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Characteristic of anger
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This is a reflective essay based upon my experience that I had during my three week clinical placement in the hospital. The main aim of this reflection is to explore the importance of communication and interpersonal skills in the clinical placements. So in this paper I am going to reflect upon an incident with a particular patient with whom I communicate verbally and non-verbally most of the time during my placement. In contrast to this incident, I am going to use Gibbs model of reflection which consists of 6 stages that are description, feelings, evaluation, analysis, and conclusion and action plan. Description:-During my placement, in second year I was working in surgical ward .This was my second day on the placement ,I was informed by mentor …show more content…
When I cared and communicate with Sam I found that why he was so aggressive and angry. I notice that he was a smoker he do not have smoking from two days which makes him angry. Moreover, he do not have wheel chair in his room he was confined to his bed and therefore he lost his autonomy. According to NMC code of professional conduct (2008) nurses have to treat patients with respect and maintain their dignity. I feel so angry and thinking that I had to be questioned that why Sam’s requests were ignored by …show more content…
It is helpful in maintain therapeutic relationship between patients and health professionals. Poor communication skills leads to poor outcomes in the patient care (Pincock, 2004). According to NMC 2007 identified communication as an important skill in nursing profession and to become a register nurse students should have to be competent in this skill. In relation to Sam’s case nonverbal and verbal communication skills are required to tackle with his aggressive behaviour.(Berman.et,al,2010).As Sam’s body language showed that he was angry and tense according to peate,2006 when the patient is angry and aggressive it is require to use nonverbal communication skills while interacting with them. Nonverbal communication refers to bodily and facial expressions and touch among others ().In contrast if we approach Sam with empathy ensured if that we understood him and his participation in communication is valued it will help us to settle his aggressive behaviour. ().Sam’s aggressive behaviour was also one of the barrier in the communication. It may be due to withdrawal of cigarettes and nurses overlooked this symptom which leads to frustration among sam. He had no means of mobility to be able to leave the ward for a cigarettes .so this makes him angry. According to pepula (2004) theory of interpersonal relationship person get frustrated and angry when
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...
Overall, I retain three goals for this clinical day: Safely and efficently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. This week reflects my assigned time to administer medication in a health care setting for the first time, with a resident who retains nearly twenty medications. I except this experience will be a great learning experience, but it will also subsist slightly stressful. With the assistance of my FOR, my goal is to administer all of my resident 's medications without complications. To ensure that medication safety, I will perform the six medication rights and three checks prior to administration. Along with medication administration, a goal
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 AA meeting I attended took place at a church. The church that holds the meeting has a beginner AA meeting that meets Monday nights at 7 pm. However, I decided to go to the regularly meeting which takes place an hour later at 8 pm. I felt as though I would get more out of the regular meetings and get a sense of what regular AA members talk about. Before arriving at the meeting, I was a little anxious because I felt like as though I would be out of place, and I would be intruding on the members who come to the meetings for support. Also before attending, for some unknown reason, I imagined the meeting would to be similar to AA meeting featured in movies. Contrary to what I thought, the meeting was completely different. When I arrived at
In order to engage in meaningful communication and develop effective communication skills, nurses must engage in the process of reflecting on how communication skills are utilised in practise. Reflection allows the nurse opportunity to gain a deeper insight into personal strengths and weaknesses and to address any areas of concern in order to improve future practise (Taylor 2001). A further aim will be to reflect on how communication skills have been utilised within nursing practise. Various models of reflection will be examined, and a reflective account of a personal experience which occurred during placement will be provided using a model. This reflective account will involve a description the incident, an analysis of thoughts and feelings and an evaluation of what has occurred. Fin...
Therapy Analysis The purpose of this paper is to examine the efficacy of my work as a co-therapist during the fifth session with the simulated couple Katy and Michelle. I will discuss our therapy agenda and the goals we hope to attain during the session. It is prudent to begin by giving a brief outline of the couple’s present problem and the patterns of dysfunction that I have identified within their relationship. In my opinion, it is the therapist’s job to recognize patterns and behaviors that disrupt the intimate bond between the partners.
