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Key concepts of therapeutic communication
Reflection on therapeutic communication
Key concepts of therapeutic communication
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I found my last two clinical practice days to be both a great learning opportunity, and a realization that I have to reshape my goals and explore why I am so challenged to working in a linear fashion and better manage my time. By improving on this, I will make less mistakes, document at the right time and facilitate nursing interventions such as medication administration, timely pre and prost medication assessments and client teaching opportunities and healing initiatives.
I was fortunate to have two different clients this week with too completely different and complicated medical history and diagnosis. One client with ulcerative colitis, ileus, type II diabetes mellitus and the other client had left foot necrotic ulcers, CHF and atrial figuration
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She used her empirical knowing of anatomy, physiology and pathophysiology make an inference that allowing his bowels and GI system to rest was important to decrease the inflammation, pain and discomfort. This empirical knowing was also evident in her knowledge of type II diabetes and nutritional management. She knew with the client’s decreased nutritional intake that he was in danger of a diabetes complication without adequate nutrition. Intuition was also evident in her knowing that all the signs and symptoms he was experiencing would indicated that resting his digestive system with adequate nutrition was important to the care of this client’s. She also used unknowing because it was not 100% confirmed is the client had an ileus and if the parenteral nutrition would work. However, with the client’s condition being somewhat critical with this diabetes, she collaborated with his HCPs to get an order for …show more content…
She demonstrated appropriate boundaries and professionalism mixed with just the right amount of compassion and empathy with her clients. This is something I will strive for and set some goals around this. I know I tend to get caught up in discussion and will need to find that balance where I professional in my skills and relations, but can demonstrate empathy, compassion and make time to listen to my client’s. Fine tuning my relational capacity is paramount when caring for multiple patients as I will only have short periods of time to engage with my
provide the care that her patient so desperately needed and deserved at that moment and
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
Our course, Transition to Professional Nursing, is barely two weeks old and already I am being enlightened and challenged to expand my experience of nursing. I will attempt to explain my personal journey and experience thus far including how and why I got here, my beliefs about nursing and related values, and my visions for the future.
For this assignment I had the pleasure sitting down with Emily Petermeier and getting an insight on what the real nursing world is like. Emily graduated from the University of Minnesota School of Nursing in May 2015, and got a job at Fairview East Bank Hospital. This interview really helped me understand what it is like to be a new nurse and the dedication that I have to have going through nursing school and throughout my career. In the interview you will see the perspective of Emily’s endeavors after college and insight for future nurses or nursing students.
Looking back on my goals for this clinical day, I would state that I did meet my goals. My overall goal was to become familiar with the clinical setting and the tasks that I would be asked to complete, and I feel that I completely met this goal. As the day progressed, I found myself receiving more exposure to the clinical setting and how to effectively perform skills. Following the concept of safety, I do feel that I met a majority of my goals for safety. During the day, I was able to explore my assigned patient, both by viewing her medical record and by interacting with her directly. This process sanctioned me to acquire the necessary information for my three primary diagnoses, medications, and the start of my concept map. While working with my assigned patient, and other patients on the floor, I remained aware of my surroundings and implemented safety precautions when needed. In the process of patient care and safety precautions, I relied on my therapeutic communication skills to drive my interactions with the CNAs, the nurses, and the patients on the floor. Of my goals set, the only one that I did not completely accomplish was working on all of my beginner skills. Two of the skills I did not get to practice were feeding and bathing/showering. Because I did not receive exposure to these skills today, I plan on making sure I practice these two skills on the next clinical day. Overall, I am pleased with the first clinical day and everything I was permitted to accomplish.
The development of knowledge requires a number of processes in order to establish credible data to ensure the validity and appropriateness of how it can be used in the future. For the healthcare industry, this has provided the ability to create and form new types of interventions in order to give adequate care across a of number of fields within the system. Research then, has been an essential part in providing definitive data, either by disproving previous beliefs or confirming newly found data and methods. Moreover, research in itself contains its own process with a methodological approach. Of the notable methods, quantitative research is often used for its systemic approach (Polit & Beck, 2006). Thus, the use of the scientific method is used, which also utilizes the use of numerical data (Polit & Beck). Here, researches make use of creating surveys, scales, or placing a numerical value on it subjects (Polit & Beck). In the end the resulting data is neutral and statistical. However, like all things its approach is not perfect, yet, it has the ability to yield valuable data.
