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Effective patient clinician communication
Effective communication and patient care
Effective communication and patient care
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Working as the Prenatal Intern at the Family Health and Birth Center has exposed me to many rewarding opportunities. To begin, I was able to learn a lot of vital information pertaining to maternal and child health as I helped coordinate and lead out Centering group activities and discussions. The role I played in prenatal group facilitation helped me to develop my commutation and management skills. During prenatal group sessions, I had the opportunity to engage in conversations with the moms that were in attendance. We discussed their fears and excitement in regards to their current pregnancy. My time spent with the group enabled me to gain the trust of patients, making them feel at ease to truthfully discuss personal and sensitive topics with me. Facilitating group discussions also enabled me to learn pertinent information pertaining on …show more content…
Assisting in this task increased my patient interaction as well as enabled me to practice communicating with patients of diverse background. One of the first task I made sure to complete when I first arrive to the clinic was to create a list of all the well child visits for the day. I then use this list to remind myself of all the patients I have to speak to about diaper request. I try to keep an eye on the schedule to catch the patient while they’re still in the waiting room. However, most of the time I’ll end up going to their designated room while the medical assistant is taking their vital. I would always knock on the door before entering and would ask the parent of the child if she would like diapers for her child. A lot of the patients were really grateful and would openly discuss their gratitude with me, which made me even more excited to do my job. After distributed the diapers to the patient, I would create an encounter on the electronic clinical works to capture my interaction with that
Sarah should first assess what type of tasks the LPN has experience doing, is comfortable doing, and her normal routine on the postpartum unit. She should explain to the LPN the normal routine or pace on the med-surg floor and determine if the LPN has any questions regarding the flow. Sarah and the LPN should both meet with the nursing assistant so they may become acquainted and encouraged to work as a team. This would also allow for Sarah to advise the LPN of what tasks the nursing assistant usually completes and assists her with. Sarah should then show the LPN around the floor, the rooms she will be assigned to, and where the medical and general
With meeting new people you will analyze patient data to see their strength and weakness. Also with meeting new people it usually 98% face to face discussion, 87% through electronic. 83% respond better with a team or group, 79%
Maternity care used to be and still is at some facilities segregated into three departments; intrapartum, postpartum and nursery. This care is often called “transitional” care, and has been described as “rigid and inflexible” (Waller-Wise, 2012). During my obstetrics rotation, the transition to family centered care was observed.
It was during my 4th year sub-rotation in family practice medicine that I became fascinated about pursuing a family practice specialty. During my rotation, I worked with an attending physician who was in an Obstetrics and Gynecology fellowship and observed prenatal visits, deliveries and non-pregnancy related visits from members of the same family. The experience increased my knowledge about the different opportunities to provide comprehensive care to patients and be committed to building healthy family lives. I was intrigued about the opportunities in family medicine to provide services to populations of all ages without any limitations to gender or diseases.
One objective is to utilize the most powerful tool at psychotherapy’s disposal; the group experience. By one individual sharing their experience within the group, the other members are able to identify their similar experiences and work toward their own growth. Group therapy also increases self-awareness of clients in order for them to think introspectively in order to make a change in behaviors, increases social comfort, allowing exploration of new behaviors, provide and obtain support, develop communication skills, and promote interactions with others using truth and
Throughout history mankind has come up with some wonderful inventions and innovations, but out of all the creations by far the most beautiful and precious is human birth. I first developed an interest in nursing and in particular midwifery years ago. I believe it is a great service within the health profession because of the privileged position to assist in human childbirth. The word midwife means with woman. Centuries before obstetricians delivered babies, midwifes assisted women in having at home births. But it was only formally established as a profession in the early 1900’s. A nurse-midwife is a registered nurse that specializes in midwifery. The job of midwife is to assist in family planning and birth control advice, provide general gynecological services (such as pap smears and breast exams), aid women in childbirth, and help women by providing prenatal and postpartum care. Nurse-midwives are required to have a Master’s of Science in Nursing (MSN) degree and pass the American College of Nurse Midwifery (ACNM) board examination to obtain certification.
