Reflection is a vital key for effective communication with patients and their families. The main claim to this paper, is to prove, to have effective communication with patients and their
Effective communication is crucial aspect of nursing yet too often is placed low on the priority list, especially at shift change. Information related to the care of patients is frequently disseminated at a crowded, noisy nurse station with several nurses rushing to leave and others attempting to get the information necessary to plan care and limit the constant distractions. It is this interaction that allows for information vital patient safety information to be communicated including the acuity of patients.
D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for
He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not
D-The patient arrived on time for her session. Reports stable on her dose. This writer discussed about tapering off on her methadone, at which the patient is willing to consider doing, but needs more time. She then says, " I might consider doing it next month, but not right now......I was doing it before, but it stopped....just want to take my time." The patient then discussed about having to go to SSA to obtain the payment for the funeral cost. The patient is upset about the small amount she is about to receive. This writer discussed the grieving process of her loss of her husband and also, her mother in law. The patient appeared to be annoyed with her son for not participating in his grandmother funeral arrangement and also, not showing
D-Spoke with the patient as she was being curbside dose. This writer reiterate about TEAM recommendation, at which the patient declines the notion of being placed in a skilled nursing facility due to her medical issues.This writer informed the patient that her level of care is inappropriate for this treatment and a high level of care would be more efficient. According to the patient, she's working with Chrysalis and is willing to sign an ROI for this writer to communicate with her case worker Anthony, aka Tony. Reported stable on her dose.
Service Coordinator (SC), Jennifer Stoker met personal staff, Aiesha Crayton at the home of consumer Jonathan .SC asked was Jonathan meet his outcome would like is medical expenses to cover. Aiesha noted he has Medicare and Medicaid which cover all his medical expenses. SC asked if money covering his want and needs. Aiesha noted yes. He wants and needs are being meet. Jonathan wants his cell to be paid every month. Aiesha noted he cell is being paid every month. SC asked is Jonathan maintain good health. Aiesha noted he when to his PCP on June the 1st. She noted he is health and there was no change in medication.
D-Met with the patient upon request. Upon meeting with the patient, the patient appeared upset and addressed her frustration in this writer's office. According to the patient, she's upset with her PCP forcing the patient to admit herself to the psych. ward to get on medication. Failure to do so, her PCP will complete the medication protection for her electricity. The patient owes over $3000 and with the protection, her light company cannot turn off her lights. Please note, the patient was pacing back and forth and getting emotional. This writer consolet he patient and validated her feelings. According to the patient, she reports that CMHA informed her that she in order to get into their clinic, an evaluation is needed whereas the evaluation can be completed at a hospital; however, the patient is worried about being admitted. Please note, the patient denies any suicidal or homocidal ideation when questioned.
Writer called Constance to find out if she has heard from the Visiting Nurse Association (VNA). Constance said yes and that they scheduled to meet on the 9th of this month. Constance said she will be seeing her pain managing doctor on the 8th. Also Constance said Medicaid approved for her to use long term care. Care manager was glad to hear that. Constance promised to update care manager after the
The patient expressed about feeling that she is self-sabatoge her recovery for no apparent reason and currently thinking about going into an inpatient treatment- more so, a treatment that is spiritual. The patient shared that lately she's been feeling down and haven't been to going to church for the past two weeks. In addition, the patient shared about having homocidial thoughts with regards to her daughter's DCF case as she expressed frustration with the custody battle. This writer advises the patient about this writer's role as a mandated reporter and based on the patient comment of having homocidal thoughts, she recanted her statement and says," So, you are telling me that I cannot vent and express how I feel.....I am going to keep my mouth
ADJ: Date: 15.06.2018 1.- Health and Wellbeing (How are you going?) – Ashleigh stated to feeling down. 2.- Treatments (Medication etc) – 3.- What are we working on? – 3.1.- Hospital updates: Following the hospital case coordination session last week, Ashleigh stayed in the hospital overnight. Ashleigh provided care for her father until the next day. Ashleigh was disappointed that John did not collaborate as he refused to eat her meal, have a proper shower and called her idiot.
This assignment will critique the enhanced communication skills between a registered nurse and service user. For the purpose of this assignment the service user will be referred to as Iris. Confidentiality will be maintained throughout, as stated by the nursing and midwifery council (Nursing and Midwifery Council [NMC], 2015). The physiological assessment being observed was blood pressure and will critique the communication skills, active listening, non-verbal, verbal communication and dignity. Verbal, non-verbal, visual and written communication are the four main types of communication (Boyd & Dare, 2014). During this observation Iris was having her blood pressure taken prior to commencing haemodialysis. Rapid removal of fluid increases the chance of hypotension during and towards the end of dialysis (Cormier, Magat, Hager & Lee, 2012). This is why it is important to monitor Blood pressure before, during and after haemodialysis. I observed Iris’s Blood Pressure being monitored prior to commencing haemodialysis.
D-This writer met with the patient as she requested to see a Supervisor. According to the patient, she cannot stay to see her assigned counselor, Janice. When questioned as to why she is unable to see her counselor, the patient response was, " My mother is in a wheelchair and left alone with my son.....I have to go home." Supervisor reviewed the patient's alerts as the patient have a scheduled BAC and tested positive on 5/16/2017. This writer questioned the patient about this matter. The patient then says, " I am aware about this and the need to attend the alcohol group. I am willing to do the group session tomorrow." Supervisor called the patient assigned counselor to seek permission about releasing the HOLD on her behalf whereas it can be
Mr. Comer was admitted to his local community hospital for respite care. He has suffered multiple, acute strokes in the past, which has left him with severe disabilities. These include paralysis rendering him immobile, aphasia (speech loss) and dysphagia (swallowing difficulties). He relies on carers for all normal activities required for daily living (Roper et al 1996) and is advised to have a pureed diet and thickened fluids.
Introduction In this assignment, I am going to review four cases, which will require a number of different communication skills focusing primarily on; developing a therapeutic relationship, communicating assertively, communicating effectively with an individual with a disability/impairment and communicating with individuals from another culture. I will discuss building a therapeutic relationship and effective communication with each patient.