After completing registered nursing school in 2006, a few years later, I obtained a bachelor’s of Science in Nursing in 2016. Over the last 10 years, I have tried to look for inefficient procedures, finds ways to streamline them, and consistently have striven to boost the productivity of everyone around me. Working as a nursing supervisor an area hospital for the last 3 years, I have tried to promote healthy patient outcomes. I understand the need for procedures but I also try to maximized the time spent educating the patients and family. By allowing time for good explanations to both the patient and family development of an understanding their disease process can occur. This empowers them to make informed decisions and promote health improvements. Throughout my career in nursing, I have tried to successfully communicate and partner with other members in
This time, I decided to be more talkative and ask more questions about the patients. My senior nurse showed me a patient who fell down a couple flight of stairs and due to his accident, he injured his brain severely to the point where he couldn’t speak anymore. She explained to me all the medications that he had to take and how she had to look up the patient’s lab report because the medications he takes might affect him in different ways. After she was done with looking up his lab reports, I watched her feed the patient for an hour and thirty minutes. During this time, I really felt bad for the patient because he was half-awake and half-asleep while eating. It saddened me how we had to disrupt his resting time to feed him before he could take his medication. After the patient was done eating, I watched the nurse give the patient Lovenox, which I learned was given to patients who are immobile in order to stop blood clotting. After giving him his medication, we had to transfer him off the bed and into a chair, which was my favorite part about this clinical observation. I got to physically help move him off his bed and into a chair. This took 3 nurses, including myself to move him and it made me realize how nursing really requires teamwork. I then got to help clean him up and after changing him, it was time to leave the hospital. This clinical observation made me really excited to be a nurse because I
Throughout my final ten weeks at my placement, I have grown and overcome so many obstacles. I have accomplished a wide range of skills since the beginning and have been improving on them as I gained experience. At my placement as a student nurse, I have gained a lot of confidence, skills, knowledge and experiences that have helped me act and work in a professional way. All the experiences I have had during the ten weeks of my student years have helped me in shaping me into a professional.
I am working as a staff nurse at one of the Integrated Management System (IMS) accredited hospital in Sarawak since 2014. I qualified as a Registered Nurse with a Diploma in Nursing in year 2007. My first year I have been working in a multi-disciplinary ward. We cover a range of specialties including minor and major surgeries. The health care team in my ward consists of 1 Unit Manager, 20 staff nurses and 15 care assistants.
I came into the day with a better plan of care. I organized my orders so that they were all clustered together and I didn’t have to constantly be moving from one task to the next. I was also confident that I knew how to take care of my patient. This is the day that I wanted to focus more on my client’s concerns and teaching. I think that I did well with my client teaching.
As registered nurses (RNs) we have the capacity and the scope of practice to be leaders to our patients, their families, and our colleagues, to ensure health promotion is being maintained throughout the lifespan (CARNA 2008a as cited in CARNA, 2011, p. 5). Within this important role of nurse leader, we are called to advocate for social justice by emphasizing the importance of equity for all (Canadian Nurses Association (CNA), 2008, p. 2-3). This can be accomplished through reflection by nurse leaders in order to identify factors or attitudes which put people at risk for disparities in health. Strategies can then be explored which may mediate improvement in health for the affected people (CNA, 2008, p. 20; McIntyre & McDonald, 2014, p. 5).
“ Today was my second day and the patients from the previous day were all located in the same room. The room was a contact precaution room and one of the three patient was new to me. Mr. Ardlley stated to always take the report at bed side so you can question the out going nurse about anything and do a quick assessment. The patient Mr. G.I was very confused and admitted with ischemic stroke. He had bilateral mitten restraints in place because he was interfering with treatment. I checked the pulses of both hands and made sure that I can atleast two fingers under the mitten for tightness. Restraints charting were to be done every hour.The patent was on a cardiac monitor and Tachycardia was noted. The heart rate was between 120-135 while the patient was resting.
As a result of the aging nursing workforce and maturing population, the demand for nurses is tremendously increasing. The Human Resources and Services Administration (HRSA) has projected 2.8 million shortage of nurses in 2020. This deficit corresponds to an increase in the demand of nursing faculties. We must encourage our enthusiastic nursing graduates to pursue higher levels of education and advance their nursing practice to teach back and help in molding and guiding new nurses. I interviewed a Nurse Educator to gain insights as an advance practice nurse and acquire a flea in the ear in developing my career as well.
Having the chance to experience clinical rotations on the telemetry, medical surgical, labor and delivery and postpartum floors so far have been incredible. Although, throughout these last few months, I have certainly seen many nurses converse and behave in ways I would never imagine a registered nurse to. From these experiences I learned easier ways to quickly set up equipment, how to properly address situations when the family is present, and how to effectively communicate between doctors, physical therapists and case managers. As for the nurses who improperly cared for their patients, those nurses will be examples of who I tell myself I will never become.