Transference and counter transference is one of most important aspects of treatment between patient and practitioner. In a clinical setting we do not always have the opportunity to have consecutive treatments with the same patient and as a result may not be able to acknowledge or notice these occurrences. It is not often that I have the opportunity to see a patient on a regular basis or even twice for that matter. As a result, it is not possible for me to notice or recognize any transference that the patient my have towards me. At times however, I clearly know the impose counter-transference & boundaries issues which patient and I experience.
When my patients are of similar race or age range, I feel a stronger tide towards them. I feel they could relate to me and me to them during treatments. One case was an older Spanish patient which we had. I had strong counter transference toward this patient. He was older Spanish man, with a baldhead, and limping from a post-stroke. He was very energetic and had very high spirit. His personality and certain things he would say reminded me off my grandfather. After leaving the treatment room and coming back to give him a treatment he would be singing, which I though, “that’s is so typical of my grandfather, always happy.” I thought this man was adorable, having gone through so much and yet full of life. I felt very comfortable with him. I definitely felt I had some type of connection with him, I felt more sympathy towards him than other patients. Although, I felt this way towards this patient I did not express or demonstrate it. I kept myself focused and acted in a professional manner.
At the same time of this occurrence there were other things that went on pertaining to transference and counter transference. The Intern and I definitely had some type of strong transference and counter transference going on. There was a clash of personalities between the intern and me. We totally did not get along. I felt uneasy and that she did not want me there in the room with her. Why? I thought that maybe she felt challenged. I don’t know, but I felt I asked the patient questions that she forgot to ask. I also gave her my opinion about treatment principle, which I do not think she appreciated. With my previous interns, I was very much part of the intake and treatment process. The interns and I would ask questions. If one forgo...
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...lorida and that he bought a house. He told me I could stay over when I go down there. I say, “okay” just to be polite. He gave me his number and he asked me for mine. I thought “ I do not want to give you my number, are you crazy?” So I told him I had to go to class, I’ll call him when I go to Florida.
I totally felt comfortable with him until the moment he ask me for my number, maybe I remind him of someone or maybe by me giving him the extra attention I imply something, in my opinion I stayed very professional. All of sudden I felt uncomfortable, I felt he was invading my privacy, he was crossing the boundary by asking me for my telephone number. But I also felt that I could not tell him that it was inappropriate for me to give him my number. Maybe I felt this way because he reminded me of my grandfather and he might have been hurt if I reject his number, yet I was aware giving him my number was not the right thing to do, so I walked away.
I feel is very important to be aware of the counter-transference, transference and boundaries issues around the treatment area. Knowing how to address these issues to the patient is also very important, this is something I have to work on.
When I met my patient for this service project, I was unsure of how I should introduce myself and how I would explain my role relative to their care. My community health worker, Sherron, took all the pressure away from the situation; she had already established a relationship with my patient and I felt more like an invited member into a health care team rather than a new face with something to prove. Sherron had already taken steps to help my patient and I was an added benefit with pharmaceutical knowledge. I spent most of my time reviewing disease states and answering questions about drug therapy. My first interaction with the patient was the first primary care visit; I spent my time extracting medical information from the patient alongside the new physician. This first interaction lasted over an hour, there is no way the patient retained all the details discussed, however Sherron was keeping contact with the physician and was given copies of the patient’s medical record. Sherron kept in constant contact with the patient and was truly the best resource for information besides the patient
We instantly started talking about the film we wanted to see and proceeded to get our tickets together. After the movie, he politely asked if it was okay for him to hold my hand and I let him. We walked around the whole mall hand-in-hand talking about the movie we just watched. Then we went outside for a full-blown make out session in a secluded spot. The only reason we stopped was because security told us to leave the premises, we could have easily been there all night. My mom had dropped me off at the mall that night and so he offered to give me a ride home. Right before dropping me off he asked for me to be his girlfriend. And then he shared he was already falling deeply in love with me. I was so shocked by how fast it all happened and it all seemed like a dream to me. I agreed to be his girlfriend, but told him a benevolent lie when I also agreed that I was also falling in love with him already because I did not want to hurt his feelings (Alder, pg 97). Our first date was intriguing because it first felt like we were barely initiating our relationship, then experimenting, then straight to intensifying, all the way to integrating the relationship by the end of the night.
that staff should be able to adopt a model in the facility that is person centred care.. Jeon
This paper will also talk about the importance of self –care and what I would do, or things I could do to mitigate those biases and difficult reactions to clients and people that I am working with in a treatment team so that I am fully aware and not distracted by my personal reactions, to a case.
