Video Vignette: “The Paramedic”
What can I take away from the experience of observing this video that will help me build knowledge and Self-Awareness in Therapeutic Communication?
In observing James (the paramedic) carry out a first aid attendance to a patient, Sally, who is 28-weeks pregnant, I was able to identify a range of Therapeutic Communication techniques and have gained to appreciate the significance of Self-Awareness and what it means to be patient-centred.
Communicating therapeutically typically uses a combination of techniques such as empathy, touch, active listening, clarifying and open-ended questioning as noted by Day, J., Levett-Jones, T., & Kenny, R. (2015). Ultimately, it aims to create a space in which the
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A tangible example would be to recognise and practice the kind of activities that promote our own health and wellbeing so as to minimise the effect of workplace stressors. Chang, E., et al. (2006) concurs that workplace stress is a challenge for the nursing profession, and stress has a detrimental effect on our job satisfaction, mental and physical well-being.
In summary, the experience of observing and reflecting on this video vignette, elevated my understanding of the range of techniques that enhances communication therapeutically, such as active listening, empathy, developing rapport and the use of non-threatening body language and tone of voice to alleviate patient anxiety and illicit patient cooperation. Moreover, the act of reflective contemplation gave me an understanding of what it means to be self-aware - to be able to recognise and arrest idiosyncrasies such as personal moral values and cultural beliefs so as to promote a healthcare environment that is patient-centred. As general workplace and healthcare resource pressures increases, it becomes even more relevant for healthcare practitioners and future clinicians to be versed in such techniques, so that despite the pressure, they are better able to manage their emotional and physical
Reflective essay on Therapeutic Communication In the video “pregnant stroke” a 28 weeks pregnant woman, Salie has suffered from a stroke and been taken to the hospital for medical care. The video, as per my opinion, is a very good illustration about therapeutic communication between the patient and the health care providers. Therapeutic communication is a complex ability that includes many nuances and may oblige a range of diverse approaches, it is a state of communication between a patient and a health professional, like the nurse, that involves techniques and processes which effectively promote understanding and also develop a good rapport between the two. I would give some stress on verbal and non-verbal communication also, as both are equally important in such circumstances.
In the times that we currently live in, communities are becoming more diverse with new cultures and races. In the clinical setting, this is requiring medical professionals to be more competent with their patients. In addition to being competent, it is important to use active listening with your patients while interacting with them. Active listening shows the patient that you actually care about their well being and in turn will make them feel comfortable sharing private information with you.When actively listening to a patient, it is important that you maintain eye to eye contact and let them do a majority of the talking. If the patient says something that has little detail, ask them a probing question if necessary. This shows them that you're
Therapeutic communication aims to accentuate understanding of the client’s situations to health professionals, to achieve a greater outcome of health. It focuses on the clients need not the nurses. Pontes (2008) notes that health professionals verbally communicate with clarity and brevity
In this essay, I intend to reflect on a situation I encountered during my first community placement I had the opportunity to develop my communication skills not just theoretically but also practically, facing a real life environment. My placement made me aware of the importance of interpersonal and communication skills which are very important in the delivery of care. Throughout my nursing career, I will be encouraged to develop reflective practice skills and become a reflective practitioner. Reflection refers to a series of steps that you may take to question and explore an experience with the aim of learning from it. I will discuss the importance of communication in order to maintain a therapeutic relationship.
This report aims to discuss the communication observed between the Nurse and Patient portrayed in the video. There are two scenarios in which the Nurse addresses the patient’s concerns. The patient’s response is influenced by the Nurse’s approach. In a health care setting, a personal, empathic yet professional approach is most effective in communication from Nurse to Patient. Furthermore this report assesses the therapeutic techniques used by the Nurse to effectively interact with the patient.
