I feel confident talking with my patients. I had a patient who has Hepatitis C and refused to take his lactulose medication. Every nurse complained about him and said he was giving them a hard time. I sat down with him and he explained how he doesn’t like when nurses come in and demand that he takes his medication. He told me that it’s not what you say it how you say it. He felt like they were rude and that they needed to respect their elders. I was very therapeutic and explained that we want to remove the toxins(ammonia) from his body and that he needs be consistent with taking his medication. I was sitting at his level and was gave eye contact. I discussed how I cared and the importance of this medication and he took his medication for me. I told him that we need to focus on his liver, so he can get better and get discharged. I told him that he needs to take his lactulose, because if he doesn’t it will prolong his hospital stay. He smiled and thanked me for listening to him.
What was your biggest challenge that was non-skill-related?
My biggest challenge was trying to cope with my patient who was diagnosed with Renal Carcinoma. It was hard,
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Even though, it was difficult continuing to work the rest of my shift, I pushed through. My preceptor was affected by the news as well. Talking about the situation with my preceptor helped me feel a little better. I went home and prayed for him and his family. I know I will never forget him. It’s just sad, because he doesn’t have insurance for outpatient chemo therapy and they were discussing keeping him on the unit to treat him.
This is a sad situation and I can’t imagine how much pain he is in. I think the reason it affected me so much, is because he is young and it could be me. I will continue to pray, because it helps me cope with the situation. I genuinely care about my patients and that’s the reason I always keep a positive attitude even when they are not in a good
You have to remember that patients are already in a fragile condition so, make it as easy as possible by using positive statements and questions. For example, use phrases like: "That will be more comfortable; that looks better; you 're doing a good job." It 's important that patients hold a positive image of the future. Ask about their family or vacation plans. Have them focus on something to look forward to and the good things in life. (5 skills, 2015) it’s also important to remember that you may have a clam patent but you have to remember the family member or friends that are around, again come down to their level for example a distressed child, don’t hang over them stoop down and talk to them face to face, and explain in a calm voice what happening and what you are going to do, this is the best way to communicate with a more likely effective
Leukemia. I had the pleasure of working on the Phase 1-Leukemia team for two years
I have developed a newfound confidence in myself that kills and professional competency. My interactions with patients and assertiveness in myself and to carry out a professional discussion and interventions. enhanced not only his communicative skills but as well as immediate reporting, analytical skills and extensive knowledge of the internal and external workplace. Further, becoming involved with committees helped him understand policy and the external situation, as well as government, councils, and regulation, and the way in which to administer the protocols around the plant and people. I have developed a successful rapport with patients, staff and external personnel. I once carried this apprehension and nervousness in patient interactions,
I enjoyed interacting with the patients, and my nurse. Karie, was amazing. She explained to me everything she did. The routine for each patient was very similar, and this repetition helped me anticipate what Karie needed and helped me feel fairly confident in assisting her with the new patients and their needs. On the other hand, I was extremely disappointed that I was not given the opportunity to administer an intravenous (IV) line. Karie was willing to allow me the opportunity after I watched her place an IV in three different patients, but her fourth patient was transported from a different hospital with peripherally inserted central catheter (PICC) line in place. It was beginning to get late in the day and the patients coming in was slowing down, so Karie told the nurses at the nursing station that I needed to practice IV’s, but no one had any to give. Although I was disappoint that the opportunity to insert an IV into a patient did not arise, I did gain much knowledge regarding the ODS unit. I am now familiar with the physical layout of the unit and what takes place with patients that go there. I know the role of the nurse. I was also given an opportunity to practice nursing diagnoses on a
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
Upon the first point of contact between a nurse and patient, the way a nurse communicates through words, gestures or facial expressions can affect the patient's perception of the nurse. Communicating professionally helps to portray the nurse in a good light. This is important as having a positive perception of the nurse's image and behaviour is crucial to building patient trust — one of the key elements of a therapeutic nurse-patient relationship (Bell & Duffy, 2009; Wadell & Skarsater, 2007). The need for the establishment of therapeutic relationship is supported by th...
