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Importance of reflective teaching
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I want to discuss the value of the family conference in managing distress to families of children who have life limiting conditions.
I thought I would start by explaining why using a multidisciplinary approach, such as the family conference, has value within my own practice.
As an educator it is my job to provide a stimulating, safe, fun environment with every opportunity possible to enable me to help the students in my care to reach their full potential. I am currently working with students who have profound and multiple learning difficulties, many of them have life limiting conditions and as such have a high degree of dependency. My students require specialised management for their physical disabilities, sensory impairments and complex
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Using the model of reflecting back, to allow and encourage a connection gives them a feeling of being understood and ‘listened’ to. It is a basic need to be listened to, we can all relate to that feeling, a problem shared is a problem halved. Often the family are able to find their own solutions to their problems which enable them to participate, engage with professionals and make decisions emotionally charged or not from this type of dialogue. I believe that on a theoretical level this philosophy is routed in the work of DR Carl Ransom Rogers (January 8, 1902 – February 4, 1987) and DR Murray Bowen (31 January 1913, 9 October 1990) Supportive listening is recognised in psychosocial palliative care and is one of the strategies used in coping and communication support (CCS) an intervention used with older patients diagnosed with late-stage cancer to relieve distress. (Powazki and Walsh, 2014) states within this paper that a key principle is that the family comprises the unit of care and is encouraged to participate. Its effectiveness relies on their engagement in collaborating with treatment plans. The supportive listening facilitates this process. The family conference allows for it to come to fruition. Managing family …show more content…
(Powazki and Walsh 2014) This empowerment of patient and family is at the heart of The Family Conference. Without this the conference would not have any value. The empowerment of the family is evident at family conferences in my practice via the use of the parent and patient questionnaire collated before the meeting takes place. This questionnaire is a simple user friendly ‘prop’ for the parents to use within the session, it is also our reference of what they will want to discuss during the meeting, so we can be prepared for them. It is something they compile away from the conference, they can write their questions, issues, fears whatever is important at the time. It is a way for them to effectively communicate their thoughts they are in effect making the action plan with their ideas, opinions and advice. This has tremendous therapeutic value. It is a way for them to prepare for the meeting. It can help them to create order and relieve any worry that they may have about the conference thus empowering them. I believe that to discuss and write down these questions before the meeting is therapeutic in that they are putting it out there with the understanding that there may be solutions or support. People often fear the unknown more than they fear the known.
...d with fears and those fears rule us. They can make us confess to things that are not true or can make us accuse other to take blame off ourselves. The fear incited by others and our governments is a dangerous thing that we should be aware about.
The addition of fear is sometimes too much for people to handle. As if they didn’t have enough already” (Baker 1).
“When you say 'fear of the unknown', that is the definition of fear; fear is the unknown, fear is what you do not know, and it's genetically within us so that we feel safe. We feel scared of the woods because we're not familiar with it, and that keeps you safe.” – M. Night Shyamalan
Any medical meeting regarding my Dad’s care she was present. I remember the doctor thought my father would benefit from going to a rehabilitation center before going home. Yet, the doctor would not have the meeting unless the therapist was present. The medical family therapist helped the doctor articulate the benefits of the rehabilitation center. As our book indicates the family therapist is the support that the system needs when a problem enters a family and can help the family find ways to deal with and support the patient (Metcalf, 2011) All the major obstacles that my father went through with not being able to go back to the line of work he had been doing for the last 20 years. In addition to losing his Driver's license for three years she was able to help my father deal with it. The therapist even explained the feeling we were having as a family. My dad who is the sweetest man alive became very angry and combative. Therefore the family sessions we had helped us to understand what he was going through, and how to address certain
natural that, as humans, we fear what we do not entirely understand simply because we know what will
Involvement of the family is a big part of the collaboration and also with patient-centered care. Family at that moment may have in site information that the patient isn’t sharing
...health while going through cancer. In this case, their family leads to the emotions that can impact the patient’s health and decision-making.
Experiential Family Therapy is a therapy that encourages patients to address subconscious issues through actions, and role playing. It is a treatment that is used for a group of people in order to determine the source of problem in the family (Gurman and Kniskern, 2014). Experiential Family Therapy has its strengths and weaknesses. One of the strengths of this therapy is that, it focuses on the present and patients are able to express their emotions on what is happening to them presently. The client will have time to share everything about his/her life experiences one on one without any fears. As a result, it helps the client in the healing process because, he/she is able to express their feelings freely and come out of the problem. Therefore, in this type of therapy, the clients are deeply involved in solving their issues. It helps clients to scrutinize their individual connections and to initiate a self-discovery through therapy, on how their relationships influence their current behaviors (Gurman and Kniskern, 2014). By examining their personal relationships through experiential family therapy, family members are able to
Here researchers evaluate the effect of a proactive communication strategy that consisted of an end-of life family conference conducted according to specific guidelines and that concluded with the...
Wittenberg, E., Saada, A., & Prosser, L. (2013). How illness affects family members: A qualitative interview survey. The Patient: Patient-Centered Outcomes Research, 6(4), 257-268. doi:10.1007/s40271-013-0030-3
Goldenberg, H. & Goldenberg, I. (2013). Family therapy: An overview (8th ed.). Belmont CA: Thomson Brooks/Cole.
Palliative care involves the holistic care to maintain and improve the quality of life of the patient and family during hospitalisation until the terminal stage. Palliation of care refers to the multidisciplinary approach of providing comfort and support for the terminally ill patient and family, thus has an important role in maintaining and improving the quality of life of the whole family. Chronic illness such as cancer gives a physiologic and emotional burden for the patient and family. Education and counselling of the possible options as well as treatments for pain and other symptoms that could help alleviate anxiety, suffering and discomfort. Palliative care provides assistance for the family as a channel for communication between the
Inclusion: Patients’ family members, relatives, friends, and partners should also be included in the process of care and support as it fosters mutual relationships among them and also care outcomes.
It is through these resources that an individual or family gets the help required to overcome their health care obstacles. This approach understands that family is a small segment of a larger group and that these segments interact on an ongoing basis. This approach is mainly used in the community nurse setting.
The term ‘Therapeutic communication’ identifies the way in which a nurse and patient interact, with the main focus being on advancing the emotional well-being of a patient; (Sherko E., et al, 2013) nurses will use this to deliver support and information to Edna. Effective communication skills are essential within nursing and are often seen as one of the main skills necessary for nurses to support patients and their families (Bramhall E, 2014). There are many forms of therapeutic communication that can be used in