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Working with the elderly population
Social work and aging
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Recommended: Working with the elderly population
From my research about countertransferential (CT) reaction, I learned that working with the elderly can be anxiety provoking due to the physical limitation they may have. Therefore, social workers may pity and isolate the patient, which can affect the patient’s wellbeing (Atiq, 2006). By knowing this, I told myself that I will not pity and isolate the patient. Instead, I will show empathy and explore possibilities of change to help the patient with whatever physical limitation he may have. When I first met the patient to complete the psychosocial, he appeared to be sad and he was unwilling to answer any questions. I was empathic with the patient and I explained to him the importance of answering the questions by saying that the staff at the nursing home needs the information in order to meet his needs. After I explained this to him, he started to answer the questions on the psychosocial. While completing the psychosocial, the patient stated that he has not been doing well mentally and physically …show more content…
However, after the patient told to me that I could not possibly understand how he is feeling about the death of his mother and that I should leave now. At that moment, I decided to share my story about losing my grandmother with the patient. I used self-awareness while sharing my story with the patient because I did not want the patient to feel sorry for me. Instead, I wanted him to to see that I do understand what it is like to lose someone. According to James, “Keen self-awareness of feelings and life experiences can help professional caregivers who work with older adults -- they can use their own internal responses to their clients as a tool for achieving a deeper level of empathy and for responding in helpful ways” (Morgan, 1994). Therefore, by using self awareness to share my story, I was able to get the patient to see that I understand him and that I empathize with
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.
In the few minutes that it takes to do a physical assessment, a breathing treatment, a bath, or a gastric tube feeding, we could engage in 5 to 10 minutes of eye to eye contact, therapeutically reminiscing with our elders, and in doing so could possibly influence the health of our patients profoundly. With the collective efforts among health care workers, it could eventually turn out to be a measurable cause and effect when thousands of injuries that occur every year, as a result of the many effects of Depression begin to show a significant decrease because of our joint efforts of Reminiscence therapy. Then we would see it as a preventive safety measure just as important as administering the right medication to the right patient. Perhaps then we would never have to face regret of dismissing the benefits of such a therapy that could have been bestowed upon our elders (who needed the reminiscing in the last stage of their life in order to find inner satisfaction and ward off depression). Let it not be said: Benefits that were never brought into fruition, because it simply wasn’t facilitated by us, their Health Care
Today’s clinical experience truly affected me in multiple ways. I went into this day with an open mind, and was pleased with the patients and the way I was able to conduct myself. This clinical affected me because throughout the day I felt that I experienced many emotions. A few times during my day I did have to fight back tears. I felt I had this emotion because some of the individuals expressed how they wanted to get better in order to get home to their families.
A memorable occasion that involved difficult social communication occurred shortly after the death of my grandmother. My mother expressed her desire to continue paying my grandmother’s refinanced mortgage so the home and land could remain within the family. As my grandmother’s primary caretaker up to her death, my mother had spent the past few years watching the woman who raised her wither away. She exhibited symptoms of depressions such as; not finding joy in things she once did, insomnia, and decreased appetite.
Studies have suggested that empathetic nursing may positively affect the quality of nursing care, contributing to more positive outcomes in regards to the health and well-being of patients, in various degrees of ill health. Hojat (2007); Mercer & Reynolds, 2002, Raudonis, 1993). In contrast, Slaby (2014) believes that empathy has a ‘blind spot’ of imposing only the personal perspectives and life experiences of that nurse onto the patient, this therefore may lead to assumptions which could prove demeaning and incorrect. Raudonis (1993) research contradicts Slabys viewpoint, and notes in his qualitative study of 14 terminally-ill patients (in a hospice environment), that empathetic care resulted in better pain management, higher morale, and improved quality of life as well as an impression of being better acknowledged, accepted and cared for. This disproves Slaby’s (2014) point of view as Slaby implied that empathy was presumptuously driven, individualistic and selfish, and so discounted empathy as being driven by genuine concern for the patient.
According to the College of Nurse of Ontario (2006), empathy is one of the five key components of the nurse-client relationship and is one of the most powerful tools. You don’t need to know how your patient feels to be empathetic but letting them know that you are trying to understand is a good start. It can be used to describe a variety of experiences and had been defined by emotional researchers “as the ability to imagine what someone else might be thinking or feeling” (University of California, Berkeley). Having the ability to empathize doesn’t mean you will or that you are willing to help someone in need but it is an important first step towards a compassionate
Communicating with someone who has a life-altering illness is not an easy task. A person needs to have compassion, patience, and listening skills. I have seen firsthand how a caring healthcare provider and having an attitude of optimism can prolong a person’s life.
