However, I think with more practice I will be comfortable and able to allow the silence that occurs in therapy. The other feedback I received from the social worker is that I did a good job of applying motivational interviewing techniques such as reflecting and asking open ended questions. As I continue to role play I am becoming more comfortable with the process. I did not experience any difficulties this week. Moreover, I did not have supervision this week because my supervisor was on vacation.
Although Ting was considered first by the medical staff under code two, Relationship with Patients, their initial support for the parent’s decision and their inability to create a trusting relationship became a barrier when Ting became ill. “Code two calls for the consideration of culture, religion, gender, and primary language to be taken into account when planning patient-centered care” (ANA, 2001, p.18). The proper steps would’ve been to have open discussions from the beginning in order to build trust and create a comfortable environment for both the patient and her family. The last code, Primacy of interest, was exemplified when the healthcare team used translating services to communicate with the parents. This, however, was unsuccessful since the majority of the discussion took place with her
This semester my psych rotation is split between the YWCA and Grandview Medical Center. I am starting at the YWCA, which is a shelter for women who have suffered from domestic violence and have nowhere else to go. This experience has already proven to be different than a typical nursing clinical that I have already experienced. This clinical rotation will make us rely on the basic foundations of nursing, such as therapeutic communication, whole-person care, maintaining patient safety, etc. This psych rotation will be a difficult one, however, I think it will also be very rewarding and I will learn concepts that I will be able to take with me throughout my nursing journey.
Do We Really Need Residential Care for Our Seniors? When the needs of our senior loved ones can no longer be met at home, we have to already consider the possibility of getting a residential care for them. Although most families would still prefer home care for seniors but we just have to understand that receiving care in the comforts of their home will eventually be insufficient as their health condition worsens. But we also understand that some people are still quite apprehensive of sending their loved ones at home because they cannot be with them all the time. Hence, today, on the blog, we will discuss some of the things that you can expect at our residential care center in Ivy Grove SC, the Harmony Residential Care Center.
Additionally, the nurse talked to my family in order to prepare them mentally and emotionally as well. This treatment by the nurse towards us gave us very little reason to worry about my health as she made the experience bearable. Attree (2001) described that commitment to providing patient-centered care and a change in individual, professional and organizational values is sufficient that will lead into providing a therapeutic nursing care (as cited in McCabe, 2004, p. 47). Few days later, I was scheduled for discharge and the same nurse came to my room asking if I was ready to get discharged. When I said yes, she started briefing me on what I had to do once I got home, and what I had to do for the next few days.
Verbally Verbal communication has always been a struggle for me; I must admit that I am better at expressing my thoughts and ideas when I write them down on paper. Before attending college, I typically did not think before I spoke and I did not sugar coat my words, which now I realize how this has affected some of my relationships with people and how I had unintentionally hurt people in the past. I find myself still learning and recognizing that this is an area that I anticipate will become more natural to me as I become a more competent nurse. Since this part of communication has been a struggle to me, therapeutic communication was also a struggle when it came to speaking to patients, staff, and taking nursing exams. Through every nursing
To prevent subversion of randomization, the statistician will hold the randomization list, releasing an assignment once a participant consents and is eligible. The researcher will make a phone call with the head nurses of the hospitals and explain the study to head nurses and ask their permission to conduct the study in their institution with some target patients. The researcher will use the hospital's electronic record system to review the young adults who were diagnosed mild dementia. After that, the appropriate patients who will match the inclusion criteria will be chosen. Eligible patients will sign a consent form that will explain the research components, the advantages and disadvantages and all components of the research.
Outcome 5: Use Basic Communication and Collaborative Skills to Optimize Patient Outcomes Brenen Dapkiewicz NU 311 Fundamentals of Nursing Practicum Washburn University School of Nursing Knowledge Q1: Describe how you utilized several communication skills you were introduced to in class. During my long-term care experience last Friday, I was exposed to many forms of communication. There was non-verbal communication, where you could just see that a patient was maybe anxious or content. I witnessed verbal communication between nurses, certified nurse's assistants, bath assistants, and even student nurses. However, the best example I can give about communication and how I utilized communication was during my first insulin injection.
After reflecting on the video, I realized I should have waited for an answer before proceeding. This clearly showed that my attending skills were affected especially in the contextual perspective (Maguire and Pitceathly, 2002). One of the contextual attending skills that I was lacking was the ability to welcome efficiently and make her comfortable hence making her feel uneasy at the start. From this, I learnt to be more patient and think through my responses internally before speaking to my client. Alternatively, I could have used silence to think carefully of what I wish to express before sharing it with my
In my interview something that I would choose to do differently is the flow of my words when asking questions. If the flow of my words were worded differently or better I feel as if the lady that was interviewing me would have been able to have a better understanding. Another thing that I would change would be my handshake. If you have a nice firm handshake then it will let the person or
The first essay I chose to read was called I Am in Dementia Prison with My Mom, Janet had no prior knowledge or understanding as to why her mother’s health, mind, and thought process was deteriorating. She couldn’t come to terms with her mom being mental sick and when she did she had help and support from her entire family. The second was titled Transferring Mom was New, But Restlessness and Inactivity Kindled her Agitation. Against her and he husband better judgment she took her mom to the store. I believe she did this because she did not want to tell her mom no, as a caregiver, especially to a loved one sometime following your intuition and saying no can be difficult being I may feel like you are taking away their rights as a person.
She often refferred to a paper with the patients history of problems and she grabbed things they needed for tests for the patients well-being. She was helped by a nurse 's aid. If they needed answers they usually went to the doctors or went back to their patient information for more insight. A typical day for Cindy was woke up, checked on al her patients, took vitals and then prepared them for any tests or surgeries they needed for the day. Some things I thought was cool was the relationship she had with some of her patients.
- Control. (2:58 - 3:24) There is an extended silence, which is not foreshadowed. It is important that we inform the client what we are doing, why, and pivot before any silences. This helps us to guide the call and maintain control. For example: "What I 'd like to do is take a look through the notes, so that I can familiarize myself a bit more on what has transpired.
I believe that the most difficult part for Gonzales’ wife will be having an infant to raise alone, if Gonzales is deported. That is a life adjustment that, while she has done it twice before with her husband, is quite challenging to do solo. Also, if Domingo Gonzales were to be deported, each transition stage becomes alter, specifically for Torres. Duvall explains that one of the tasks for stage 8 (middle-aged parents) is to return focus to the couple’s relationship. How is Torres going to be able to focus on her relationship when her husband has been deported?