My Experience That I Influenced My Patient

Throughout my clinical experiences, there have been quite a few circumstances I have been placed in that have remained with me whether good or bad. All of them have been learning experiences for me whether it is how to improve and to do better next time from a mistake, for me to learn that this is or is not how a patient should be treated, how to handle family situations, and many others. One experience that I was able to participate in that will remain with me because I had not experienced this before was during my critical care rotation in the fall of 2015. This patient was dying and we were implementing comfort care for him.

My clinical day of week 3 started pretty much with the same routine. I had to shadow a CNA preceptor and helped her throughout her assignment. By late morning, I have encountered a patient that at first refused to have a conversation with me despite my efforts of searching the right therapeutic questions that will make her open up to me. I founded the situation to be a little bit frustrated and made me feel unsuccessful that I was not be able to form a relationship with the patient. I did not know what to do or what to say. She just kept staring outside the window without saying anything. At lunch time, she surprised me when she approached me and expressed her apology for her earlier behavior.

Rademeyer as well as others in the profession can influence the decisions of their patients by helping them to make the right choices in managing their lives on a physical basis, by helping them to modify their jobs, sports and other activities and by helping to ensure they follow the rehabilitation process laid out by their physicians (Rademeyer, 2015). Also by listening and educating the patients she can help patients better manage and control their conditions.

In viewing Mr. Laurane’s personal health issues as well as his family history, it appears clear that his overall well-being could benefit significantly from a weight-loss regimen that includes health education in terms of nutrition, exercise initiatives, supplements that may be taken to encourage the speeding up of a slow metabolism, etc. Mr. Laurane can only benefit from weight loss, which will reduce his hypertension, congestive heart failure, and high cholesterol, all of which pose serious threats to the patient’s long-term health if not addressed in any way possible.

Mrs Hexter explains that some patients can find it difficult to avoid having a sedentary lifestyle, as exercising can be more challenging.

The sociological theory of Functionalism takes upon the perspective that society consists of systematic processes, which revolve around set structures. Functionalist theory allows for the creation of health and illness as variables (Stam, 2000). These variables all lead to development and require that certain structures be used to restore proper function. The intended purpose of this reflective piece is to identify how my Patient-Practitioner experiences could be viewed from the sociological theory of functionalism. The essay will present a case study and then proceed to analyse the case through the lens of functionalism. The analysis will include limitations of functionalism and consider implications of this analysis upon future paramedic practice.

be beneficial, but patients must be conscious of their physical limitations. Patients must learn to

A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.

However in order in increase his frequency of exercise to at least 5 days a week, the practice nurse conducting the motivational interview and brief intervention will need to empathetically understand Mr Jones’ perspective, thoughts and feelings towards increasing his exercise regime (Elwyn et al., 2014). For example the nurse can state that they understand that it has been difficult for Mr Jones to lose weight in the past; and that other people in Mr Jones’ position also find it difficult. The nurse will then follow up by stating that it is important to try and find strategies to work on this, but also asking Mr Jones about what he can do increase his exercise regime (Hall, Gibbie & Lubman, 2012; Welch, Rose & Ernst, 2006). As stated by Mr Jones, he enjoys his neighbours company when engaging in his 1 hour walk.

In order to find the patients baseline an assessment of functionality is needed for comparison. When assessing a patient it is important to pay attention to the abilities of activities of daily living regularly. An assumption of Orem’s Self-Care Deficit Theory is that a person’s knowledge of potential health problems is needed for promoting self- care behaviors (Nursingtheory.org, 2013).

The set up was similar to my clinical routine. On entering the room, my teammates and I greeted her and asked her how she was doing. She was alert and oriented. She sounded exhausted. She was having generalized pain. I asked her if she was feeling short of breath she said “no.” She was already on 3L of oxygen through nasal cannula with an oxygen saturation of 93%. Her skin was warm to touch and her pulse bounding. She had crackles throughout her lung field. During my clinicals, I learned to link my patient’s assessment findings to her labs and orders. I also practiced using the SBAR to contact the physician. I attended an interdisciplinary round at the oncology unit where the team was planning palliative care for a patient. I noticed that the team was more directed towards pain management and therapeutic interventions. The team also made sure to include the family and the patient in the care. During the simulation, we contacted the doctor for an order of morphine.

An individual's attitude towards his health influences his capacity to maintain an optimum level of health, prevent illness or recover from a disease. Understanding patient's attitude towards his condition is the key to establishing an effective health-related program for health promotion, disease prevention and disease management. Hence, different health behavior theories have emerged. All of these are designed to help the patient and his family to facilitate learning, adjustment and behavior change to improve his quality of life. ( Butts & Rich, 2011)

Today I had a great day at the clinic. For the morning section, I had Omar Lora as my patient. Last time when he came, I collected all my assessment data. Today I updated his medical history, dental history, vitals, and EIOE, then I completed filling out the gingival assessment, the treatment plan, and the SAOP. Finally, I was ready to have my assessment data checked. It went really well, and I learned ways to helped me be more efficient with my time management, for example, I did not know how to have my radiographs up in the other monitor while I was doing my assessments. It was a little time consuming having to open and minimized the window every time I needed to look at the radiographs. Also, I discovered that having a piece of paper out and taking

Also, the objective is to find patient’s document finding and correlate it with chronic disease process of elderly adults. With this reflection, I will discuss what I’ve learned, and my strengths and weakness in my clinical experience.

At the outset of treatment, the patient and health care provider should discuss and agree upon goals. The goals must take into account the food habits, exercise behaviors, psychological outlook and support systems of the individual. Realistic expectations, short- and long-term, may be promoted by a discussion of a healthy weight versus an ideal body weight. Features of weight management