Burn Out Critical Case Analysis

I started my internship at Lopburi Cancer Hospital in Thailand with excitement and anxiety. “What stage is the cancer in?” I asked in an effort to leave a good impression of the attending physician as we rounded with patients. In my mind, the prognosis for cancer wasn’t a good one and making a patient comfortable was important. However, as I stood waiting on the answer to my question, which my attending had declined to

the client Doctor did not become angry he was able to communicate in a caring manner since no

Sometimes we may face few terminal patients whose insight was not very reality. For example, patients with terminal condition still believe that he can recover from it if he spent more money on self-paid medication. Others, for instance, family members cannot accept that patient is going to die soon in order to complain doctors and nurses do not fulfil their duty. Dealing with this kind of situations, we have to have enough of wisdom to comfort patients and their families instead of judging with their misunderstanding. Also, while people have misinformation about our responsibility, we should listen and find out the sticking point to solve problems. Nonjudgement is very important but it is a hard work and need time to be professional on

As care providers, we would all advantage from reflection on opportunities for apology-the handling of adverse event give amazing minutes to reflection. Full disclosure to the patient is the morally and professionally mindful strategy. It is additionally improvements of patient safety and quality of care. By not disclosing adverse event , the care giver fails the patient as far as genuineness, openness and appreciation. It is additionally vital for patient wellbeing enhancements and open trust in the health care

The researchers distributed a survey to 7 medical schools in the United States, and received answers from 2682 students. The survey included the Maslach Burnout Inventory (MBI), the PRIME–MD depression screening instrument, and a quality of life assessment inventory. Furthermore, the students were invited to answer questions regarding unprofessional conduct, and attitudes regarding their profession and seeing patients. The study found that over 50% of the participants reported burnout. Although cheating and dishonest behaviors with respect to academic work was rarely reported, unprofessional conduct in relations to patient care were more prevalent as 43% of the participants answered that they had engage in unprofessional behavior towards a patient. The study also found that students who reported being burnout were more likely to report unprofessional conduct. In addition, students who reported burnout also reported less altruistic attitudes regarding their profession. This study demonstrated the importance of why burnout is necessary to study, as it is concerning to learn of how burnout effects the student´s professional work with their

There are couple of studies questioning over-deterministic perspective to look at operation of governmentality and contemplating what is followed by membership of society in its interaction with governmentality. Although, as Foucault contends, the self might be constantly placed in the ceaseless chain of self-governing as a docile body, it is impossible to argue that the very private space, such as affections, is likely to be completely controlled by governmentality during or after the self-monitoring. Given the affections are accompanied in the process where governmentality operates, however, the affections may be indicative of how the self absorbs or resists to the neoliberal doctrine. As one of the affections, a feel (or state) of burnout

H had respect for the nursing profession and suggestion render for the care of the patient. The physicians did not examine the patient for himself to see if I have a valid point, he continues to treat the monitor and not the patient. As I analysis things that I could have done differently, one choice I could have done was go up the change of command until the problem was fixed. Another action would be, to insist on DR. H walking 20 steps to the patient room to examine the patient when I notice the change and not just the monitor and labs. I could have stopped the fluids until the patient was examined as well as the x-ray was done. Unfortunately, the patient passed after a long code. That day has change how I handled conflicts with a physician. That day I felt that I had fallen my patient. I go up the change and I don’t care if the physician feels that I’m going over their heads. Furthermore, I am not timid when it comes to voicing my concern about how the doctors are handling patient

Evaluation is the third stage of Gibbs model of reflection and requires me to state what was good and bad about the event. While reflecting back on the incident I felt that there was one thing which I could have dealt with differently and also some aspects which demonstrated good practice. On the first hand, this incident made me realised that I was part of the team and that I was also involved in positioning and preparing the patient prior to surgery, therefore I had a responsibility to find out from the patient if he had any concerns. On the other hand, I should have communicated to the patient, explaining what I was about to do maybe he would have had the opportunity to raise his problem with the shoulder before lifting his arm. The Health Professions Council (HPC 2008) clearly states that it is the responsibility of an operating department practitioner to ensure that effective communication occurs when delivering patient care. In addition, Psychologist Helmreich, R. (2000) said, `better communication’ is being the most useful way of reducing errors.

