I arrived at my office today at 10:00am, armed with a Starbucks cappuccino, a Fiji water bottle, and my laptop. I am greeted with a sweet smell of vanilla initiating from a glade plug-in. I look out the window and see massive buildings, hundreds of tiny cars whoosh in all directions, and I see people that are dashing among the busy sidewalks of New York. Above it all is a perfect clear and sunny sky that just happened to brighten my mood just by looking at it. . I sip on my cappuccino while thinking about today‘s appointments. I think of the patients I am going to see today and what procedures will be done to help them progress with their conflicts. I start wishful thinking and imagine if I were to help any of them make a breakthrough today and how happy I would be to feel the sense of accomplishment knowing that I helped someone completely overcome an issue. I was suddenly determined to take my career to a new level of accomplishment. I notice that I finished my cappuccino and have been sipping on air for the past five minutes. I laugh at myself and toss the empty cup in the trash. Then I fall back into my thoughts and thoroughly think over how I am going to help one of my patients that has experienced a difficult tragedy in their life and cannot stop dwelling on that incident. They have been my patient for quite some time and regardless of what advice and treatment I apply to them, they seem to just stay stuck feeling remorse for themselves. Her name is Ava and the main conflict that is keeping her from making a breakthrough is that she does not understand why such a horrible situation would occur in her life. She cannot correlate a reason as to why this occurrence would happen to her of all people. I went about my day and treat...
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...lders and files of the patients waiting to be treated, the confidence I have in myself when I am giving someone advice, the way I worked so hard to be able to say that I love my job. I'm exultant of how eager I am to come in here every morning and I never want the day to end so I can stay just a little longer because helping people brings joy to my heart. It makes me feel valuable and that I actually have a constructive reason to be here. I left work with a smile on my face because I know that someone is starting to look at life from a whole new perspective which is going to cause them to live a much more positive and productive lifestyle, and it is credible to me. I enjoy knowing that I have the ability to put people at ease while still having somewhat control of the situation. Many people can only dream of what I have, therefore I am grateful for every moment of it.
The case would be approached with the notion that a persons' way of thinking affects their feelings and actions regarding any particular situation. Approaching the case from this perspective forms the basis for cognitive behavioral therapy (CBT). The CBT approach allows the individual to develop a positive response to life challenges even though the situation may tend to remain similar. CBT focuses on learning, unlike other psychotherapeutic approaches which rely in abundance on analyzing and exploring individual's relationship with their immediate environment. The therapist’s role in CBT is to guide the patient through a learning process on how to develop and implement new methods of thinking and behaving throughout
Suzie, a new clinician, really wants her clients to know that she cares about them. During therapy, she empathizes with her patients by telling them detailed stories about her personal life. Further, she gave each of them her cell phone number so they could contact her whenever they needed.
While John is under a great deal of stress, he is in the hands of seasoned professionals who all share the same goal, getting John better. St. Luke’s, a medical center geared towards helping veterans, has provided John a knowledgeable health care provider team to help meet his needs. John’s interprofessional team is being put together by John’s primary care physician, Dr. Jackson, and his licensed clinical social worker, Tessa. The team is kept small due to John’s reservations about opening up to people. The rest of his team will consist of a veterans affairs representative to help John seek any veterans benefits he is entitled to, as well as a mental health case manager. Lastly, a CNA assigned to help John integrate into life in a home with others while he tries to get a handle on his depression and Alzheimer’s.
If a physician of high standing, and one’s own husband, assures friends and relatives that there is really nothing the matter with one but temporary nervous depression- a slight hysterical tendency- what is one to do?...Personally, I disagree with their ideas. Personally, I believe that congenial work, with excitement and change, would do me good (Gilman 1).
“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
The authors of Lying Down in the Ever-Falling Snow objective is to expand the understanding of compassion fatigue by studying what it is like to experience the condition. They discuss the results of their phenomenological study of health professionals from a variety of aspects, with the intent to display a description of a comprehensive range of compassion fatigue experiences. The purpose of this paper is to provide a commentary as to how the healthcare professional can begin, and continue, to recover from compassion fatigue. The key factors identified by Austin, Brintnell, Goble, Kagan, Kreitzer, Larsen, and Leier, (2013), for the recovery of compassion fatigue, is discussed and augmented by additional studies that have been reviewed and summarized. In conclusion, why this topic is important to health care and the potential research possibilities will be considered.
