Doctor Karim is talking to Yasmin who is a patient about her depression. Yasmin: Walks in with her body slouched, arms crossed and her eyes looking down onto the floor. Doctor Karim: Hello, how may I help you today? Yasmin: Hello Doctor Karim I have had a bit of a problem within this last month which I think is affecting my
As a nurse, we work with people that are hurt or in pain which results in stress for the patient and also may lead to stress for the nurse. ‘Stress is like a storm- anything from a quick cloudburst to a hurricane’. (Wisniewski, 2013) Causes of stress would be identified as overload of work, overcrowding at work, inadequate physical space, high level of noise in the work unit, double shifts, no breaks, lack of support from other workers, government restricting the amount of staff on duty at one time, patients and complaints from patients and family members, staff members, malfunctioning of equipment will lead to not getting the job done in time, financial situation, outside stress been taken into work. Bullying within work will also cause
Observation of an event, the surrounding circumstances and outcome: I was in the gero unit at Millwood. I got to see an older people suffering from different types of psych disorder. It was around breakfast time, I saw an old lady crying and laughing at the same time. She was yelling to the nurse saying she need her medication and she is in pain. She seems disoriented.
Sara told her husband what she had done and they both agreed on going to counseling. After a year of counseling, it happened again. Sara’s husband called her boss to share the unpleasant news. Sara received a text from the ED that night saying “we have to talk”. Sara was extremely upset that her husband shared with her employer and family.
Met with the patient as she was placed on a Director HOLD to address the incident on Sunday. Please note, upon meeting with the patient, she appeared to be upset and emotional. According to the patient, patient #2737, pointed her out in the lobby in front of other patients as her attacker, which upsetted the patient. This writer calmed the patient as she clearly upset about the matter; however, noticed that the patient is still walking around with the box cutter on the key chain as she was advised that this is unacceptable. Patient responds was, " I know...I know...alright..." If the patient continues to bring in that weapon on the clinic 's property, she will not be allowed inside of the clinic.
Sally, I appreciate your insightful post regarding beginning nurse led groups on an inpatient psychiatric unit. I know that this can be a challenging transition to go through and your assistance will be instrumental in its success. Your assessment that the nursing staff appear frozen and lacking motivation to make the necessary adjustments in their work to begin leading groups seems accurate. You describe that the manager has been unsuccessful in unfreezing staff attitudes regarding this change for over two years (S. Rothacker-Peyton, personal communication, July 22, 2017). This speaks to a fair amount of resistance amongst the staff as well as a likelihood of significant barriers to implementing nurse-led groups.
The ABC Model of Crisis Intervention is a nursing method used to provide an immediate intervention to mentally and emotionally disturbed patients. It involves conducting a brief mental interview with an emotionally disturbed patient who is undergoing depression and emotional change. The patient who is subjected to the ABC Model of Crisis Intervention usually faces psychological stress leading to a decrease in their functional level. Such events that lead to psychological, emotional, mental and functional depression are referred to as precipitating events. The events in most case happen within a grace period of four weeks and leave the victim in a dilemma, disturbed with an unsettled mind on how to manage the situation.
Scenario 2 begins as a New Graduate Nurse who is working their first day at an aged care facility. The Graduate Nurse witnessed an incident where another nurse (Nurse Kelly) disregarded the Codes of Conduct when treating a patient. The Graduate Nurse reported the incident, however, the Charge Nurse did not solve the problem due to her fear of Nurse Kelly. The Charge Nurse informed the Director who is a friend of the other nurse. However, the problem was not resolved due to the director catering for the nurse’s personal issues that he was aware of.
Abstract/Purpose: (please refer to separate file) The worsening problem of hospital nursing shortage has resulted to inadequate nurse staffing, which affects our nursing care to our patients and our satisfaction towards our job. Understanding how nursing staffing levels affect both patient and nurse outcomes prompted these researchers to conduct a study on hospital nurse staffing levels (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002). The purpose of their study was to examine the relationship between the nurse-to-patient ratio and surgical patient outcomes, specifically patient mortality and mortality following complications nurse retention as well as the factors that influence nurse retention (Aiken et al., 2002). The study was conducted
Introduction In this reflection, I am going to use the Gibbs (1988) Reflective Cycle to describe an interaction I had with a co-worker when I was working at a private outpatient clinic. I had a challenging interaction which I would classify as horizontal bullying. Horizontal bullying refers to a demand by a nurse towards a co-worker, causing her to feel disregarded and denied of her basic human rights (Granstra, 2015). This reflection shows how horizontal bullying would affect the patient safety (Purpora & Blegen, 2012). Description I was running a high fever related to a severe case of an upper respiratory chest infection (URTI).
Fights and arguments continued to plague the relationship between Sanchez and Buchholz and on July 20, she left him and descended into crisis. Emotional distress often exacerbates postpartum depression and Sanchez soon found herself in the emergency room at Metropolitan Methodist, asking for help. During this visit, Sanchez met with a counselor at the clinic that ushered her through her pregnancy. Upon speaking with the counselor, she stated that she had delusional, paranoid thoughts that other women were trying to breastfeed her baby and hearing voices which said that others would like to take her baby away. She also reported visual images of other children’s faces transposed on her baby’s face.
She Moved in after serving in the army as an automotive mechanic 2 years ago. She was divorced prior to finishing her service in which she notes that her husband no longer helps with their daughter. She for the past 2 years’ work as a administrative assistant at the chaplain department at Veteran affairs. She described work as being stressful because she is her inability to perform well, concentrate, Tardiness, and recent altercation. Many of this she notes may be influenced by her insomnia and depressed mood.
Ms. Conley is a sixty-two-year old African American female with a history of Schizophrenia. She was referred for Mental Health Skilling Services by the case manager at Tuckers Psychiatric Hospital after she had been hospitalized for twenty-two days at the hospital due to her acute psychotic symptoms. Prior to Ms. Conley’s most recent hospitalization she was living independently in her own home where she was struggling with being able to recognize personal danger as evidenced by her placing unsafe items in the electric shock (at least once a month); noncompliance of medication treatment (daily); delusions that individuals are plotting against her (daily) which results in her acting out in an aggression manner; and spending a disproportionate amount
“While working at a hospital as a Registered nurse, I was being bullied every day at work I became withdrawn, severely depressed, I would break down and cry every day after work. It was a nightmare,” explained Nurse Jackie. Horizontal bullying should not be neglected it is a life-threatening problem affecting the healthcare. Nurse to nurse bullying in the workplace can have an impact on new nurses, the treatment of the patients, and lack of job satisfaction. Imagine being a nurse and additionally feeling nervous about taking care of a challenging patient or meticulously achieving all of the medical records.