These are Verbal, Non-Verbal and Written communication. Verbal communication refers to spoken contact between individuals, Non-Verbal is unspoken communication such as body language and written communication that uses a different pathway such as a letter. The success of verbal communication is dependent on precise, well defined, clear and age appropriate contact (RCN 2015). For example, a paediatric patient’s diagnosis may be approached with a less detailed account of the illness, thus not to confuse the individual or provoke fear. Furthermore non-verbal communication constructs a large percentage of paediatric nursing cases, due to circumstances where verbal communication is not possible. Patient-oriented care is vital for growing an understanding of the individual’s non-verbal signs of pain, which expressed the importance of actively looking for distress signals (Mattsson 2002). Finally written communication acts as the record keeping and documentation element of nursing care, which is a fundamental skill for all medical staff (NMC 2002). Incorrect written communication can lead to individual missing key changes in a patient’s condition thus leading to a potential fall in a patient’s health (Inan and Dinc
Especially since nurses in the course of their day-to-day work need to be able to act autonomously and make appropriate clinical judgements (9). Reflection can be of value in making sense of difficult situations, as it allows one to clarify the situation for themselves and the outcome is to have a changed perspective which enables the nurses to improve his or her clinical judgement (2). Thus why, it is imperative nurses engage in lifelong reflection which recognises its value for professional growth and development and improvement in the quality of patient care (7). The Gibb’s model of reflection, for example is a great tool that nurses can use daily to help improve these skills.
This reflective essay will discuss three skills that I have leant and developed during my placement. The three skills that I will be discussing in this essay are bed-bath, observing a corpse being prepared for mortuary and putting canulla and taking it out. These skills will be discussed in this essay using (Gibb’s, 1988) model. I have chosen to use Gibb’s model because I find this model easier to use and understand to guide me through my reflection process. Moreover, this model will be useful in breaking the new skills that I have developed into a way that I can understand. This model will also enable me to turn my experiences into knowledge that I can refer to in the future when facing same or similar situations. Gibbs model seems to be straightforward compared to the other model which is why I have also chosen it. To abide by the code of conduct of Nursing and Midwifery Council (NMC) names of the real patients in this essay have been changed to respect the confidentiality.
During the course of my fieldwork hours I was provided the opportunity to attend several Intervention Team Meetings (ITM), also known as Student Study Team meetings (SST) within my district. In the Rialto Unified School District if a student is experiencing difficulty with class work, behavior, or attendance the teacher or an administrator can refer the student for an ITM. The referral process includes the completion of an ITM referral form along with the items requested. The form is then submitted to the school’s administrator to communicate with parents to inform them of an ITM date. Depending on the severity of the student file the ITM team can request the presence of the school psychologist or a special education teacher.
The ASPD patient will attempt to manipulate the nurse in order to gain access to certain privileges that could be harmful to the unit (ex. access to weapons, drugs, alcohol, interacting with vulnerable people etc). However, manipulation for patient’s with ASPD is not always about controlling another person. Some patients use manipulation was an “attempt to soothe internal feelings of fear” (outofthefog.com). Because these patients feel as though their feelings take precedence, they have a tendency to minimizes the feelings of others (outofthefog.com). Nevertheless, this behaviour is destructive and needs to be assessed by the nurse promptly.
From the beginning, where we were unfamiliar with each other and became a team, my team and I had started to learn each other name and getting to know each other. Throughout each meeting, we slowly start to feel more comfortable and open minded with each other. Not only are we getting familiar with each other, each meeting that was held we progress of becoming an effective team member, we learn our strengths and weaknesses of everyone. During the meetings, we learn many concepts from the textbook, “Communicating in Small Groups: Principles and Practices” by Steven A. Beebe and John T. Masterson. We were able to learn different types of concept in the textbook and utilized it as a team to complete certain tasks. The three concepts that impacted my team and I are human
On January 27th 2017, I attended a community wellness meeting, where several speakers discussed the new development of affordable housing, an alternative to traditional in-office therapy, and the proposal of a new proposition for at risk of incarceration 18 to 25 year olds. The meeting was open to the public, but mostly county workers and social service members were in attendance; those who had direct involvement with the topics being reviewed. The purpose of the meeting was to view the building plan and layout for the new affordable housing development. One of the key speakers was from Gateway Mountain Center; the speaker and his co-workers work with children up to age 18 and use nature as therapy. The mission of their agency is to focus
The first meeting consisted of brainstorming ideas around student issues, including how to recruit students, to retain students, and to help them achieve their goals. To provide my coworkers with time to think about the issues, I sent out the overarching topic with the meeting invite one week prior to our scheduled meeting date. This allowed them the opportunity to gather their thoughts, and several of them attended the meeting with a list of ideas on the topic already. When I asked for ideas to start off the process, one coworker volunteered a couple of ideas she had written down, and the rest of the generated ideas were piggybacked on her initial start. At the end of our meeting, we reviewed the notes they had brought with them to make sure the ideas that had initially written down was covered in some way.
For these past two meetings, we as a team perform conferences that practice us to the real-world setting. During these weeks, I have noticed weaknesses of myself and the other members of the team. Our experiences show how an incomplete knowledge of one’s profession and role in the team can affect the flow of the conferences and the decision as a group. Through these, it contributes to better understanding of our mistakes and gives a perception of how to improve our ways that will meet the standards for the real-world setting.