The adrenaline rush felt from trying to undress the patients and get them in to a bed before they deliver while walking is truly amazing. Not to mention the excitment that is felt knowing that I can make a big difference in saving a babies life. For example, whenever the babies heart rate drops down below 100 we rush them over to the critical part of L&D monitored more closely. Knowing that it is under my hands to get the baby rushed over in a timely manner and knowing that every second matters is a great feeling. There have been other moments of despair in labor and delivery. I have had moments where I can't help but cry with the patients. About a year ago we had a patient in a room who was an older women. She had been pregnant six times and all pregnancies terminated due to miscarriage. I remember this women laying down in the bed, I was by her side when the doctor confirmed that the baby was dead and they couldn't get a heart tone. As a medical assistant I did everything that I could under my ability to comfort her. I called her husband to come to the hospital and I stayed in the room to comfort her until his arrival. At this point of my life I am fully committed to my goal of becoming
After a long day at work, I collect my thoughts and review the previous events of the day. An event that clearly stands out in my mind is a conversation I had with an elderly resident at my work. Over the past two years, I have worked at a retirement home called Grand Wood Park as a dietary aide, where it is my job to serve the residents their meals. When I was at work, one of the residents mentioned something to me I had never considered prior to our conversation. She said she feels as though no one cares about her anymore. Her family members do not come and visit her, they have ageist ideas, misconceptions, and often undermine her mental capabilities. I tried my best to reassure her, but I knew this was not enough since my reassurance would
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...
Formulation of Problem/Needs: The client 's presenting problems are caused by her mother’s emotional verbal abuse. In spite of all, her emotional problems Ana maintains a positive outlook towards her future. Ana demonstrates self-determination as she clearly expresses her current issues. She struggles with overeating because she feels unloved and worthless. Ana is seeking services to overcome the resentment she feels towards her mother. She is requesting help to manage her coping skills and reduce her feelings of depression. According to Ana these feelings started at a young age. Ana’s current challenges are learning to cope with her mother’s verbal abuse. Anna will arrange monthly meetings with her social worker to talk about what methods she’s used to coping with her depression. Ana agrees that she needs to find positive away to communicate with her mother. Ana also stays that she wants to learn to be selfish and break free from the traditional stereotypical life of East LA. Ana would like to begin addressing the following
During my community placement of the cataract clinic at St. Joseph’s Hospital, one patient I observed looked extremely anxious and when I took a further look and watched her behaviour more closely, I recognized the concepts of stress and vulnerability were playing a key role in how she perceived the upcoming operation. I seized an opportunity to quietly speak with her and she explained that she had not received an adequate amount of rest the night before and the travel down had been exhausting. She also expressed concerns of being fearful about going into the operating room. I overheard a nurse earlier ask the group as a whole if anyone wanted an ativan to ease anxiety and the group consensus was no. I felt that because it was unanimous, she may have been embarrassed if it was only her that requested it. My concern for this patient was for her to remain comfortable and provide any healing initiatives that would reassure her that she was safe. I took it upon myself to advocate for her and asked if she would like an ativan, explaining it would provide a calming effect. She agreed and I asked one of the nurses if I could a...
Upon my exit from the Rehab Center, I consider my interaction with the patient who had spin my new world upside down. Thrown completely off guard, I realized two things: sickness can change people into something you, or even they, might not expect, and the second, I don't take things personal. No one wants to be sick or in the hospital by any means, and as a nurse student it is part of my education and professional obligation to hold my anxiety and disappointments of my patient’s odd behavior. Finally I promised to myself to deal with people at their worst, and always have positive attitude toward them and try to heal them back to their best.
I feel that I am now growing in knowledge, experience and confidence, and that I am becoming more aware of my own beliefs and values, and also how they affect my nursing experience, and those of others. Finally, with regards to this placement, I must mention my most satisfying experience of my nursing career so
When choosing what to study in college I knew that whatever I choose to study had to involve helping people. I grew up caring for others. Helping people was something that was instilled in me by my family at a very early age. So, to me the most rewarding feeling is to know that I helped someone. As a LPN, it will be my sole purpose to help others that are sick or unable to perform daily task for themselves. The simple fact of knowing that I will be helping others every day will give me a sense of accomplishment and purpose.
Camie my field supervisor has an app on her phone that plays a gong sound every hour. When it chimes she takes at least one minute to take deep breaths, close her eyes and relax. Angela, another filed supervisor listens to a recording of rain while working. Last month the Life Crisis department posted a bill board asking crisis workers and supervisors to share their self-care choices. Some of the activities shared were, baking, float trips, coloring and kick boxing. Working as a crisis worker is draining. After a few weeks on the lines I began to understand the necessity for self-care, I began to be more aware if the need to take time to detox and replenish myself, however my schedule was so full it was very hard to work in the personal