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Patient clinician communication 7 principles
Effective patient clinician communication
Effective patient clinician communication
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Meeting the Patient as a Person Prior to meeting a patient, their medical diagnosis, medication list, and lab values were provided. When studying the patient’s information, sometimes it is difficult to connect the information to an actual person, especially before meeting the patient. Also, I was still learning what the information that was given meant, especially in terms of the patient. Thirdly, my own personality and where my focus was assisted in preventing me from seeing the patient as a person in the beginning. Throughout my clinical experiences, my knowledge and background has expanded as I learn how to see a patient as a person by looking beyond their diagnosis or injury. During the clinical experiences, I witnessed how care does …show more content…
I am the type of person that when given a task I want to get it done, so that I can check it off my list. This was a difficult barrier that I needed to find a way to get past because it resulted in me not seeing a patient as a person. Instead of focusing on the patient, I worried about completing the task. Additionally, at my clinical experiences in the beginning, I was extremely nervous because I did not have any prior experience in the medical field, like working with patients. This inexperience caused me to be nervous, so I stayed completely focused on each task. For example, when transferring a patient for the first time, I focused on making sure I was using the gait belt and transferring the patient correctly. I did not interact with the patient as a person, but more as a task. I failed to consider their feelings besides assessing for pain. I did not take the time to really sit down and talk to them and learn about them as a …show more content…
It occurred while I was observing the patient’s dressing wound change. This time was different because the nurse was going to begin debriding the patient’s wound. The patient already experienced some pain with the wound change, so the patient was apprehensive to the debridement. The nurse explained what debridement was and that it could be painful for the patient. The patient then stated, that if they were to start crying, they wanted me and the other nursing students to leave the room because they did not want anyone that was not necessary to see them cry. That was a defining moment because the patient was not only in pain, but they were embarrassed. During this time, the patient expressed his vulnerability. Also, I could relate to the patient’s feelings because when I cry, I hate when people are able to see me cry and I hate it even more if someone acknowledges it or makes it into a big deal. The other nursing students respected the patient’s wishes and I told them that we would leave if they started crying. While the nurse started debridement, we helped to distract the patient by talking with them, having them tell us some stories and jokes, which kept them from focusing on the pain. I think the laughing and conversation relieved some of the patient’s pain because they were not focused on how much this was hurting. Also, the conversation allowed for the patient’s focus to be on
When we see patients, we must remember that we are not simply treating a disease. We are caring for people with lives, hobbies, jobs, families, and friends, who are likely in a very vulnerable position. We must ensure that we use the status of physicians to benefit patients first and foremost, and do what we promised to when we entered the profession: provide care and improve quality of life, and hopefully leave the world a little better than it was
For my first clinical observation, I was assigned to the trauma unit and it was not what I expected it to be. I thought the trauma unit would be fast pace and there would be nurses and doctors rushing everywhere, however, I did not see any of that. Instead, it was quite peaceful and this was probably because my clinical observation was from 10-12 p.m. When I met up with my senior nurse, she showed me a binder that contained all of her patients’ diagnoses, lab reports, treatments, and vital signs, which was a lot to take in because most of the terms she used, I had no idea what they were. After looking at the reports, she showed me a patient who had gunshot wounds on his back and abdomen. I could tell he was in a lot of pain by the tone of
A- Value seeing health care situations “through patients’ eyes”. The patient that I have chosen for this discussion is an elderly woman. Her diagnosis was a fracture of the left femur, which happened as a resident in a long-term care facility. Comorbidities include Alzheimer's disease and type II diabetes. She was described by other staff as being mean, uncooperative, difficult, and lazy; little did they know that I was a nurse at the long-term care facility and have cared for this woman many times prior to this hospitalization.
