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This week I focused on facilitating life review for my patients. Life review required me to ask the patient questions regarding their life. It gave me a guided and goal directed method of asking personal questions about the patient’s family and social history. I used this intervention twice this week. The first time, the female patient responded well. She went into depth about her family and her social history. I learned a lot about her, and made sure that I followed along and asked questions to could help visualize her story better. She seemed to really enjoy speaking about her life, as evidenced by her smiling and continuing the conversation for about 50 minutes. My last visit with this patient was about 20 minutes, so life review may be a successful intervention with her.
The next time I tried this intervention, it failed. He did not respond very well to it. When I asked him about his parents, he reluctantly told me that he had a “good” relationship with him. When I asked him a follow up question in hopes to prompt him to speak
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more about his family and build rapport, he said, “boy, are you nosey.” For him, life review may not be a good intervention. This experience reminded me of way it is important to diversify interventions. Not all patients will respond well to an intervention and sometimes a patient's response could change from day-to-day. Energy I felt a burst of energy with the intervention was successful for the patient. I was happy that the patient was able to benefit from the life review and that may improve her mood for the day. When the intervention failed for the other patient, I also felt energized because it meant that he was going to be a challenge and that I would have to identify new ways to get through to him. Competence or Self-doubt The female patient that responded well to the life review exercise triggered my sense of competence. Her ability to engage in the intervention was the root cause of my feelings of accomplishment. I felt that she was happy and content with speaking to me about her life, which made me feel happy as well. Experience Inter-professional practice I attended an interdisciplinary meeting this week.
I was shocked by the manner in which the professionals spoke about death and the dying, as a business transaction. This meeting was a blatant reminder that the business side always has a presence in some degree. As a social worker, I felt uncomfortable with the way they were speaking. It did not seem appropriate for the social workers to stop everything and give a lesson on the dignity and worth of a person. The best way to combat this may be to change the way we speak about patients amongst ourselves. Focusing on one person at a time, the sensitivity and awareness can grow into the fabric of the office culture. I believe that the company once was very sensitive and honors the sanctity of a person’s life. However, after years and years of working in this population, they have grown desensitized. Person-centered language could also be something instituted into the language of the
office.
Charalambous, A. (2010). Good communication in end of life care. Journal of Community Nursing, 24(6), 12-14. Retrieved from EBSCOhost.
Jane Fonda’s “Life Review” may be a helpful tool to use as adults enter into their “Life’s Third Act.” A “Life Review” may give a person new meaning to life. It helps you with forgiveness and free yourself from the horrible past you may encounter. Less stress, less hostile, less anxious, and happier are four helpful tools that would help an adult into their Third Act.
NASW Standards for Social Work Practice in Palliative and End of Life Care. (2014). Retrieved from https://www.socialworkers.org/practice/bereavement/standards/standards0504New.pdf.
The intent of this interview was discussed with the family, namely, how the data would be used to discuss family experiences for an assignment in Family and Societal Nursing for RNs at State University. Most importantly, I mentioned to the family that I hoped to provide them with interventions and support to...
The purpose for this research study was to develop a communication strategy for family members of patients dying in the ICU by evaluating a format consisting of a proactive end-of-life conference and brochure to see whether the intervention could minimize the effects of bereavement for the families left behind. This research provided the family members with more opportunities to discuss the patient wishes, to express emotions, to alleviate feelings of guilt, and to understand the goals of care.
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.