He should have adopted active listening. The physician was additionally patronizing his patient by speaking slowly to her, which she was to a great degree irritated by. Older adults typically have a negative stereotype, which he encouraged by advising her that she was delicate due to seniority. When in reality she is extremely active and healthy. He should have established a foundation of trust, and demonstrated sympathy and welcomed feedback. There was a tremendous disconnect in communication with all encounters that day at the emergency room. This was not only a negative experience but also a complete waste of time. (Communicating about health., 2014)

I am responsible for arranging activities for patients and through this experience i grasped the importance of the extent of commitment and dedication necessary by observing how carers make patients feel valued with even the smallest improvements to enhance their quality of life for example, using soft water colour brushes to accommodate their needs. In order to connect with them as individuals, it was important for me to be non-judgemental as well as showing patience and compassion. Fearing the loss of a patient and noticing them enduring pain displayed an invaluable insight into the emotional and mental pressures within the reality of life as a doctor. In spite of this, it is a privilege to establish relationships with patients by building rapport and showing empathy which has strengthened my communication skills. Above all, i was thankful for the opportunity to make a diagnosis just by engaging with patients which can be a valuable contribution to their

As a member of the staff I am able to see the impact that medicine can have on an individual during a crucial moment in life. A patient post-resuscitation arrived in the emergency department. My top priority was to get the EKG for the physician. When a critical patient comes in, the room gets loud and crowded fast. I have learned how to handle the adrenaline, stay focused, and get my job done. The EKG I performed showed the patient had suffered a massive STEMI. Our main goal was to get the patient stabilized and transported to a bigger facility. The patient’s heart rate and blood pressure were both steady for transport but his SpO2 was 72% while intubated. The patient’s tube had proper placement and no pneumothorax was detected. The acting physician was going through trying to rule out the cause for the low oxygen saturation level. The patient was a stubborn, according to his family and never went to his primary care. With previous information and a chest X-ray, the patient was diagnosed with not only a STEMI but also a severe case of pneumonia, presenting with large amounts of fluid in his lungs. I could see the stress in the physician’s eyes while working that case, but what he couldn’t see the envy in mine. I want to be the person who is able to make critical decisions and lead a team through difficult

During his first week in medicine he finds himself at the university hospital where he begins interacting with hospital patients. He brings in warmth into the hospital by engaging patient to provider interactions. However, the dean of the college of medicine did not find his action favorable and brought it to his attention. All of which he continues to do what he believes best fit for the patient’s need.

The social interaction is an integral part of everyday life of each individual, which is learned from the early childhood and is innate in its nature. It includes the social exchange of information, the ability to communicate, decide, and take responsibility for one’s action. The routine work of healthcare professionals includes the information exchange on an everyday basis. The excellent knowledge of primary disciplines necessary for the practice is crucial for the healthcare professional; however, one can encounter the difficulties without the deeper understanding of ethical principles of communication in the healthcare environment. The book “Health Professional and Patient Interaction”” by R. Purtilo, A. Haddad, and R. Doherty introduces the readers with the basic ethical principles and behaviors in the healthcare setting. The key points that the healthcare professional has to practice to achieve success and harmonic professional relationship with the patient are: respect in all circumstances, the ability to listen, the readiness for challenges, and care with empathy to the patient situation beyond any limits.

Then I was off for two days at work. When I returned, I found out that this patient is improving and has been transferred to medical surgical floor. I went to see her at the medical surgical floor before the start of my shift. I noticed that patient conditioned has improved and I introduced myself and told her I wanted to make sure that she was alright before starting my shift. I asked if she wanted to talk to me about this visit. She thanked me for providing great care and discussed about her event. I listened attentively. She further said that she has been stressed a lot these days and drinks excessive alcohol to recover her stress because everyone around her are dying. She is not paying attention to her health lately. But with this incident

As an answer to this question, I would refer to my visit to the local hospital in West Oak Lane. During that particular visit, I was intending to get medication for the fever that I was having for past four days. While I was sick, I still managed to notice some major discrepancies in the administration of the hospital. First and foremost, the pace with which the on-duty personnel were operating was observed to be quite slow. As a result, many patients were made to wait and the hospital waiting area kept on getting crowded. Secondly, the form that was required to be filled by the patient did not had any sections where the details of immediate family could be added in case of emergency which was a major lacking since it is one of the basic protocols that hospitals had to follow. Thirdly, during my session with the doctor, I was prescribed to give take few tests. I was supposed to receive these tests reports in half an hour and see the doctor after that where my reports would be already available with him. However, when I visited the doctor again, I came to know that my reports were not there. As a result, my immediate family had to