Patient Adherence

Reflecting on this clinical practice has been unquestionably beneficial to me. It is helped me ascertain further information about dignity and the importance of it. It has also allowed me to evaluate the care I give and develop personally and professionally. Using the Gibbs (1988) reflective framework has enabled me to look at all aspects of the clinical practice and gain essential information relating the maintenance of dignity. I have found this assignment of reflecting extremely interesting and have enjoyed learning new things about myself and the care I give in clinical practice.

• Physicians are to influence and lead their patients by example. • Illness, discomfort, pain, and the dying process are learning opportunities for both the patient and the physician. It cannot be avoided and should be taken in stride instead to learn more about one’s whole being and life approach. • Physicians and experts are supposed to encourage their patients to evoke the healing power of love, hope, humor, and enthusiasm to release the toxic consequences of hostility, shame, greed, depression, and prolonged fear, anger, and grief. • Optimal health is more than the absence of sickness.

In regards to written communication, it is essential that the health professional is clear and concise while using relevant and simple language for the patient. In conclusion, this synthesis has explored the vitalness of therapeutic communication in improving patient-centred care. Through being more aware of one's self, using positive verbal/non-verbal language, active listening, showing empathy and building a trusting and respectful relationship, a nurse is able to create a healing therapeutic environment for the patient, leading to positive experiences and outcomes for each party

A full holistic approach is required. It is an important aspect in any care being provided that the patient and families are educated in chronic pain. The responsibility if health care professionals to educate their peers and advocate the appropriate pain management in children. When conducting any treatment plan it is essential for the therapist to be patient-centred and include the patient in all the decision making of their treatment. It is important to investigate the patient’s understanding of the condition.

The therapist I work with encourages me to ask questions, so I benefit and learn from volunteering. They also encourage me to be hands on, and communicate with the patients as much as I can. I believe some of the most important skills to have in any medical field are good communication skills, staying organized, and working under

Patient centeredness is no stranger to nursing discourse, however, adopting this element to care and compassion is challenging in today's healthcare arena, especially when treating massively increased numbers of patients" (Bramley and Matiti, 2014). Being the patient's advocate, participating in their care, encouraging independence, and pushing them to be the best that they can be to return to normal health are all important aspects of compassion. When I was working with my patient I felt since I had a smile on my face, a positive attitude, a calming demeanor, and the drive to help her with her care she accepted my help and wanted to get better and participate in

& Wasson, J.H. (2001). Primary care physicians ' diagnostic, management, and referral practices for older persons and families affected by dementia. Research on Aging, 17 (2), 124-148. Fortune, A.E., & Reid, W.J.

Patient satisfaction has been defined as the degree of congruency between a patient expectation of ideal care and her receives. Patient satisfaction represents a key marker for the quality of health care delivery and this internationally accepted factor needs to be studied repeatedly for smooth functioning of the health care systems. A better appreciation of the factor pertaining to client satisfaction would result in implementation of custom made programs according to the requirements of the patient, as perceived by patient and service providers. Patient is the best judge since she accurately assesses and her input help in the overall improvement of quality health care provision through the rectification of the system weaknesses by the concerned authorities. Satisfaction in service provision is increasingly being used as a measure of health system performance.

PART A Introduction Effective interpersonal communication is prerequisite for the interchange of health allied information, the development of therapeutic relationships, accomplishing mutual understanding and applying knowledge to build trust, indeed it is useful in achieving person centred care for health professionals. First of all effective communication is a powerful therapeutic tool and an essential in open-ended and closed questions to make decisions about Mrs Bernardi’s health and achieving positive outcome for health professionals. In addition, therapeutic communication can impact by environmental barriers, also having mindful awareness of prospective barriers, it’s likely to accomplish and minimise the negative effect of these barriers

To enhance patient outcome quality is always a goal of the health care industry. One way to achieve this is therefore to encourage and facilitate nurses’ participation in clinical judgment. As demonstrated, true empowerment is the antecedent of good clinical judgment. This means a structurally empowering environment, a belief of self-efficacy and autonomy to provide valuable quality care, and a nurse-patient partnership. Unless nurses feel empowered, they will however rely on physicians’ order or the bureaucratic system rather than their ability and creativity to make

Patient education is also one of the most important aspects for patient to understand the important of their health. One ways to do that is by the “teaching back” or “show me” method. Having patient repeat to their care doctor or nurse until they do it correctly. This way it justified by the prospect of much better understanding and adherence (Juckett, 2013). It is also important to truly understand the culture when caring for the population.

The requirement for excellent skills of communication in healthcare is paramount in delivering optimal care and in facilitating health promotion. Good communication ultimately leads to increased patient satisfaction and is one of the key elements in providing patient centred care. Conversely, it is inevitable that patients will become distressed with health conditions when skills of communication are mediocre (Reynolds, 2004). Furthermore it must be recognised that effective communication extends beyond client and clinician and also includes carers of elderly patients whom may be involved in joint decision making. Hence the importance of the integration of the carer into the multi-disciplinary team.

3. The DSM codes are noted as medical or billing codes from ICD-9-CM. The BCACC declares the RCC’s scope of practice is to “assess, evaluate, diagnose and treat behavioural, cognitive, social, mental or emotional issues, problems or disorders” (Board of Directors, 2003). This quote suggests that the RCC is qualified to read and understand the DSM-5 diagnostic codes. According to the letter from the clothing company Ms. Smith was diagnosed while hospitalized with code 295.10.