Reflection is an important part of development and growth for all medical professionals. It gives us a chance to assess our assumptions and make active change in our behaviour towards both our patients and our team. This essay will specifically reflect on what is important in the doctor patient relationship. In order to provide direction for this reflection I chose to watch and review Patch Adams.
Patch Adams is the story of Hunter Adams; a man who, upon reaching middle age, suffers from depression and considers taking his life. Instead of doing so he checks himself into a psychiatric hospital. He is checked in by a man who seems to be an orderly. And while this man appears to care about the patients, he does not seem to think twice about calling
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Patch disagrees with this, he believes that they should have contact with patients from the beginning so that students are taught to treat people and not just their illness. Through an unrelated series of events, Patch gains a white coat similar to those the third years wear, and decides to sneak onto the wards. What he experiences there is a whole host of issues caused by the behaviour of the doctors. The doctors and nurses have a bad relationship as the doctors are in a "superior" position. The patients are referred to as their age, gender and condition; which is spoken about in detail in front of the patient, without them being acknowledged. And the hospital is a very sombre environment, with little stimulation or distraction for the unwell. I have observed this sombre atmosphere in many hospitals, and though I understand the reason for the quietness and lack of clutter, I feel as though this causes restlessness and apathy in most people. Although I am young and need quite a lot of stimulation throughout my day, there is often little to offer in a hospital for any age of patient. Patch decides to rectify the sombre atmosphere by visiting patients and getting them to laugh. He is able to get through to many patients this way, encouraging them to eat, or keeping their spirits up in palliative
“A healthcare provider’s bedside manner encompasses their medical knowledge, personality, and ability to understand the patient and communicate their concern for them.” (Britt). Although some individuals don’t see the importance of communication and emotional connection with patients in the medical field, doctors who have problems properly interacting with their patients will have a lower chance of success in healing them. Doctors receive so much education but are never taught proper bedside manners, which is the way that physicians interact with patients. In order to ensure a patient’s comfort, psychological well-being, and physical health, a physician must truly understand their patient.
In the healthcare system many times patients are just patients and appointments are just appointments. The outlook on the patients and appointments all depends on the area of practice and the health professional themselves. Working in the emergency department, the nurses and doctors there typically do not see the same patient more than once and if they do the chance of them remembering them is slim to none just for the simple fact of the pace of the department. When it comes down to Physicians in the hospital setting, the care is not just quick and done. Great patient to healthcare professional relationships are formed and for some it may feel as if they are taking a “journey”(209) with their patients as they receive their medical care. This essay will be based off the book Medicine in Translation: Journeys with My Patients by Danielle Ofri, in which Ofri herself gives us the stories of the journeys she went on with several of her patients. Patients are more than just an appointment to some people, and when it comes to Ofri she tends to treat her patients as if they are her own family.
In the medical community there appears to be a divide between disease-centered care and patient-centered care. Both Charon and Garden, readily acknowledge this. Charon explains how although doctors can boast in their “impressive technical progress,” and “their ability to eradicate once fatal infections,” doctors often lack the abilities to recognize the pain of their patients and to extend empathy (3). Charon further adds that “medicine practiced without a genuine and obligating awareness of what patients go through [empathy] may fulfill its technical goals, but it is an empty medicine, or, at best, half a medicine” (5). Often, doctors fail to remember that their patients are more than just a person with cancer or a congenital heart defect — they are human, a whole person with dreams, aspirations, and fears. According to Charon, “scientifically competent medicine alone cannot help a patient grapple w...
The purpose of this essay is to reflect and critically study an incident from a clinical setting whilst using a model of reflection. This will allow me to analyse and make sense of the incident and draw conclusions relating to personal learning outcomes. The significance of critical analysis and critical incidents will briefly be discussed followed by the process of reflection using the chosen model. The incident will then be described and analysed and the people involved introduced. (The names of the people involved have been changed to protect their privacy) and then I will examine issues raised in light of the recent literature relating to the incident. My essay will include a discussion of communication, interpersonal skills used in the incident, and finally evidence based practice. I will conclude with explaining what I have learned from the experience and how it will change my future actions.
“The Doctor” presented interesting and emotional concepts accurately representing the philosophies and behaviors of many medical professionals. Perhaps its viewing would be beneficial by members of our medical community, and provide a framework to the personalization of patient care.
I will be using the Gibbs, G. (1988) model of reflection to reflect upon for this essay, as this six stage cycle will guide me through the process of description to the action plan, as I find myself to be an active/reflective learner and feel that I can relate to, and learn something that is of value to my practice, and future career and lifelong learning skills through this model of reflection. Throughout this reflective account I will refer to the patient as Mr X, in order to respect confidentiality and maintain his anonymity (NMC) (2008), and local trust policies and guidelines (2009).
The ability to become reflective in practice has become a necessary skill for health professionals. This is to ensure that health professionals are continuing with their daily learning and improving their practice. Reflective practice plays a big part in healthcare today and is becoming increasingly noticed.
Reflection has its importance in clinical practice; we always seek to be successful and that can be achieved by learning every day of our life through experiences we encounter. In that way we can reconsider and rethink our previous knowledge and add new learning to our knowledge base so as to inform our practice. Learning new skills does not stop upon qualifying; this should become second nature to thinking professionals as they continue their professional development throughout their careers (Jasper, 2006). According to Rolfe et al. (2001), reflection does not merely add to our knowledge, it also challenges the concepts and theories by which we try to make sense of that knowledge. Acquiring knowledge through reflection is modern way of learning from practice that can be traced back at least to the 1930s and the work of John Dewey, an American philosopher and educator who was the instigator of what might be called ''discovery learning'' or learning from experience. He claimed that we learn by doing and that appreciating what results from what we do leads to a process of developing knowledge, the nature and importance of which then we must seek to interpret (Rolfe et al., 2001).
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 care that patients receive has the potential to improve in the course of reflective practice. Having a structure of reflective practice also has the potential to develop staff knowledge and to improve the application of professional standards. It offers the health care professional to make sense of complicated and difficult situations, acts as a method to learn from experiences and thus improve performance and patient care, identify educational needs, highlight barriers to development and ways of identifying improvements, and provide evidence of continuous professional development which is a prerequisite to the profession of nursing. In addition staff could become increasingly more motivated and empowered, better critical thinkers and self-directed professionals.
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.
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.
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.
Patch Adams is a movie about a person named Henry “Patch” Adams that self-committed himself to a mental hospital because he was struggling with depression. After seeing how people are treated he is inspired to go to medical school so he can treat patients better. While in the mental institution he notices abnormal behaviors in his roommate. While at medical school he experiments with conditioned social responses in people. He defines the norms in medical school by being one of the oldest people there and breaking the rules to go and see patients before his third year, and did not conform to the student body. After much mischief and struggle he finally graduates medical school and opens his own hospital called the Guesdentite Institute. A
I was very excited to have healthcare as the topic for my groups presentation, I’ve personally never had to deal with the logistics of healthcare or even needed to know how it worked. If I was sick I would go to the hospital or see a doctor and as long as they took my insurance, we were good to go. When we first started thinking about our topic as a group and the elements we wanted to add, we asked ourselves this: “What have we heard about healthcare but know nothing about?” the result was three main categories Medicare, Medicaid, and Obamacare. We assumed that as a group if we knew little about these topics, then there was a good chance no one in the class did either. Some of the things I found most interesting during the process of creating