Today in my clinical placement, I encountered a patient that I have been giving care to for 3 days. This particular day I noticed my patient was showing signs of paranoia, which is out of character from the previous days I have given care to him. As I greeted him in the morning, he requested me to come close enough to communicate through a whisper. He stated he believes the health professionals at the hospital are trying to kill him. After hearing this statement out of the blue I became concerned and puzzled of the reasoning behind his logic. I asked him why he felt this way and that I believe the complete opposite. After reviewing what I’ve said, I realize I may have came across as insensitive for it may have taken a lot trust for him to tell me his concerns. Unsure how to approach this situation and my future encounters with this client I went to my instructor for a second opinion and advice on how to use my interpersonal skills and a different perspective of the event. I …show more content…
The patient could have became upset and could have lead to a greater ordeal. When the patient told me this I was uncomfortable because I did not except he was feeling this way and I have never been in a situation where someone was feeling untrusting of who was giving care. I was not prepared on how I would respond and I said the first thing that came to mind which can be interpreted as insensitive. As I was uncertain, I searched for help on a different perspective on the event and this opened up my thoughts and direction on how to interact with my patient and other similar scenarios in the future. A part of working together as a team of health professions is being able to ask for assistance when needed.(Sorrentino, S.A. & Remmert, LN. Will, MJ & Newmaster, R 2013,
She immediately started to worry and stated “What excuse can I give you so you leave me alone?” I responded that we just needed to get ready for the day and we did not even need to call it therapy. Once she sat up she started hyperventilating. My supervisor was in the room at the time and said this was exactly what would happen the last time she stayed in the TCU. After 45 minutes, lots of encouragement, rest breaks and maximum assistance we finally got her dressed and situated in her recliner. While I was documenting the patient was talking to the nurse about how she did not want to have therapy anymore. The nurse responded to the patient and asked her why she was in the TCU if she did not want therapy. In the same week, this patient declined therapy all together and both physical therapy and occupational therapy had to discharge
Paranoia Schizophrenia is a mental illness that is the most known type of schizophrenia. Schizophrenia is a type of psychosis when your thoughts and emotions are impaired enough to a point that you cannot recognize reality or fantasy. According to http://www.webmd.com/schizophrenia/guide/schizophrenia-paranoia#1 this illness usually starts in late adolescence or young adulthood. It also affects the way you behave and think. There is medication that can be taken to treat the illness.
The work Schizophrenia is less than 100 years old, although the disease was first identified as a discrete metal illness by Dr. Emile Kraepelin in 1887. The term schizophrenia was first used by Dr. Eugen Bleuler to label this complex disorder. Dr. Bleuler first used the word schizophrenia when he had noticed that some of his patients and been "slipping" from reality, Hence the use of the term translated literally means "split mind".
Schizophrenia is a perplexing and incapacitating psychiatric disease with distinctive subtypes. Many professionals have researched the different types of this disease. Each subtype has different similar symptoms. The symptoms are extremely different between the types of schizophrenia. Two of the main subtypes of schizophrenia are non-paranoid and paranoid. The neurological paths in one with paranoid schizophrenia are different than that of a non-paranoid schizophrenia (Citak et al. 2013).
1% of the world’s population is schizophrenic (Frey). That’s 73,007,840 people. The common myth around schizophrenia is that people hear voices, but really it’s not always and can be much more than that. Schizophrenia is long-term mental disorder of a type involving a breakdown in the relation between thought, emotion, and behavior, leading to faulty perception, inappropriate actions and feelings, withdrawal from reality and personal relationships into fantasy and delusion, and a sense of mental fragmentation, that can be suppressed with medication and therapies.
