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Introduction To Depression And Dementia In Older Adults
Memory problems are the most obvious symptom in individuals with dementia
Adult care communication in care setting
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Look Back Over the past three weeks of clinical practice, one event that personally stood out to me was when I would communicate and interact with patients that are diagnosed with dementia and depression. The situation is very meaningful to me as a student nurse because these topics were taught and evaluated from the online Gentle Persuasive Approach Modules and it was a challenge to perform those skills for the first time in an actual health care setting. Interacting with people with Dementia is much more complex than it seems and did cause situations to arise which is the very reason I chose this topic to reflect upon from my clinical practice.
Elaborate
On the first day of clinical, our group walked into the floor to tour
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I did not know what actions to take and thought that every patient who had these diagnoses and from what I learned from school is all treated the same way. I could not really take a grasp of what was happening and was only aware that I had a resident who refused to continue with morning care and was agitated. My initial hypothesis was that the way I communicated to this resident during a behavioural episode caused her to have more agitation. My view towards communicating and providing care to patients with both dementia and depression has changed since this event and because of the research from scholarly articles. According to (Gutzmann & Qazi, 2015) a study was performed to focus on strategies on how health care professionals can provide care to residents with depression and dementia. An effective way to communicate to these residents is knowing their capabilities and limitations of cognitive functioning that impacts their daily living activities. (Gutzmann & Qazi 2015). From this article, I have learned that you need to understand the patient 's personal diagnosis as an individual and their own methods of communicating to improve their quality of life as our primary …show more content…
Therefore, this situation revised what I believed was the right way to care for a resident with dementia and depression. If I can perform morning care for this resident over again, based on my analysis, I would first talk to someone who is knows this patient more than I do to get an insight of her behaviours and treat this resident as an individual instead not grouping her under the term of depression and dementia which leads to providing care for this resident the same way I would treat any person with dementia and depression. Calling the nurse to for help and questions is an action I believe I should preserve as a first year nursing student. My nurse had more experience in these situations and she wanted to teach me by doing it independently but also help me at the same time which increased my self confidence greatly instead of discouraging
This year I am most excited about learning how to better communicate with children and being able to see how communication changes depending on their stage of development. I’m excited to learn how to accurately take blood pressure and other vital signs like pulse and respiration. As well as, being able to identify any values that are abnormal. I am also eager to learn how to appropriately express these abnormal finds to my young patients without igniting fear.
Mindful communication is one of the most powerful tools a nurse can use when delegating responsibility to an unlicensed assistive personnel (UAP). In order to effectively delegate patient care to the UAP, the nurse must use the right communication. The right communication provides safe, quality outcomes for the nurse, the UAP, the patient, and the facility. The processes at the core of communication that are suggested to improve synchronization of a care team are effective, patient-centered, timely, and equitable care (Anthony & Vidal, 2010, p. 1). The registered nurse (RN) must assume responsibility for delegation, as well as client outcome. This makes it important for the RN to foster an open, truthful, and trusting environment with coworkers. Even the smallest piece of information left out of, or misinterpreted in
Xu, staples and Shen define nonverbal communication as “facial expression and body language” and further mentions that communication is a reciprocal process between 2 or more people relaying understanding, ensuring the output is acknowledges and correctly conveyed. Video three’s interview indicates poor non verbal communication between 4:36 and 4:54. The Nurses’ body language is closed, leaning over the interview documents, not facing the patient, nor making eye contact. There are no hand gestures or head nodding to let the patient see visual signs that the communication is being clearly conveyed and comprehended. The Nurse is distracted, twisting her hair in disinterest. While the nurse does use vocal acknowledgement while scratching her head saying “oh yeah, ummmm”, there was no recall of what was said by the patient to confirm a mutual understanding. The nurse has effectively omitted 10 seconds of interview, causing a breakdown in communication, spanning content, observed reaction, facial expressions and body language which may have lead to required vital medical history. In order for non verbal indicators to be improved in this scenario, the nurse is required to provided undivided attention to the patient. Leaning toward the patient is a posture signifying empathy and a good attitude (Xu, Staples &Shen 2010). The nurse is required to make a commitment to be entirely engaged in the patients communication to ensure that the messages is conveyed accurately, refraining from performing other tasks such as writing or hair twisting while the patient is speaking. Facing the patient, and maintain eye contact, smiling, assuring nods, and touching will enhance the non verbal plane of patient- nurse communicati...
Literature Critique This literature critique reviews Catherine McCabe’s article, Nurse-patient communication: an exploration of patients’ experiences (McCabe, 2002). She has obtained many degrees related to health care (Registered General Nurse, Bachelor of Nursing Science, Registered Nurse Teacher, and Master Level Nursing). She has many years of experience and is currently teaching at Trinity Center for Health Sciences. As stated in the title, this study will review the patient’s interactions with nurses in relation to their communication. This study used a qualitative approach, as stated within the article, by viewing the life experiences of the participants.
In this essay I will recall and describe my experience in a health care environment and reflect on communication in that interaction. I will look into interpersonal and communication skills used by the health professional and what I learned from this interaction. And if I am going to use those skills in my future nursing practice.
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
Betcher, D. K. (2010). Elephant in the Room Project: Improving Caring Efficacy through Effective and Compassionate Communication with Palliative Care Patients. Medsurg Nursing, 19(2), 101-105.
two or more people; this is something that we do all the time. It is
In nursing practice, communication is essential, and good communication skills are paramount in the development of a therapeutic nurse/patient relationship. This aim of this essay is to discuss the importance of communication in nursing, demonstrating how effective communication facilitates a therapeutic nurse/patient relationship. This will be achieved by providing a definition of communication, making reference to models of communication and explaining how different types of communication skills can be used in practise.
Nurses today need to have excellent communication skills. Receiving information from patients is the most important aspect of nursing. If nurses are unable to communicate with their patient then they would not be able to have a relationship with them. Communication is where two or more people interact with each other, by using sounds and words, this is verbal communication. Some individuals have different behaviors where they try to express themselves to others without using spoken words, this is non verbal communication. Once nurses have the proper communication tools, techniques and evidence based practice, when communicating with their patient, they would get the necessary information needed from the patient to properly diagnosis them.
Communication is a simple process and known by everyone as it is an inborn activity. Yet, there are people suffering from language disorder, who cannot deliver speech normally. Therefore, especially for nurses, it is important for us to learn different communication skills to talk with different people.
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.
Clinical Reflection: A Day At The Alzheimer’s Unit The day started out like any typical day for me; say my morning prayer, take a shower, eat breakfast, watch the news, check with the family, do the chores, and then head out for clinical. Those are part of my morning ritual, my routine. This early in the semester, nursing school had already taught me quite a number of different things such as theories, nursing practices, and skills. The one thing that professors and nursing instructors cannot impart, though, are the actual experiences, especially like the one at the Alzheimer’s unit, where the randomness and specificity of each patient’s response deviates from what is on the book. This is the kind of learning where I often expunge the
I demonstrated appropriate written, verbal and non-verbal communication in a variety of clinical contexts by using therapeutic communication to express respect, patience and sensitivity. An example is when I had to get a residents orthostatic BP, Every single time the resident would yell that it hurts. I expressed my sympathy towards the resident and told the resident I was sorry. I noted to the instructor of what happened and learned that us nurses should chart that and try to have it changed that the resident should not be required to have an orthostatic BP done every month.
This experience made me realise how important it was to communicate effectively with the patient, through my work