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In my nursing career, I have dealt with numerous cases therapy sessions. The patients exhibited different characteristics like being quiet, some slow or even angry. It is my duty to assess the patient and review their background. In most of the assessments, my approach is being objective although I care about the patient’s response to actions or questions. For instance, I once encountered one patient who was slow in signing documents, responding, and putting into perspective their medical history. For the old generation, the behavior is quite common unlike in younger patients. When checking on the vital signs, and asking the patients about pain, I follow up with questions to understand the overall well-being of the patient. It is through therapeutic
A team led by RN, should mentally prepare their patients to understand their responsibility towards good health. This can be done by showing them special documentaries during their stay in the hospital, in a common room where other patients can also join them in a group of six to twelve. After the session, patients should be given a short comments form with multiple choice answers (Appendix A). The purpose is to check their positivity towards the message conveyed through the documentary. At this time patient's vitals should be checked and recorded for the future
Foremost, in order to know anything about your patient you must be in tune with your patient. This includes listening to what the patient is telling you verbally, as well as watching body language. I...
It takes a while to get to know yourself before you are able to care for another person. Studying oneself is challenging because it allows reflection of one’s inner self, exposing your strengths, weaknesses, vulnerabilities, interests, habits, defenses, and values. On the same note, it allows a person to be more familiar with the challenges he or she faces, how they might respond to certain situations, and offers an opportunity for learning and growth. Throughout this paper, I will discuss the various pieces of myself. I will consider my personal and professional life as a nurse, what I might employ as my mental model, which may limit my frame of thinking, how it has shaped me so far in my education, and how I relate to others.
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...
Pearson (2013) clarifies “clinical decision making is essential to every aspect of care delivered to a patient” (p. 214). It is the ability to blend information and make decisions that will later be implemented in the situation. Evidence-based decision making involves choosing from a variety of possibilities and combining the knowledge through research and the scientific evaluation of one’s practice. The purpose of this paper is to analyze my decision of administering ativan by advocating for the patient and anticipating her change prior to confirming signs; which provided a therapeutic response.
(115). In processing requests there is a request for understanding involvement, this means the nurse needs to recognize if there is a need for only what the client specifically asks for, or if further exploration of that clients need is required. (115). In empathic behaviors nurses are also required to use assiduous behaviors which include being attentive, having open posture, responding to verbal and non-verbal clues, eye contact (when appropriate), and allowing the client to express themselves. When offering the client this kind of time and attention, showing interest in issues, and clarifying issues the client feels encouraged to engage in their own healing. It is also vital for the nurse to engage in empathetic responses this helps show the client you understand how they are feeling. It is important to be aware of non-verbal clues in your client’s reactions and facial expressions. Open-ended questions also allow the client to explore and express their own feelings regarding their situation. (pg
The relationship is created to achieve a goal based off the patient's priority needs in which the nurse acts as the leader who guides the relationship to attain the end goal (Videbeck, 2016). The nurse can do so through teaching, answering questions, providing respect and counseling the patient. This type of nurse-patient relationship would be demonstrated in the clinical milieu by the nurse taking the time to notice if there are any changes in a patient's behavior then taking action if there are changes by asking the patient what they are feeling. If the patient opens up and talks about their situation, the nurse should use therapeutic communication skills such as broad openings to encourage communication, active listening, reflecting and others techniques (Videbeck, 2016). I have noticed many other demonstrations of therapeutic nurse-patient relationships in the milieu during my clinical experience.
Looking for any signs related to possible health issues. This is part of my head to toe assessment. While doing so I am constantly asking questions to establish a relationship with my patient. Developing the idea of learning their external and internal health and building an understanding of their core. Patients health changes daily so building a relationship as their nurse will help me to create ideal interventions to establish a care plan related to their improvement with their quality of life and health.
However, after my instructor left from the room, I reintroduced myself, and started a conversation, stating my objectives for the day. As I began to speak my actions while I administer vital sign, I was promptly damped by an expectedly attitude from my patient. Whenever I attempt speaking, I...
In the nurse-patient relationship, there are three phases that help the relationship develop. Craven and Hirnle (2009) describe the first phase, orientation, “consists of introductions and agreement between nurse and client about their mutual roles and responsibilities” (p. 329). It is in this orientation phase that first impressions are made a...
Nursing has always been a key career in the health care system. Although it is not often focused on in media and stories surrounding health care, nursing is a career of great importance. If any patient was asked about their experience at a hospital or a care center, many will mention the capability and care that they received from the nurses. The health care system could not function efficiently, if at all, if nurses were not present to perform their part. Nurses are more than just physicians support staff. Of interest in this paper is why people choose to study nursing in university or college. From students just graduating high school to mature student who have prior degrees or education, nursing is a popular choice as a path to study
My journey to finally realizing of becoming a student in this RN Executive Program has been a long journey filled with excitement and disappointing periods. I 've started this quest in the Summer of 2015 and here I am, two years later, starting my first class in the program, Nursing 301.
Interpersonal communication within the field of nursing is imperative in all areas to deliver a holistic positive outcome in patient care. Specifically, active listening, questioning with intent and reflective feedback ascertain an understanding of a patient’s health, illness, and healthcare. Active listening allows the patient to convey their concerns and presents the nurse with an understanding of the patient when implementing a personalised care plan. Questioning with intent builds an appreciation of the situation, and reflective feedback promotes improvements to enrich work ethics of the nursing cohort. Listening actively involves many different styles whereby information is gathered through verbal and non-verbal communication. Questioning
I think it is important that I clarify my own values to ensure that my care is client-centered. Self- reflection during care is also fundamental as it makes me aware of my actions and whether they are establishing a therapeutic relationship or doing the opposite.. Finally, I need to learn to be more empathetic towards my patient’s situations by being interactive, gaining insight and avoid being focused on the task and more on being with the situation. Some things that I will preserve are attentively listening, demonstrating attending behaviours and maintaining my patient’s dignity by ensuring privacy and
My reasons for selecting a career in nursing stem directly from my desire to help our prospering population and community. This career appeals to me because it embodies what I strive to become, a person of influence, a guide, a respected adult, a mentor, and a person that can be trusted and looked up to with great passion. Another reason for selecting a career in nursing has a lot to do with my current job position at Generations Elder Care. Working with the elderly community at this personal care home has enriched my life in many ways, including one for my passion of learning more about the nursing field. As I shadowed the nurses entering the facility I watched them do their assessments on the residents which has peaked my curiosity. I believe being a nurse presents daily challenges which are unique, interesting, and rewarding and that is another reason why I want to become a nurse. Knowing that I have helped someone in some way possible gives me a feeling of fulfillment and enjoyment that I never understood or had before. And this career offers just that, and that is exactly why I...