A later study by Wadensten (2010) focused on investigating how residents were affected by staff who were trained to use gerotranscendent communication. This study focused on training staff in both theory and communication. Participant interviews were utilized elements of gerotranscendence theory. The initial sample included 10 residents but due to changes in their condition and death, the final study had only six participants. This exploratory study found that by focusing on a communication pattern which was positive and uplifting to the residents, their disposition and overall perspective began to change and become less focused on the medical issues but more on the spiritual issues. This suggests that communication with residents using the guidelines derived from gerotranscendence theory can help to promote positive aging and improve the quality of
I had been assigned to a 96 year old patient with a diagnosis of failure to cope. Prior to entering the patient’s room I had made a mental assessment through my personal research and verbal report that he was known to be a non-compliant agitated patient. Although the patient was already labeled as a difficult patient I did not allow this to cloud my own personal judgment when meeting with the patient. While providing morning care I began to engage with the patient through conversation and shortly learned that the patient was still grieving the loss of his wife from 9 years ago, they had been married for 65 years. By showing empathy and listening to the patient explain his story I was able to develop a therapeutic relationship with the patient where trust was built and nursing care was provided efficiently. I wanted to further explore the impact empathy has on nursing care in such setting as acute care, and how vital this is to the human
Any learning that occurs should focus on treatments, tests, and minimizing pain and discomfort as they improve they can shift their focus of learning (Kitchie, 2014, p.127). I will continue to provide a meeting location that is both comfortable and private. In the emotional aspect of M.M. and her family I will try to identify moments when members feel emotionally supported as it sets the stage for a teachable moment (Miller & Nigolian, 2011, p.56). I will also discuss with each member their previous coping strategies that used that have been successful and to encourage them to find a way to build on and strengthen these qualities. Using teaching methods that are interactive and allow patients equal contributions and participation can help promote health compliance (Habel, 2005,
the patient's life and feelings to get an understanding of what the patient goes through on
Faith Community Hospital, an organization who's mission statement is to promote health and well-being of the people in the communities. They serve through the extent of services provided in collaboration with the partners who share the same vision and values. Though the mission statement is the model that everyone should be following, everyone does not think the same about every issue. We all may face similar situation at one point in time but the end result may be different for each individual because we all have different values and beliefs. There are many differences between ethics, laws, beliefs, and oaths that all affect the decisions from patients to staff members. Some patients refuse to take medical services and there are staff members who refuse to provide certain services due to those value lines. Some of the staff members are caring so much for the patients that they sometimes take radical positions to respond to their well-beings. In these situations medical intervention can conflict with religious beliefs or personal moral convictions. Hospital pharmacists are even taking positions which they believe to be important such as filling uninsured prescriptions by accepting payments in installments. Staff members in ICU initiated Do Not Resuscitate procedures with out written orders. Doctors are putting patients first from various interpretations. In "right to die" situations the doctors seem to be getting too involved in compassion and passions with their patients. We need to stay focused on what our jobs are and what we are promoting which is to provide healthcare and its services to members of the communities. Counselors are also treating some of their clients with no authorization of the values and beliefs they have. On the other hand, there are some staff members within the hospital who refuse to serve patients unless they have confirmed insurance coverage. If a patient is to pass away because of unauthorized decisions, this can cause a stir with the media as well as with current or future patients in the community.
The subject of death and dying is a common occurrence in the health care field. There are many factors involved in the care of a dying patient and various phases the patient, loved ones and even the healthcare professional may go through. There are many controversies in health care related to death, however much of it roots from peoples’ attitudes towards it. Everyone handles death differently; each person has a right to their own opinions and coping mechanisms. Health care professionals are very important during death related situations; as they are a great source of support for a patient and their loved ones. It is essential that health care professionals give ethical, legal and honest care to their patients, regardless of the situation.
During my initial self-evaluation and assessment of me as a perspective counselor, self- awareness was an essential aspect of becoming an effective counselor. I am aware of certain things that can prevent me from becoming a competent counselor such as being unaware of my strengths and weaknesses. As a current community support worker, I have already had the opportunity to work with individuals who require different levels of support. Providing assistance to the specific population has given me the chance to utilize my communication skills. My work experience has also allowed me to be more self-aware, and open minded. After taking the techniques of counseling class I am more than confident that I have grown professionally since the beginning
A reflection of the self is an important tool to use to figure out whether or not your self-concept provides you with a positive self-esteem. First ask yourself, ‘who am I?’ and once you figure that out, determine if your perception of yourself is a positive one. If it’s not positive, you might want to consider making a change very quickly in order to live a fulfilling life. An even more important tool is to compare your own self-concept to the perception others have of you. I interviewed four people and asked them three questions. Those questions were as follows. “How do you perceive me physically? How do you perceive me socially? How do you perceive me psychologically?” Their overall physical perception of me is, I am beautiful,
Personal Development is a lifelong process that involves the assessment of current skills and talents and the enhancement of oneself based on that assessment which then leads to the realization of goals and an improved quality of life. To be able to assess yourself, you need to be able to reflect on your past which helps you to understand the attitudes you have developed and the foundation that you will be building your life on. Also, you have to reflect on your present to see if there’s room for improvement and reflect on your future so that you can achieve your aspirations.