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Patient clinician communication
Communication within a health context
Good communication in health care
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Upon receiving MM in to care I was focused on caring for an acute care client and not one at the end-of-life. In reflection I felt that my client was not going to live much longer, but I did not know it would be only a few short hours after I left my shirt that she did pass away peacefully (this was share with me from a fourth year nursing student who was at her side when she died). Unfortunately I was not able to meet or communicate with MM’s family to help support them through this transition of life. I was able o come to know that MM had 5 supportive children and an elderly husband whom come to visit after my shift. This was comforting to know that they were able to say their good bye. As far implementing healing initiatives, I felt
Final Gifts, written by hospice care workers, Maggie Callanan and Patricia Kelly, includes various stories detailing each of their life changing experiences that they encountered with their patients. Hospice care allows the patient to feel comfortable in their final days or months before they move on to their next life. This book contains the information considered necessary to understand and deal with the awareness, needs, and interactions of those who are dying. Not only are there stories told throughout the book, there are also tips for one to help cope with knowing someone is dying and how to make their death a peaceful experience for everyone involved. It is important that everyone involved is at as much peace as the person dying in the
God tells his children, “He will wipe every tear from their eyes. There will be no more death or mourning or crying or pain, for the old order of things has passed away” (Revelation). Death is one of the most frightening and confusing times a person can go through. Watching a loved one pass away is also one of the hardest trials a person can experience. Many people assume that death is a time of pain and the only thing that they can do is mourn and watch their loved one fade away from the earth. This is wrong. There are ways that people can turn a bad situation to good. Dying doesn’t have to be painful and full of suffering. The County Hospice staff makes sure of this. The Hospice staff not only takes care of passing patients physically, but they also take care of the patients emotionally and spiritually. Hospice staff also plays a key role in helping families during the grieving process.
Charalambous, A. (2010). Good communication in end of life care. Journal of Community Nursing, 24(6), 12-14. Retrieved from EBSCOhost.
On February 14th I spent a day doing something I never thought I would do in a million years, I went to hospice. I always thought I would hate hospice, but I actually didn’t mind it too much, it isn’t a job I see myself doing in the future but it is a job that I understand why people do it and why they enjoy it. During this observation I was touched by how much these nurses really seem to care for each of the patients that they have.
Today’s clinical experience truly affected me in multiple ways. I went into this day with an open mind, and was pleased with the patients and the way I was able to conduct myself. This clinical affected me because throughout the day I felt that I experienced many emotions. A few times during my day I did have to fight back tears. I felt I had this emotion because some of the individuals expressed how they wanted to get better in order to get home to their families.
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
... support for people with cancer. The story of the patient and his family is inspiring, encouraging, informative, also comforting, all at once. This book has given me new understandings as a student nurse about how I should look at our patients, their families, and their caregivers. As a family member that played the role of caregivers they took their concerns and fears to God, they had the strength and courage to face their painful journey. I learned how to deal with the most complex of challenges which includes fear, denial, and how to find the way to spiritually prepare the patient and the caregivers. The most important part that cough my attention was the genuine compassion from the nurses changed and helped the family to reach that internal peace by giving the greatest care to the terminally ill and encourage the family to find the spiritual peace and comfort.
Nurses are both blessed and cursed to be with patients from the very first moments of life until their final breath. With those last breaths, each patient leaves someone behind. How do nurses handle the loss and grief that comes along with patients dying? How do they help the families and loved ones of deceased patients? Each person, no matter their background, must grieve the death of a loved one, but there is no right way to grieve and no two people will have the same reaction to death. It is the duty of nurses to respect the wishes and grieving process of each and every culture; of each and every individual (Verosky, 2006). This paper will address J. William Worden’s four tasks of mourning as well as the nursing implications involved – both when taking care of patients’ families and when coping with the loss of patients themselves.
Outpatient care is the setting the I have the most experience in working in. However, I was still able to learn something new during the panel. I learned about the type of patients that I expect to see in this setting mostly is back pain, shoulder pain, and knee pain. In the next 5 years I see myself working in an outpatient setting. I do not think I will like fast pace evniroment of acute care. I;m also worried about the physical demands of a SNF . Outpaitent care requires the least amount of lifting , compared to toher physical therpay settings. The slower pace evniroment of outpatient care,is the type of evironemnt I enjoy working in the most based on previous experience. The shoulder have been my favorite joint to work on in the time
This care includes supporting the people I care for in their journey through life, encompassing their mental, physical and emotional make up. I see this approach as a shared world view between my nursing peers and myself, and other health care professionals. Goals that I encompass in my everyday practice and that I find important to uphold would include providing safe care, high quality care, promoting a safe environment and increasing my personal knowledge base. All these goals will have a positive impact on the patients helping them return to health, improve health promotion or provide comfort care. Another goal is to lead by example, through showing compassion, understanding, empathy and the ability to respect the decisions of others. I believe that the key to providing this type of high quality care rests on the foundation of nursing
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
I have had the opportunity to care for wonderful individuals, each of whom have contributed the fabric of my personal nursing career. Nursing is a profession of both joy and sadness combined. My career has provided me the opportunity to care for those I need. In retrospect I can say that my personal nursing tapestry is comprised of patients who were grateful to a care team, after being revived from suffering a sudden cardiac event, the smile of a trusting child, a hand to be held while working with hospice patients and their families. My current role is a case manager. I seldom have direct contact with patients who have chronic illnesses, yet I am gifted with their trust. I have been given an opportunity to support, care, respect, educate, collaborate and research practice improvement initiatives. I continue to formulate my own nursing philosophy daily. While I experience daily encounters that allow my tapestry to become more colorful and detailed, I allow myself to set new goals. My final nursing goal, is to become a nurse practitioner. I can see myself in the next year working in an academic capacity in becoming a leader in rural health improvement and proficient at educating patients with diabetes and other chronic conditions, speaking at national events, advocating for patients and playing an active role in health policy. In five years I can see myself being ready to embark on another
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
The interdisciplinary course is a core requirement in the after-degree nursing program as it incorporates the principles of self-directed learning and promotes critical thinking, which is an essential element in nursing practice. As a final year nursing student, I believe that knowledge from this course will enhance my ability to provide patient-centered care.
I want so bad to help them see that there is hope, that they have so much to live for. I am literally in the process of learning that I can be myself. Having compassion and empathy doesn’t mean feeling what the patient is feeling; having compassion and empathy simply requires seeing them for who they are, being present with them, and being who I am. I think compassion and empathy in these times looks like coming with no agenda. We understand people more when we seek to understand, rather than seek to be understood. My approach is quickly and currently being molded to one filled with taking the time to see people as they are and listen well. We as nurses (and as people) will not be able to give our patients a reason to live, unless we first take the time to learn why they want to die. Healing needs to come in different ways for