Specifically, active listening, using silence and empathy were simultaneously used during the episode of care since cohesively, they helped to encourage person-centred care (Stein-Parbury, 2017a, 2017b). Through actively listening and using silence in this situation I was able to allow the patient to express their concerns and hear their point of view (Stein-Parbury, 2017a). As a person who has never experienced surgery beforehand, I could only try to imagine the discomfort the patient was feeling during this time and consider where they were coming from. Therefore, through the establishment of empathy from both these linked strategies, it enabled me to approach the situation in a way which addressed "Jane's" care needs (Raphael-Grimm, 2014). In consequence, in one way or another, this helped to enhance her confidence regarding the care she was receiving and in effect, the progression of her
Self-awareness is an important tool in navigating the complex social dynamics of medical encounters (Rogus-Pulia & Hind, 2015). We assume that others share our viewpoints and coping strategies, which can make it difficult to understand when someone is acting out of character with what we would expect or what seems to be in their best interest. We need to start by asking ourselves why this reasonable person (patient or caregiver) is making decisions that we do not understand and trying to explore their approach to stressful situations and their beliefs
Nontherapeutic expressions or gestures can disrupt a good, positive communication between the provider and the patient. Some of those nontherapeutic phrases or gesture are talking about something not related to the patient’s problem, negating their problems and preventing them from sharing by asking closed- ended questions. Sometimes the provider disrupt the patient’s willingness to talk about worries by giving personals opinions or expressing approval or disapproval constantly. Taking action by precipitately interpreting the patients concerns, or precipitately ending a conversation can shut off the patient and make difficult and even impossible to provide a therapeutic, positive communication. Another way of limiting patients from expressing
The Therapeutic communication video began with the group stating their personal interpretation of therapeutic communication. It was agreed upon as a two-way process that involved the patient and the interviewer. It is centered on the patient and intended to achieve specific goal set for the patient. The professional relationship is to be firmly
Reading about Cognitive Therapy has been a part of the theoretical learning we have been given since the start of my Psychology studies in university. Whereas this video was the first real visualization of how a therapist handles the theoretical part they have learn in real life. Interaction between both the client and the therapist is what stood out for me while watching the video. The video was a recording of an advanced cognitive session not one of the primary couple of meetings between both client and therapist as they relationship on video looked close and with a sense of trust to the level that the client accepted being filmed while telling her story, in my opinion, this needs a high sense of trustworthiness between them. The client is suffering from Borderline Personality Disorder, her father has been criticizing and chastising her throughout her life and no one was there to stop him, not even her mother. She was left helpless and resenting her father as his comments and behavior of criticism left her
Therapeutic communication is my preferred method of interacting with patient and I use it daily while working with patient. Communication with a patient can be verbal, written body language, gestures or nonverbal. I attempt to avoid nontherapeutic communication, as I feel giving a false reassurance is of no benefit and asking "why" question, is uncomfortable and can make patient and/or family members defensive. A nursing instructor years ago, taught me not to tell a patient "you will be fine". That is a promise you can not keep, instead I always tell patients "we will take very good care of you".
Compassionate communication was another effective value displayed by Laura and was again successfully demonstrated being further enhanced via the means of touch, however certain issues do arise. Defined as an interaction process which delves deeper into the suffering of another, as highlighted by Von Dietze and Orb (2000) and supported by Smith (as cited in Trueland, 2009), compassionate communication was initially present through the simple notion of social interaction. According to Burnard (2003), social conversations release the pressure of particular situations and allow a therapeutic relationship to form, and so upon evaluating Laura’s communication skills, taking time to share this social interaction with Mike created a relaxed setting.
Communication is such a crucial concept when it comes to providing the best care for clients in need. In order to have a good conversation with a client there are special techniques to use. The client may be stressed or uncomfortable while carrying the conversation so it is important to use therapeutic techniques to ensure comfort and relaxation for the client. Therapeutic communication involve verbal and nonverbal skills in order to have a successful discussion with the client as a healthcare worker.
According to Murtagh (2007, p.16) addressing the patient by his or her preferred name, establishes good rapport and in turn sets the foundation of a therapeutic relationship (Murtagh, 2007, p.16). In the unit so far, we have studied that rapport building is established by encouraging others to communication with you. As Dr. Reyes mentions in the interview, the skill of active listening allows the patient to communicate and creates this cooperative environment between both parties (personal communication, August 18, 2015). Thus, the first theme I identified in the video was the use of active listening to build rapport and set a cooperative atmosphere to foster appropriate client care. Although active listening is a vital skill in establishing rapport, verbal communication is necessary for therapeutic client relationships. This leads to the second theme I identified which is that verbal communication sets the foundation of a therapeutic relationship, build rapport and increase the understanding of the client’s needs (Windle & Warren, n.d.).
Nurses and doctors are given a patients up most confidence. Their life is literally placed in the hands of the healthcare system. Each patient is individually different, yet the same. A subject comes in with a problem hoping the staff can understand and find treatment quickly, yet some patients are more attentive, questioning, bothersome, or understanding compared to other patients. The medical staff must find a way to communicate in a way that can fit a particular patient while also fitting the individuality of any person walking into the Medical Center. Most patients believe their experience depends on the condition of reactions they experience with the health staff. My research questions the issues that patients experience in the communication