Personal Reflection

On 08/20/2017 at 1002 hours FTO Wheeler #4361 and I responded to St. Luke’s Hospital emergency room entrance, on 3555 Cesar Chavez St., regarding a women in a hospital gown trying to break the caller’s vehicle window with a brick. Officer Wheeler and I were in full police uniform driving a marked patrol unit when we responded.

My clients have ranged from a full of life 6-year-old with cochlear implants, a wise 13-year-old harboring negative feelings toward his stutter, to an inspirational 64-year-old who was 3 years post-stroke. With such a diverse group of individuals, I quickly learned the influence I had on improving clients'

This reflection will discuss personal diffidence and how it has influenced my academic studies, including my practice within placement settings. Gibbs reflective cycle (Gibbs, 1998) has been utilised as it illustrates a clear structure for the process of reflection. To conclude this reflection will draw together the themes which have emerged and highlight a clear action for future learning that will be used in order to enhance my future practice.

Assist family members to gain a realistic perspective of client’s situation, conveying as much hope as appropriate (EHS, 2012).

Communication in Nursing: a Monologue Analysis Active listening plays a key role in nurse-client communication (Riley, 2017). When a nurse listens to a client, it conveys that he or she is truly interested in their wellbeing. Active listening also builds trust in and allows for further communication with clients, as it expresses both “acceptance and respect” (Potter & Perry, 2014). A woman whose son was born with congenital heart disease stated, after talking to a health care provider about the boy, that “it was the first time she had felt like his mother” (Hawkins-Walsh, 2000).

I feel my strength in this domain are my abilities to relate to the variety of clients. I feel I am able to empathize easily with people and understand the importance ensuring the clients control, comfort, dignity and needs are always considered in my nursing care. Each client is unique in their own experience and I am able to recognize the uniqueness of each person and that the care they requires is just as unique and I feel that so far I have not allowed any judgements or assumptions in to my care practices. Some of the challenges for me in this area are clients who are not able to communicate for various reasons; dementia, CVAs, different types of aphasia, the do not speak or understand English. My goal to improve my relational capacity

Consequently as a student of psychology, and as a human resource employee, I know that the greatest disconnects often occur with gaps in communication between the care givers and the cared for. As your case manager, I shall serve as a liaison

Before clinical, I was concerned about not knowing how to care for a patient who had a Corpak. I was unsure how to interact with someone who is nonverbal and has an altered mental status. Though I had some fears before clinical, this clinical had been one of the best ones I’ve had so far. During clinical, I learned more than I did before and I was happy that I was challenged with this patient. By just trusting in myself and asking my nurse questions, helped me manage my concerns and fears that I had.

F had or did not have to make him develop this understanding of nurses. I would take his response into consideration with a combination of the diagnoses he has, his coping strategies, former architecture background, and known support systems to find a way to advocate for better nursing care and provide resources for the patient to feel comfortable in his healing environment. I could also provide direct care by asking Mr. F if there was anything I could do for him within my scope of practice. By changing my responses and mindset about what Mr. F said, I would be able to take an action-orientated approach to help the patient recover. Nonetheless, throughout the care exchange, I genuinely felt a deep sense of care for the patient’s wellbeing and experience within the health care facility. I feel like this type of behaviour is an important one to preserve whether it be between one patient or all patients that I will meet in my clinical placements. To further my reflective learning, I would begin to actively seek resources and support groups that I can offer to my patients and find ways I can advocate for safe practices and better environment for nurses to perform in. I would try to develop my ability to freely speak out about issues and feel comfortable voicing my judgements and providing a voice for the clients I care for. Through this experience, I

Somewhere along the line, it became clear that my journey is not so much about knowing as about always learning. It can be professionally intimidating if you have a limited number of treatment approaches that you’ve mastered, to heavily focus on the patient as your teacher. It can be even more frightening to take the extended time to allow the patient to open up and share their thoughts and feelings over a long period of time. Significant value is put on conducting brief therapy work in a short period of time in the context of our managed care system. Many clinicians don’t have the luxury of taking extended periods of time with patients. I’m fortunate that my programs grant funding allows me the opportunity to build my therapeutic relationship with my patients. Rapport building with my patient has become a more important priority than ever has been before in my

Q. 11. (a) Provide an example of a ‘special needs’ client that presents with a particular barrier to communication (b) Briefly describe how you might adapt your communication style to serve the needs of this

In contrast, my mentor’s outgoing personality allowed him to quickly establish relationships which would last through treatment. I was amazed as even new clients recognized him or told him that they had met him before. Sympathy for clients allowed me to relate to their frustration, as my own injuries once led me to be in their position. However, I also understood that sharing this would not improve their experience as the disappointments and problems of others can allow an individual to sink into their own. Unfortunately, I still stood

My initial awareness in working with this client was focused on establishing Rogers core conditions, this felt natural, and I did not struggle to create the space or establish my therapeutic presence for the client, and I noted how I felt I was being held by the conditions as much as I was offering them, namely congruence, empathy, unconditional positive regard, underpinned by an ethical intention. This felt self-supporting, acting as a bedrock, assisting my holding of the client’s emotions in listening to his story. The clients journey was affecting me on some level and I felt something for the sense of shock he was experiencing to have this type of condition at such a young age. I felt

My client was completely silent aside from the occasional kissing sound he made while staring at my chest. I uneasily tugged the hair tie around my wrist. Since I was young I have wanted to help people struggling through difficult circumstances. This was my first real opportunity to provide that. I glanced up at the man sitting in front of me. We met briefly the day before when I was appointed his guardian advocate. He had been involuntarily committed under the baker act. Since he had no close family or friends, it was my duty to assume temporary guardianship over him and make treatment decisions on his behalf. I mentally riffled through my training manual. The phrase it can get better was used frequently, but the manual fell short when it

The writing I did this semester for Engl 110c has meant alot to me because I was able to pick a topic that has such a huge impact in my life. I was able to do the topic about Navy Wives, which has a huge impact on me. I recently became a navy wife a year ago and my life has changed drastically. I was able to share everything I wanted to about the life of a military wife through my writings, as well as share to my classmates about my topic. I really enjoyed creating my ePortfolio because I could come out of my shell and be me. I made a ePortfolio website that would be for military wives to read. I believe this website would be perfect for any military wife reading it. I was able to give tips and information on what it’s like to be a military wife, how to prepare for deployments and how to stay strong being a military wife.