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Nursing Situation
As I reflect on my nursing career and patient encounters, I recall a situation that made a significant impact in the wholeness and wellbeing of the patient. As a novice nurse, I had the opportunity to care for Mrs. X, a 36-year-old Hispanic female, who was diagnosed with endometrial cancer and underwent a hysterectomy with bilateral oophorectomy.
During change of shift report, I was informed by the day shift nurse that the patient had a flat affect and did not show interest in engaging with others. Upon entering the room, I noticed the patient was staring at the wall and did not notice my presence in the room. I began by introducing myself and quickly noticed the patient did not make eye contact with me. As I began to interact
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I attentively listened while Mrs. X shared her feelings including her struggles to accept the truth of her situation. I was able to recognize and respond to my patient’s needs and emotions. Compassion was also evident when I listened and supported my patient in silence while she prayed. Roach (2002) described compassion as the “participation in the experience of another” (p. 50). It is the ability to immerse oneself in the patient situations so one can attempt to understand what the patient is feeling. Compassion allowed me to genuinely offer the gift of authentic presence, while conveying a since interest in my patient’s story. I integrated active listening and therapeutic touch to establish a compassionate atmosphere, in which the patient could express her fears and work towards growth and healing (Caranto, 2015). Competence was apparent in my ability to perform an adequate assessment. I recognized my patient’s physical, psychological, and environmental needs. Through rapport and therapeutic communication, I identified my patient’s concerns and fears for the future. Competence was also evident in my capacity to integrate a plan of care that centered not only on addressing identified fears, but also on discovering hope for the future. I displayed confidence by believing in my abilities to care for this patient despite the presenting challenges. I recognized that establishing rapport with the …show more content…
Empirical knowledge guided my evaluation and physical assessment of Mrs. X. I assessed the surgical incision, inquired about the patient’s pain level, checked lab results, and reviewed the medications. Through personal knowledge, I was able to reflect on myself as a caring person, my values, and the lessons I have learned from past experiences. This allowed me to enter the relationship with sincerity while seeking the best for my patient. Lastly, the pattern of ethical knowing was essential in my ability to enter the relationship in a genuine and non-judgmental manner while respecting the worth of my patient as person and human being (Smith, Turkel, & Wolf,
Statistically, over 670,000 Americans are homeless with a growing number. 48 million people go to bed hungry every night. Although we do provide shelters and opportunities in America, millions of people are homeless worldwide. Even on a more minor level there are still hundreds homeless within hometowns. Everyday we encounter the homeless whether by seeing them holding their personal signs at stoplights, confronts with beggars, or viewing them from afar under bridges. In her essay titled “On Compassion”, writer Barbara Ascher uses rhetorical techniques detailing some of her personal homeless experiences within the city life, Asher does effectively use logos, pathos,
... this type of knowledge the nurse understood that her patient has a lack of social support and probably depressed. She encouraged Miss. Z to have a positive attitude to her life and current illness. The patient’s knowledge allowed me to understand that the client is having a difficult period in her life. She definitely needs a social worker and a support group to get through this challenging period. In the future I would like to observe more closely how this patient will respond to social worker’s help.
The issues of nursing burnout and compassion fatigue are an important one in part, because of the ongoing nursing shortage across the united states. Per the American colleges of nursing “the U.S. is projected to experience a shortage of Registered Nurses (RN’s) that is expected to intensify as Baby Boomers age and the need for health care grows” (American Association of Colleges of Nursing, 2017). The ACA fact sheet cites several reasons for this including; the increasing needs of an aging population, healthcare reform, decreased enrollment in nursing programs, shortages of nursing faculty, large portions of working nurses
Pediatric oncology nurses are given the unique opportunity to make connections and build long-term relationship with their patients and families. Standard treatment protocol for many childhood cancers span over the course of years, with long-term surveillance and follow up visits after treatment has finished. Due to their patient’s chronic diagnoses and the acuity of their conditions, pediatric oncology nurses work in an environment of increased stress. The high stress environment puts the nurses at an increased risk for compassion fatigue; so it is the responsibility of both the nurse, and the institution to be aware of the symptoms and to effectively manage the condition should it arise. Without proper attention to the stress management of pediatric oncology nurses, compassion fatigue may be of concern and put patient care at risk.
A great deal of emotions occur in the postpartum period, emotions that you could never understand unless you have been there. Before I attended a conference on depression in pregnancy & postpartum the thought of fathers suffering from postnatal depression never even entered my mind. As far as I was concerned, It was only associated it with giving birth. The knowledge I gained has not only changed my outlook on the subject but the way that I interact with and educate my patients. My focus is no longer just on the dyad of mom and baby it’s on mom, dad and baby if there is a partner involved at all. The purpose of this essay is to explore a particular concept related to professional caring in nursing. It will discuss the patient/client situation, exploration of the concept, how the concept relates to personal caring through noticing, interpreting, responding and reflection. The concept that will be explored in this paper is empathy.