His unique perspective sheds light on the importance of empathy, trust, and mutual respect in this relationship. Kalanithi discusses the transformative power of truly listening to patients, of understanding
While routinely preparing the patient for his procedure, which involves placing multiple ECG leads and cardiac mapping patches, this nurse noticed the patient looking very apprehensive. This nurse stopped preparations and asked the patient if he was okay and if he had any questions. His eyes became a bit teary. This nurse reached for his hand, which he squeezed, gratefully. An explanation ensued regarding the purpose of each piece of equipment in the room, the placement of each patch and the purpose of the same, and why so much equipment was needed. At this point, the patient squeezed this nurses hand and related that he had just needed that moment to connect with someone. He was having an anxiety attack and just did not know how to let anyone know. After a quick squeeze, preparations resumed, and the procedure started. Later in the day, the patients’ wife stopped this nurse to let her know how much she helped her husband calm his fears before the procedure. Being present for the patient does make a
the patient's life and feelings to get an understanding of what the patient goes through on
An experience that imprinted on my mind recently, was employing empathic listening to a ninety-four-year-old woman, who confided her eighty-nine-year-old secret of being sexually abused by her father. To console, empathise and appropriately reiterate her feelings, whilst offering her coping mechanisms, as a student was a huge undertaking. But, through theory I was able to apply the “Power as Knowing Participation Change Tool”; although at that time, I didn’t recognise it (Barrett & Caroselli, 1998). In my patient’s confession, she wanted to be released of the burden, along with the nightmares and post traumatic seizures that she had, so she could pass freely into the next world. The realization of the potential, that I possess to influence; and the power that we pertain as nurses is beyond my previous connotation of what being a nurse would be (Barrett & Caroselli, 1998). It symbolically leads me to think of the Scales of Justice.
While people can tell someone about all the fun times and experiences they shared with the patient, these things wont be real to them; they’ll just be stories. People are shaped by their beliefs and experiences. With a new set of experiences and beliefs a person becomes someone entirely different. While they still have the same identity, they are inherently different.
Upon returning to work, Jack changes his outlook towards his job, his coworkers, patients and his interns. He teaches his students exactly what it will feel like to be the patient. He was able to take his experience and teach others the importance of communicating empathy in the healthcare field. He is now able to look past his patients’ illnesses and treat them as patients with feelings and respect. The lesson he takes with him is was how important life is when we use the right communication.
Listening can be defined as empathy, silent, attention to both verbal and nonverbal communication and the ability to be nonjudgmental and accepting (Shipley 2010). Observing a patient’s non-verbal cues, for example, shaking or trembling may interpret as an underlying heart condition that may not have been addressed (Catto & Mahmud 2012). Empathy is defined as being mindful of and emotional to the feelings, opinions, and encounters of another (Merriam-Webster Online Dictionary 2009 as cited in Shipley 2010). Providing an environment conducive to nonjudgmental restraints allows the patient to feel respected and trusted whereby the patient can share information without fear of negativity (Shipley 2010). For example, a patient who trusts a nurse builds rapport enabling open communication advocating a positive outcome (Baker et al. 2013). Subsequently, repeating and paraphrasing a question displays effective listening skills of knowledge learned (Shipley 2010). Adopting a therapeutic approach to listening potentially increases the patient’s emotional and physical healing outcomes (Shipley 2010). Nonetheless, patients who felt they were genuinely heard reported feelings of fulfilment and harmony (Jonas- Simpson et al. 2006 as cited in Shipley 2010). Likewise, patients may provide
Working as a clinical social worker in the Washington, DC area with patients diagnosed with life-limiting illness such as, Huntington’s disease, Parkinson’s, Multiple Sclerosis and Lou Gehrig ’s disease (ALS), has taught me to be dedicated to a person-centered approach to therapy with patients and their families. Person-centered care is a trend that has been building in the social work community over the last few years. And I had considered the idea of person-centered care as a decent and noble practice. I now wholeheartedly trust the patient as the most salient guide in developing their own treatment. My most valuable work with patients is to listen and learn from each one, and let them determine their goals. The person in person-centered