They should feel that they are cared for by friendly, approachable, available, helpful and informative staff who can listen to them, offer them advice, protect their dignity, anticipate their anxieties and act in appropriate ways.” (Proctor). She explains the importance of patient and caregiver communication, as well as, the characteristics to portray towards a patient. When a nurse shows respect and acknowledges the patient that shows they are willing to have an open relationship to give quality
As a result, I always felt that I am actively participating in patients’ care. She allowed me to perform patient examinations most of the time and encouraged me to build up a good rapport with the patients. I think my past experience and medical knowledge was helped me lot during the history taking because I was able to go through history taking in a systematic manner and at the same time I could think of possible differential diagnosis. Furthermore, working in a medical clinic as a physician assistant also helped me a lot because one of the responsibilities delegated to me is taking patients history, however, this time it was different that I had to work out and actively think about a possible cause for patient concerns. The weakness I observe during history taking was sometimes I am little quick that might hurt the doctor-patient relationship, So, I am planning to improve my listening skill with less interruption to patients, I believe that might help the patient to express their concerns freely. Also, I am determined to listen to patients concerns in a non- judgemental manner to get the unbiased clinical
I am the first one in my family to go to college, I have been living my life showing respect to others with one basic principle to “always do my best no matter what it takes to be fair, honest and be responsive to everyone’s needs”. I learned through my career to be dependable, self-confident, humble, and honest and show respect and a positive attitude at all time. People that I interact with always told me that I have the ability to inspire others and the makeup of a leader. Being humble, caring, and compassionate are among my personal values. I know that my greatest strengths rely in the way I treat my patients, showing empathy, sympathy, patience and professionalism. I learned that developing a trustworthy patient/nurses relationship is very important in the management of patients care. I personally believe that a nurse needs to have high integrity and to continue to strive to stay up-to-date and knowledgeable to be able to provide utmost quality care to the patients.
The most challenging clinical assignment would have to be my very first clinical assignment where time management was a challenge for me. I didn’t want to seem too assertive towards my patients which caused me to get behind with obtaining vital signs, performing a head to toe assessment, and ADL’s in a timely manner. This was something I obviously needed to work on because as a nurse this can become a problem when caring for more than one patient. In addition to learning to be more assertive, I also had to learn to plan and prioritize care to be able to accomplish daily tasks effectively for my patient.
When a nurse walks into a patient’s room that is usually the first time the nurse is having a conversation with that individual. They are a complete stranger and must open up about some very personal issues. It is imperative for them to feel comfortable and open to the nurse since the nurse is probably the best resource and educator to the patient. Allowing the patient to ask questions and actively listening shows the patient that they truly do care. Some patients might get the worst nurses ever and as a nurse they are there in the midst of that and they have to instill faith and hope in that patient through counseling. Implicating all these roles is a nurse’s job and not only that but patients look up to them as superheroes or leaders. As a leader, they must ensure safety to their patient, attentiveness, and
Visiting your Doctor, seeing a Surgeon or being in the Hospital can be a very scary and stressful time. Hospitals and Doctor’s offices always strive to be better in any way possible. In health care, one of the largest areas that can be improved in is patient interaction. Being anywhere in healthcare is stressful and takes a special kind of person with good communication skills to perform their duties at the highest of their abilities. Explaining everything to your patient, allowing them to ask questions, letting them ponder on their options that the Doctor gives them and just being there and communicating with them is what every patient would love. Sadly, not all Doctors can perform at this level. Some people just do not have the skills that are needed. When such behavior occurs the patient is scared, not really “knowing” what just happened. What can we do to better the people we all look up to
It is essential for a nurse, or any medical professional, to not feel threatened so that way they are able to administer their best care possible. Every case and instance is different, no two patients or hospitals are the same. This is why individuals are stressing the act of becoming more personable with patients and the public because a treatment option that may be ideal and work perfectly for one case, may be extremely harmful for another. The goal of a nurse, or even the entire hospital/facility is to create a safe and welcoming environment in which they can provide essential care for each individual. Our intricate health system may be filled with varying degrees of controversy, but the public would be in dire situations without
you are going to do or if you are giving him medication tell them what you are giving and why you are giving it to them. If patient ask you a question and you do not know the answer, be honest with them and tell them you do not know and that you will find out (Durning).
On October 27, 2011 my father had passed away. He died of a heart attack. He was a truck driver for FED-EX Freight. He was getting in his truck but started having chest pains. My father has a history of heart problems and has had a heart attack before. Anyway, he lost control of his balance and fell out of his truck and landed on that pavement. The hard fall caused him to bash his head and knock the stints out of his heart. One of his Co-Workers came running toward him and discovered my father was unconscious. He admittedly called 911. The paramedics came and rushed him to the hospital but, it was too late. They lost him before they arrived. As of today it was the hardest day of my life. At the time I was attending East Central College. I remember getting a call on my way to class. I was completely devastated. Knowing my father and I did not have the best relationship so it was even hard to face. I remember pulling over because I was in no condition to drive. I knew that I had to be there at the hospital shortly because my family was waiting on me to get there so I could view the body. It is bad enough I do not take death all that great. Who doesn’t though?