It is important to understand what women commonly experience during pregnancy. With a better understanding of what happens during prenatal development and childbirth, physicians can competently develop the best plan for the mother and baby. I interviewed two women who have been previously pregnant in order to evaluate how the ideas in the book translate into real-life experiences.
Emily is a neonatal intensive care unit (NICU) nurse of 11 years. Emily routinely provides care for babies as small as 800 grams (about 1 and ¾ pounds), babies born with drug addictions, and the routine twins and triplets born as a result of fertility medications and assisted reproductive technologies (ART). As a strong Christian woman, Emily wasn't sure she could fulfill the tasks required of her when she first came on. Nor did she think she could cope with the occasional “expiration” of a young life. However, after more than a decade, Emily continues to provide exemplary care to babies, and parents alike, in the first few weeks and months of life. Throughout her decade long career, Emily has seen much change and continues to see the landscape transform within her small part of the nursing community.
In the world of midwifery, women in particular are the main focus of primary care. In addition, it is about being with the women, in partnership with the women and delivering women centered care. In the perspective of midwives, it is important that women view midwives as the supporters of their journey rather than midwives doing their jobs. (Carolan & Hodnett, 2007). Midwives are the primary providers of maternity care. They have the role and responsibility to deliver continual care throughout a women's naivety and ensures that the women receive optimal care and support. Over the time of pregnancy and beyond, women and midwives have the time to create trust and develop a sense of bonding with one another. Antepartum, intrapartum, and postpartum
I remember something that Ana said during our interview: “My biggest influences are my repeat moms. They encourage me and love me as a good friend, and I know they will support me and have my back no matter what.” It strikes me that the relationship Ana develops with her clients is genuine and long-lasting. From the first meeting to the day your baby is born, Ana is with you every step of your pregnancy, which lies in stark contrast to the revolving door of doctors, nurse practitioners and residents you might encounter during a medically managed pregnancy and childbirth. The service that Ana provides to this community is selfless and driven by a passion for helping women. My hope is that midwifery will be recognized in Kentucky as the untapped resource that it is, and that hidden treasures such as Ana will have their chance to shine.
...rs to deal with any problems that arise from the group. It is important for them to be alert to the risks of the group. To reduce any unnecessary risks, I will understand each member’s limits, respect their requests, be invitational and not dictatorial, describe their behavior and not be judgmental, and avoid harsh verbal confrontations. These risks will also be discussed during the initial session of the group. I will counteract psychological risks by using various techniques such as blocking, caring confrontation, questioning, and assessing. I have taken precautionary measures as well by contacting my mentors and consultants and alerting them about the risks of the group I am running. If there is an ethical or legal concern, it will be documented and taken to a clinical supervisor. In addition, I have liability protection and malpractice insurance in place.
In conclusion, I have once again learned new information pertaining to issues and ethics in therapy, but more specifically group work, which prior to reading this chapter I really didn’t know too much about. I really found the idea of co-leadership interesting and all of the various issues when it comes to confidentiality. I had also never thought about the effect of termination without discussion within a group and how this could hurt other group members. I moreover liked the idea of the screening process and ideas to prepare for participants of group.
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.
Certainly, I began with the goal getting of his vital sign and giving him a bed bath. Fortunately I had practice how to take a vital sign and giving a bed bath before my first clinical at the university skill lab and I had developed this confidence before my clinical tour. That day will be mastering the skill which I had just learned in manikins, and applying in real human with huge safety precaution. In between morning my instructor was giving me a brief before I getting to the patients room. From her experience she knew what kind of challenges and a patient behavior can be I face. As I proceeded to my own patient, I hit a roadblock that would give me a flat tire for the rest of the shift.
However, nurses in the maternity ward have expressed their deepest concerns about meeting the needs of first time mother on discharge education during their stay in the hospital. Some of the nurses’ concerns include the lack of time and the amount of information they are required to equip the first time mothers to care for their newborn. Mothers have also reported dissatisfaction with the discharge education provided by the hospital. One of which that causes their frustration was the inconsistent breast feeding information and the need for more information about newborn care which was not covered by the hospital. (Barbara L. Buchko C. H., National Center for Biotechnology Info...