Even though skills along with knowledge are key components of nursing, in my opinion, compassion is crucial to the practice. Nursing is a public service and commitment that takes an irrefutable desire to help people in need, When I enter the field, even as a student, my standpoint will always be to treat my patients how I would want an individual to treat my family. Henderson’s concept of holistic care fits together with my beliefs about what nursing embodies. In practice, my goals are to always view each patient as an individual, center my care on the patient and their varying needs be it personal, emotional, or physical, and to encourage patients to be active in their care in hopes of improving outcomes. I will also strive to bring colleagues together and collaborate with them to provide the best care for our patients.
(AC 1.1) Jane with cervical cancer might be afraid of the problems around her, mostly about her children’s future during her illness and relationship with husband. Based on the Nursing Process and (according to Berridge and Liddle 2013) Roper’s Model, the oncology nurse will have to face Jane’s needs, give her support and prepare for emotional and physical changes.
Therapeutic relationships are an essential part of nursing; they are the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses states that nurses are responsible for “establishing, sustaining and concluding professional relationships with individuals/groups.” Throughout this essay, the importance of forming therapeutic relationships will be explained. The process of building a therapeutic relationship begins prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person.
A nurse’s role in our society today is exceptionally significant. Nurses are somewhat idolized and looked to as our everyday “superman”. “The mission of nursing in society is to help individuals, families, and groups to determine and achieve physical, mental, and social potential, and to do so within the challenging context of the environment in which they live and work” (“The Role of a Nurse/Midwife”). Many Americans turn to nurses for delivery of primary health care services and health care education (Whelan). In our country, there is constantly someone in need of health care. There will always be a baby being born or a person dying, someone becoming ill or growing old. Some people due to their physical and/or mental state of health are completely dependent on a nurse and wouldn’t be able to get through the simple obstacles of every day, or achieve the necessary requirements of a simple day without their aid. Not only do nurses help, and assist you when you’re sick, but also act to promote good health to others. They end...
An important consideration for nurses to remember is their purpose in caring for the patient. According to McDonald (2013), Florence Nightingale once said that nurses and hospitals exist for patients, not the other way around. Our purpose is to be present for the patient. Being present means being open to the patient needs, whether they are physical, emotional, spiritual, positive or negative. By being present and allowing the patient to express their requirements, a deeper relationship may be formed and trust developed. This creates the basis for a holistic avenue of
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
My journey to nursing began with my personal healthcare experience, and has continued to evolve since entering the nursing program at State University. My personal philosophy of nursing is related my life experience and my personal philosophy of life. Using reflection-on-action, I have begun to understand the influences that have lead me to nursing. I discovered client and family centered care to be an important quality when I look at the influential nurses in my life. To develop a positive therapeutic nurse-client relationship, nurses must integrate all 5 dimensions of the therapeutic nurse-client relationship into their practice (CNO, 2006). When it comes to providing client-centered care, the dimensions of trust, empathy and respect are particularly important (CNO, 2006). Illness can be a traumatic experience for patients and their families, and it is important to be empathetic to the patient’s needs, while still trusting the patient to be an expert in their illness and care.
Rapport and empathy are two essential skills for communication in health services. In this integrative essay, it is displayed how rapport and empathy play an important role for communication in health services, such as counselling and psychotherapy. Empathy helps building rapport with the client. Both skills are needed in counselling, because once the client has found trust in the counsellor there is a bigger chance of them opening up about their feelings. If a client has a good rapport with the counsellor, they are less likely to discontinue the sessions. A five minute non-scripted video is included with this essay and will be referred back to, while describing and discussing rapport building and empathic listening. The video’s content is a first interview with a client, where the client tells the counsellor about a troubling issue. At the end a self-reflection is included, which will reflect upon the video, the challenges faced and future improvements for personal improvement upon communication skills.
During my care, I was not interacting with the patient rather I was ignoring her statements. Although I was listening attentively and demonstrating attending behaviours by maintaining eye contact and appropriate nonverbal cues I was not connected to her verbally. It is important that there is client-centered communication to make the patient feel comfortable at all times. When the patient was discussing her pain I did not ask the appropriate questions. It is crucial that nurses respond to client empathetically and in a knowledgeable manner (Maruca et al., 2015). Responding to the patient makes them feel understood. In this particular situation because the patient was discussing her pain, I should have assessed her pain. My main focus during the transfer was completing the task and I was unaware of what was happening around me. Empathy often is lost in nursing student in the clinical settings as they become more focused on their professional skills (Maruca et al., 2015). However, if I had felt more competent about my skills I would have been more able to focus less on the task and more on the patient’s feelings. I was not considering the patient’s feelings and was more concerned with my own which was very selfish of me. It is important to gain insight into what the patient is experiencing, what the illness
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at someone at face value and inspected him or her physically. While interacting with my patient I felt as if I was taking to my grandmother, it was very comfortable and easy. Her neurological assessment was good, she had eye contact with me, was able to follow some simple commands such as showing me her hands and squeezing my fingers. Being in the nursing home-made me feel like there was so much medical information to acquire, I viewed it as my own personal practice space for my nursing skills. When taking with my patient she reflected on her life a bit and her stories made me get emotional. The Patient, admitted to the nursing home as a permanent resident after the death of her husband.