The clinical setting can be terrifying for a nursing student. Nursing students are not only concerned about properly caring for patients, but they have just as much concern regarding the techniques of how to properly address patients and their families in a manner which conveys the care and concern they wish to possess when they become registered nurses. Certainly, heightened levels of anxiety may inhibit a student nurse’s ability to make sound judgment calls with regard to appropriate nursing interventions (Foley, 2016).
and I recall one patient that would forever change the way I interact with patients. It was
Whittemore R. (2000). Graduate student scholarship. Consequences of not "knowing the patient". Clinical Nurse Specialist. 14(2), 75-81.
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
Looking back on my goals for this clinical day, I would state that I did meet my goals. My overall goal was to become familiar with the clinical setting and the tasks that I would be asked to complete, and I feel that I completely met this goal. As the day progressed, I found myself receiving more exposure to the clinical setting and how to effectively perform skills. Following the concept of safety, I do feel that I met a majority of my goals for safety. During the day, I was able to explore my assigned patient, both by viewing her medical record and by interacting with her directly. This process sanctioned me to acquire the necessary information for my three primary diagnoses, medications, and the start of my concept map. While working with my assigned patient, and other patients on the floor, I remained aware of my surroundings and implemented safety precautions when needed. In the process of patient care and safety precautions, I relied on my therapeutic communication skills to drive my interactions with the CNAs, the nurses, and the patients on the floor. Of my goals set, the only one that I did not completely accomplish was working on all of my beginner skills. Two of the skills I did not get to practice were feeding and bathing/showering. Because I did not receive exposure to these skills today, I plan on making sure I practice these two skills on the next clinical day. Overall, I am pleased with the first clinical day and everything I was permitted to accomplish.
Every Wednesday I was assigned a patient to attend to by a specific nurse who was also my supervisor in a hospital setting. My instructor ensured that this nurse followed my progress in respect to the way I was to handle the patient through written report. While taking care of the patient, I recorded various changes, he/she indicates towards recovery. I reported these changes to the nurse. While participating in this activity, I was expected to follow the strict guidelines by the instructor and nurse; as required by the rules and regulations, and code of conduct in nursing.
I have developed a newfound confidence in myself that kills and professional competency. My interactions with patients and assertiveness in myself and to carry out a professional discussion and interventions. enhanced not only his communicative skills but as well as immediate reporting, analytical skills and extensive knowledge of the internal and external workplace. Further, becoming involved with committees helped him understand policy and the external situation, as well as government, councils, and regulation, and the way in which to administer the protocols around the plant and people. I have developed a successful rapport with patients, staff and external personnel. I once carried this apprehension and nervousness in patient interactions,
Nurses are an equally important part of each client’s life. Nurses provide stable care to each client, answers their questions, gives medications and treatments, and assists with medical procedures. They also have the responsibility to explain to clients and family members what they should and should not do as they go through treatment and recovery. Nurses must quickly respond to patients needs. Every individual nurse has his or her own unique way of caring. There are so many ways to show caring that the possibilities are never ending. Nurse’s support, comfort, and help allow the patients to recover to the best of their ability. Their experiences in dealing with different patients that have unique situations on a daily basis helps the nurses become better caregivers. Therefore, every nurse is capable of demonstrating care in their respective environments.
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
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.
It is my responsibility to create a plan that works for each patient, and therefore, the rate-limiting factor in that is going to be the patient expressing their difficulties and failures with the plan, which allow me to make changes to make it easier for the patient. Without that transparency and feel of a safe environment, I will remain ignorant of the problems and needs of my patients, which severely limit my ability to serve
Being a doctor is serving others, understanding their needs and caring for them as a person. I think that speaking with patients is the best way to allow me to discover the various needs of different patients, allowing me to give them more satisfaction in the care process. Patients suffering from diseases often view things from a different perspective, making it hard for doctors to imagine the difficulties they are going through. Often, patients do not want to have to rely on the care of others, as it can be embarrassing and demoralizing for patients to require help for the most basic daily activities like eating or going to the toilet. Doctors may have to experience the condition or the treatment firsthand before they can comprehend what it feels like to be a patient and understand their expectations and desires from doctors.