Murphy (2010) have acknowledged it is rare that patient’s live in absence of family and friends, hence working with families and staging effective family interventions is an important aspect in promoting
Assignment Wk. 7: Interview Subject The purpose of this paper is to introduce the Mental health counselor I have chosen to interview for my final project. In this paper I will include the specialties, the age groups and the modality of clients she services. Further I will explain, why I chose to interview Ms. T Licensed Mental Health Counselor Interviewee
People on medications who suffer from mental illness may not feel like themselves, so many people fear of losing their selves. Bipolar disorder is a mental illness that causes unusual and extreme shifts in a person’s functioning, mood and behavior further conveyed through erratic mood swings. However, the symptoms delusions of grandeur, and racing thoughts get in the way. It’s very important to be understood when dealing with a mental illness, furthermore remember to work out the manic episodes. The author, Adam Haslett, addresses a daily issue battling a disorder in the story “Notes to My Biographer”.
Phase One (Sessions 1 through 3) • The session 1 and 2 consists of the assessment of the client’s clinical problems and background information. Questions relate to her clinical problems, including (a) the nature of her problems (depression and difficulty with making decisions), (b) reason of seeking psychotherapy, and (c) previous attempts to deal with the problems. For the background information, the client’s histories are assessed in the areas of intimate/family relationship, educational/vocational activities, past history of psychological treatment, and physical condition. Session 3 primarily consists on the further functional assessment around her coping skills (e.g., avoidance) in the areas of interpersonal relationships. Phase Two
This reflection is sought about through the use of reflective cycles, for example Gibbs (1988). Reflection enables the student to develop his or her own theories behind why an event occurred, this is also achieved by linking theory to practice in order to gain a deeper understanding (Levett C. 2010, Stonehouse D. 2011). For this practice placement portfolio the reflective cycle that I have chosen is The Reflective Cycle by Gibbs (See appendix one) (Gibbs 1988). Although it wasn’t made predominantly for reflection through nursing scenarios, as it was developed for educational purposes, it does give the student a cycle which can be used easily to analyse their event in a linear fashion. Although Gibbs reflective cycle is one which is mainly focused on the event itself, rather than the knowledge that can be sought from delving further into the reasoning behind an event, it does create a cycle which allows the individual to focus on their actions and the reasoning behind what they did.
The Process of Reflection The process of reflection is central to clinical supervision. Launer (2003) describes external and internal factors in supervision whereby clinical practice and sharing skills are external and reflection is an ‘internal conversation.’ Brunero & Stein-Parbury (2008) discussed the effects of clinical supervision in nursing staff and argued that self-reflection generates a sense of self-awareness and knowledge to the individual. Supervisees or students may be asked what happened during a clinical event, how they felt, the implications of their actions and what they would do differently if faced with the same situation.
Reflection is not about evaluating an intervention of the client, but rather the process of theory that we use through our own experience and knowledge (Duncan, E., 2009). Also, it is imperative to recapture practice experiences and mull them over critically in order to gain new understandings and to improve future practice as a therapist (Finlay, L., 2008) as the healthcare sector is constantly changing and upgrading itself. Reflection also allows us to apply our knowledge that is improving to a wide variety of cases that we may encounter, be it a case that we have seen before or a totally new case that we have to
After observing the clients behavior, it is evident that she has a problem limiting her excessive cellular device usage. Therefore, the behavioral intervention plan will be targeting the client’s cellular device usage in class, as well as outside of class. The plan will be targeting all cellular device usage, which includes playing games, texting, scrolling though social media sites, and finally listening to music. To prevent the client from using her phone during lectures, the behavioral plan instructed her professors to make her write an essay whenever she is using her phone.
Nightingale wrote “the very elements of nursing are all but unknown” through this statement she implied that nurses word be learning for the rest of their career (journals.lww, 2017). Reflection is when an activity or incident requires thought about the action, and is used to determine what points are positive and negative, and how it could be improved or changed if done again in the future. The reflection process begins with thinking about an incident and how the situation can be utilised in future situations. The process consists of being open, this would involve an individual looking at things from a different perspective. In addition, the process would involve being inquisitive, desiring knowledge.
Reflection is like looking in a mirror and describing what you see. It’s about thinking back to an experience and questioning what I did, and emotions that I felt during the experience, and then reflecting on a better and more sufficient way of doing it in the future (UNISON, 2016). Gibbs Reflective Cycle is the model that I have chosen to use while reflecting back on the module “Learning from service users and carers”, Gibbs believes that this module is useful for helping people learn from what that they experienced. He calls this “Learning by Doing” (Mind Tools, 2016). When finding out that a module I would cover on the social work degree was learning from service users and carers, my initial thought was care homes and carers within them.
By using the Generalist Intervention Model, as a Social Worker, I would develop a strategy for improving Peter’s behaviour. This model has said to have six (6) steps in order to be successful. I would start by engaging the client by helping them decide whether they want help, in which I would then set up an appointment. I would assess the client during an interview to determine a problem and the solution. If after I have assessed him and discover that I am unable to handle his case I would refer him to a professional who would be able to his situation better.
1. INTRODUCTION T. S. Eliot (1943) once wrote, “We had the experience but missed the meaning”. We can have all the experiences in the world, but if we missed out on reflecting, how would we be able to find the meaning? In this reflection of an interview we were tasked to complete, I will be adopting Gibbs’ (1988) reflective cycle to help me in the describing, exploration of feelings, evaluating analysing, identifying implications, before concluding and writing the action plan. 2.
The purpose of this assignment, I will critically discuss and analyse the use of the ABC-E model, when assessing and engaging with a new client. The ABC-E model of emotion is known by a bio-psychosocial model of mental health care which enables a client to understand there autonomic, behavioural and cognitive symptoms in their environment to get a much deeper insight, into how the client may be feeling. Nursing assessments are a key component to mental health nursing care. It is a decision-making process based on the collection of information that gives an overall estimation of the consumer and their circumstances (Barker 2004).
The Term reflection can have many meanings to many people. Reflection can carry meanings that range from the idea of professionals engaging in solitary introspection to that of engaging in deep meaningful conversations with others. But for this assignment I will focus on; what is refection in the clinical setting, why it is important for health care professionals to reflect and where the ideology of reflection came from. I will also provide a personal experience of reflection during my time in the clinical setting that helped me to come up with a solution to a challenging situation. WHAT IS REFLECTION?
To become a reflective social work student, I need to be able to undergo self-reflection. This is a process of conducting self-assessment and observation. Gibbs’ Reflective Cycle influence user like myself to self-reflect and more importantly it encourages users to develop an action plan. This enables me to look at my practice and evaluate on the areas I did good and bad. In turn, by taking these experiences into learning I can use them to improve on for the future.
The Gibbs’s reflective cycle comprises of six stages, which are description, feeling, evaluation, analysis of the incident, conclusion and an action plan. I used these stages as a guidance tool during the process of reflective essay about my critical incident (Parsons and White 2008). Nursing in the past was more habituated and ritualistic than rational and precision. Nurses were not encouraged to question their practice let alone reflective practice.