Personal Reflection On Placement

Recently, I completed a psychosocial assessment on a patient in the PHRM/ISS program. She was 21 years old, pregnant with her fifth child. When she initially walked in she seemed pleasant. Then, before we could get started she received a phone call. She politely asked could she step out and of course I said sure. Immediately, after she walked back in she seemed anxious and annoyed as evidence by her frowning and checking her phone every minute. Then, she would continue to say yes and not pay attention to the questions that I was asking. After a while, this began to bother me. This is because I would ask her a question and she would not answer or ask me to repeat myself. Then, she made a comment stating that “it does not matter and she was ready to go because she was upset.” At that moment, I knew that I needed to take an assertive stance.

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.

The resident was uncivil by calling the patient a “She-Male.” It is possible for the patient to delay seeking testing and treatment due to insensitivity among health care professionals.

Emma thinks that she does not have difficulty with the supervision but she does sometimes struggle with the resistance in regards to the walk-in program. Historically, nurses have not done counselling although, it is within their scope of practice in an informal way through their college. In that instance, Emma tends to be strategic with coordinating walk-in and being mindful of which clients she assigns to each practitioner. For example, if a client presents with significant trauma symptoms or hyperarousal with trauma, nurses may not be as trauma informed as a social worker. However, a patient may present with a desire to access an assessment through psychiatry and to discuss their medication regimen where a mental health nurse may have a more advanced knowledge of medication. Nurses have addressed that ‘going in cold’ is outside of their purview and that seems to make them more resistant to being involved.

Can words change person’s thoughts from desperation, violence, to peace and normality within a dehumanizing prison? Some prisoners spending short to long term sentenced, sometimes lose themselves in a world of violence and become worse off when coming into the prison system, than how they used to be before prison life. Trying to hold on to any bit of sanity or respect for humanity becomes an everyday struggle. Sometimes the smallest thing can help prevent the feeling, of going over that edge of no return from a dreadfulness act of death.

For the purpose of this assignment the student will be discussing and analysing the professional, legal and ethical issues that influenced how person-centred care was delivered to a patient in an acute psychiatric hospital where the student was working. In accordance with the Nursing and Midwifery Council (NMC) (2010) the patient will be referred to as Sarah to uphold confidentiality.

For the purpose of this essay, I will refer to the aforementioned placement as “Brampton Lodge” in order to maintain anonymity. During the first few weeks of my placement as I was finding my feet and settling in, I found myself at a loss as to what to do as there were only female service users present. Due to policies in place at Brampton Lodge, female service users could only receive personal care from female support workers. This was not much of a concern to me as it was necessary for me to remain mindful of the individual at question’s privacy, dignity and personal preferences. However, in the forthcoming weeks as male residents began to arrive, I found myself becoming more directly involved within their personal care.

Discussion: Ms. Roger reported that Corey's Medicaid hasn't been reinstated, as a result, his therapy and all medical appointment is on hold. She stated that Corey has enough medication and is not at risk of running out. Ms. Roger expressed concern with Corey's Maladaptive behavior (substance Abuse), truancy and medication refusal. She asserted that Corey's addiction to this substance is affecting him significantly. Corey denied it, purported that he's not addicted to it but uses it as a coping mechanism. Corey stated that he's been absent multiple times from school because he's lethargic in the AM. Ms. Rogers indicated that his Maladaptive behavior is contributing to it. Ms (Family growth) informed Corey about their Substance abuse program

Sometimes patients can be rude because they are in the hospital but you have to understand that they are going through a hardship. Activities/ Resources: Talk to the patients more to learn about them and see how they are under the surface Evidence: Counting the difference between how many patients we used to talk to and seeing the difference in how many we talk to now.

History of Present Illness: The patient has been seen in this clinic since 2016. She is diagnosed to have ADHD, Bipolar II disorder, Generalized Anxiety disorder, Alcohol and Cannabis use dependence. The patient has struggled with separation from an abusive ex-husband, who is currently

The most challenging aspect of this clinical situation was that the client always wants to run away from us as soon as he believes he is doing fine and does not need to be with the nurses. It was hard to deal with a client who loves to seek attention, as soon as he gets a hold of the nurse and gets what he wants, he just wanted to run away from the nurse. Working with a client with such behaviours, I would wonder if I, as a nurse was taking too long to provide the care that he receives every day from other nurses. I wanted to make sure that the client’s condition is stable, as Canadian Nurses Association (2008) stated one of the nursing values and ethical responsibilities is that “[n]urses work with people to enable them to attain their highest possible level of health and well-being” (p. 10). It was my responsibility to make sure my client’s

Although de-escalation strategies were introduced, the behaviour escalated to him making inappropriate comments and becoming verbally abusive. This may have been due to the atmosphere felt, once out of the quiet area. Tensions were still running high with the other patients on the ward. In contrast to being on the open ward, where there was other patients to contend to, whilst Rob was on a one to one, he was made to feel like he was given undivided attention. An example of this is making eye contact, where necessary, and nodding along in understanding to what the client had to say in a none judgemental manner. According to Dufresne (2003), if people do not feel they are not being listen to, they may ‘up the ante’ in order to get the attention which they desire. It is possible that once out in the open, Rob felt de-valued because his needs were not the centre of attention.

In the book, Positioning: The Battle for Your Mind, two authors, Ries and Trout, illustrate how efficient positioning a product can affect the recognition of the target market. In addition, it is an outside-in approach to the business marketing. In other words, the marketer considers a business with the prospect’s mind rather than the products. First and foremost, the authors introduce the concept of positioning---“Positioning is not what you do to a product. Positioning is what you do to the mind of the prospect. That is, you position the product in the mind of the prospect” (Ries & Trout, 1986). Moreover, the past strategies for marketing no longer match the present market, and Ries and Trout believe that communication itself is a big problem. Since our society is “over-communicated,” customers might receive overwhelming information. People’ s minds can only collect a narrow amount of information and it blocks out the rest of irrelevant information; therefore, this can explain the reason why some advertisements fail to attract the attention of consumers. The authors provide several statistic data to support their statement about the over-communicated world. Obviously, 57% of the world’s advertising is offered by the United States, America publishes more than 30,000 books per year, and the average of American family watches around 51 hours per week of television. Therefore, American customers receive too many messages from different mediums, such as television, books, and

We currently live in an over-communicated world and with all the buzz, it is hard for people to absorb new information then default to what they already know. “Positioning is what you do to the mind of the prospect” (Ries). The concept of positioning is fascinating to me that companies need to get inside the mind of the consumer to ensure growth. Some example where it is easier to know who the first person was in a vast variety of industry and how no one cares or knows the second and third people/ companies. The concept is boundless how to be successful in today’s markets you need to be creative. His version of creativity is to find something that does not exist in the mind or if it does then find another way to manipulate something that already exist. I agree with a majority of the viewpoints it still true in today’s markets, if a company is not innovated then it will die. Markets today have crowded with billions of products that copy each other to make money. An example would be china making fake products from a famous designer. The problem with this there is way too much competition and people want cheap and easy products. The positioning for this illegal practice everyone knows the designer, but no one cares about the manufacturers.

Priorities are an imperative thought in such a large aspect of our lives. How we invest our energy and our resources, mirror the needs we have. As individuals from associations, we likewise help to set the authoritative priorities (Quantitative, 2017). This discussion will reflect on priorities in both my personal and professional life and the impact that these priorities have had on relationships and personal effectiveness.