The information caused me to feel compassionate towards the intern. However, I realized that the intern was not completing task in a timely fashion, and therefore were not meeting deadlines. Based on the fact that I was aware of the personal conflicts the intern was having I did not report her lack of performance and at time I completed the work she was given. I decided not to report her to my supervisor hoping that there will be some improvement. Towards the end of the week, I realized she was taking advantage because, now I had to be completing both of our assignments. I decided to confront her, and took specific actions such as orientated the intern about the duties she was responsible for and inform her about her the seriousness of the situation. I also infomed her that if her productivity does not increase, I will have to report her to my immediate manager and it may also mean that she will not be able to receive the credits needed from this program in order for her to
I would like to describe my resent experience with the nurse. I visited the clinic to assess my health and immunity status. I needed to get referrals for blood tests and immunization. She invited me in. The nurse asked me for my preferred name to be addressed. She made sure that she and I were sitting at the same level. The nurse was making direct eye contact with me during whole conversation. She maintained my personal space. The nurse was actively involving me into communication. She was encouraging me to ask questions and was ready to provide needed information. She was making sure that I fully understood all nuances of the conversation when she realized that English was not my first language. She was avoiding the use of medical jargon to make the conversation easier to understand. The nurse was speaking in a soft, unhurried voice that expressed genuine interest. It was inviting for me to join the conversation. The nurse was very polite, respectful and caring. I obtained all necessary referrals for blood tests and immunization armed with all relevant information regarding it. This interaction made me feel impo...
It is important we understand how words and actions affect others. When given a cue from a patient, acknowledging we may have offended them may be difficult, but it’s also necessary in order to repair the potential break in the relationship. These cues may present themselves in the manifestation of a confused look, physically withdrawing away from the nurse, crossed arms, looking away, and other expressions of retreat. Taking a moment to sit beside a patient, not being afraid to hold their hand when appropriate, making eye contact when culturally appropriate, creating a warm and comfortable environment where the patient feels free to speak openly about their concerns without fear of judgment are just a few examples of ways we help the patient understand we are not sitting in judgment. Be willing to ask questions, though mindful of our tone and chosen words so as not to negate their truth and reality of the situation. Understand not all questions will be answered and that by simply asking, one may feel offended, and we should be willing to acknowledge the offense. We all have thoughts about other people, good and bad, positive and negative. How we express those thoughts, how express ourselves physically and verbally, how we communicate with our patient helps sets the tone of what we get back. Entering a room with a personal bias
I will also discuss the plan I created in order to successfully meet my learning needs prior to becoming an RPN, and how I will evaluate whether or not I improved in these two areas. Learning Needs / Goals The two areas I feel I need further development in are understanding the scope of practice for an RPN, and Intravenous (IV) therapy. Also, it is important to understand your role as a nurse to ensure the patients’ needs are being met, and to ensure you stay within your scope of practice while providing care.
them. If I can improve these skills, my patients will benefit as I aim to improve the standard
It was nearing 6 o’clock when I texted him saying that I was bored and asked him to come over earlier to hang out. He liked the idea and started heading towards my house. The sun was beginning to set making it harder to see where my house was located. My house is already difficult to find being tucked far behind a large group of trees and being located on a back road. I expected him to be at my house in under fifteen
I was shocked, talked to him, and foolishly gave him my phone number. He pursued me very hard and would stop by the places he knew I frequent. I went out on one date and got the same feeling I did in the dream. That date was an important lesson for me because I realized that the dream I had was indeed a premonition to warn me to not become involved with this man. I kept my distance and thankfully he got the hint. I found out later that although he was in his late twenties, he had been married three times! He obviously had issues with relationships and I had no intention of being wife number four.
A patient’s treatment needs may differ widely based on stage of their illness experience. Treatment for a newly diagnosed, moderately ill patient may be very different than the treatment of an end stage, seriously ill patient. In addition, working with patients in various settings as a part of their multi-disciplinary team requires an added consideration of the approach to the staff in the setting. Each patient care setting has a culture of it’s own and requires that a clinician be mindful of how to work with the staff as well as the patient in that particular
During my experiences working in the medical field, I quickly learned that medicine is not just about the intricacies of the body or prescribing medications to fix the body’s shortcomings. There are many more challenges and difficulties that are involved in healthcare that involve many interpersonal skills. This summer I have volunteered with the medical director at Glenaire Retirement Community in Cary, North Carolina. After a few weeks of shadowing, the medical director asked me to see a patient to discuss her primary complaints before he joined me. I went into the patient’s room, introduced myself, and waited for a response. After multiple attempts and no recognition from the patient, the physician came in to join us.
Meeting the Patient as a Person Prior to meeting a patient, their medical diagnosis, medication list, and lab values were provided. When studying the patient’s information, sometimes it is difficult to connect the information to an actual person, especially before meeting the patient. Also, I was still learning what the information that was given meant, especially in terms of the patient. Thirdly, my own personality and where my focus was assisted in preventing me from seeing the patient as a person in the beginning. Throughout my clinical experiences, my knowledge and background has expanded as I learn how to see a patient as a person by looking beyond their diagnosis or injury.
Having grown up in an ethnically homogeneous nation, I was not accustomed to interacting with people with different color and culture. Serving people from diverse backgrounds, however, helped me to understand and to embrace their differences better. I am thankful that I had the opportunity to work closely with people from a different culture than my own because as a future dentist, it is crucial for me to develop empathy toward my patients in order for me to treat them with