Schizophrenia is a chronic and severe mental that affects how a person thinks, feels, and behaves. It is a condition that requires lifelong treatment for people with schizophrenia. It is a serious condition when a person loses touch with reality with friends and family. Things for them that are imagining starts to become more real to them. They have problems concentrating, having memory, and lack of emotion. Doctors do not completely know the causes of this disorder, researchers are still on the job trying to find out. Many people with this disorder live in a private inner world with their own imagination. It is know to be called a “split mind” which means multiple personality split but the mind suffered a split from reality. Paranoid schizophrenia is the most common type. It is when a person loses touch of reality, their ability to function and think normally daily is altered more than other
For this passage, I understand what is a paranoid mental illness. Perhaps, a person who has paranoid mental illness has an unhappy memory or experience. If a person life in a family with lots of problems, he may have some mental problems. For example, a father who addicts with alcohol aways beats his children. The children fear to the male strangers because they believe that the male stranger will hurt
When working with the public the healthcare provider should ignore preconceived notions of a patient and should learn the underlying factors, for example getting a better understanding if the patient is educated on the topic or if the patient can afford a treatment. Many times, patients aren’t resistant to care it is because of an underlying factor that presents as a barrier. During this experience, I felt many patients who came to at the clinic on this day had come into get treated for symptoms they had and further preventive education should have been provided, so the patients wouldn’t have repeat visits. However, I felt the Doctor and Registered Nurse presented as caring, provided the patients with education about their current situation, and gave them options. In the future, I’d want to investigate more into the patient’s barriers, empower them, would take more time informing the patients about resources and would work on my communication, as well as nonverbal communication skills. Many things get lost in translation, so I’d want to keep things simpler terms so the full message could get relayed properly and so the patients receive competent and quality
This morning I am working 7a.m.-7p.m., on a really active Orthopedic Medical/Surgical unit in the hospital. I am assigned 7 patients today. I am of speaking on the phone to a physician about his client who has a history of Myocardial Infarction, Hypertension, and Hypercholesterolemia. The client’s vital signs had become unstable and he coded 10 minutes ago. I concluded with the physician that I called the Rapid Response Team, and that they are currently responding to his client. The physician has indicated that he would be in as soon as he can. I hung the phone up, and heard a loud distinct thump sound. I truly believe most nurses who have unfortunately heard that thump sound, definitely knows that sound is from a patient who has fallen
During my clinical placement at Wanneroo GP Superclinic, I was tasked with providing care for a patient experiencing chest pain and breathlessness. The patient was ordered for an ECG which concluded that he was to be sent to Joondalup Emergency via ambulance. When I asked the patient if he would like an ambulance called, he refused, saying that he would go home and see if it eases. I explained to the patient the risks associated with not going immediately as per doctor’s request. I informed him of the cost of the ambulance at his request and that he does have the right to refuse an ambulance transfer and further treatment. I asked him if he could relay the information I had provided him with to me to ensure that he understands and can make
A patient admitted to the hospital via the emergency room complaining of right sided radiating pain in the area of her pacemaker. While in the hospital the cardiologist prescribed medication for the patient and took charge of her care. Kathleen Rice, (2010) states that communication is a two-way exchange of information between professionals that is conducive to developing collaborative working relationships. This was not the case in this situation. On day two the client refused medications that were unfamiliar and expressed that she is taking medications for her current condition. At this point she became agitated and wondered why her primary physician was not notified.
I am a newly graduated Registered Nurse (RN) and part of the Nurse Entry to Practice programme (NETP). I work within a multidisciplinary team (MDT) on a 38 bed, blended medical and surgical ward. The following situation occurred during an afternoon shift, regarding a newly admitted patient with uncontrolled pain. This situation falls under the trustworthy collaboration aspect of management of practice and health systems and is regarding the working relationship between
Patient voices his first major concern as being a room transfer. My patient felt like his roommate was vulgar and disruptive. He felt like he would be more comfortable and relaxed in another room. This concern was addressed, but the there wasn't a room open at this time for my patient to move. My patient second biggest concern was when his diet was going to be changed from NPO to a regular diet. This was changed during my clinical and my patient was able to eat a regular dinner. My patient third concern was the management of his
The situation happened during the author’s last day of orientation as a new medical-surgical nurse. The author was passing medications and administered aspirin to a patient as ordered. As the author approached the nurses’ station, she stopped in disbelief as the charge nurse started yelling at her, saying, “Why are you not checking your orders? Why did you give aspirin when the order was no anticoagulants should be given to the patient? Do you know the patient is having a procedure tomorrow? New grads.” Several physicians and nurse practitioners, along with the author’s coworkers, witnessed the unfortunate incident. Because of this, the
As I was not directly involved with the incident and was just observing, I felt quite safe. I had previously been reading an assessment report and treatment plan on the specific client that the incident was involved with. This provided me with a greater insight in to why he was at a heightened level. As I have come from a hospital placement previously, I