Reflective Journal Analysis

On October 27, 2016, we met to obtain clarification on your work destinations and work performed on the day prior.

I will now discuss how I was thinking and feeling during this event. I had been working at the hospice for over a year and had looked after patients with MND before. I had an idea of how it can affect communicating with the patient. I was apprehensive about approaching Patient A as I didn’t know what difficulties I may find whilst trying to communicate with her. She was able to communicate very well using the pen and writing down, and using hand gestures. I learnt that by speaking clearly with easy to answer questions we were able to communicate with each other effectively. Afterwards I felt pleased that were able to determine the problem and find a solution for her, despite the communication barriers.

Last week Thursday on the orthopedic clinic was a slow but eye opening experience. When I got to the clinic at 8AM, after I was introduced to some of the nurses there, I was immediately assigned to a Medical Assistant (MA) that I had shadow for half of the day. The MA shows me around the clinical and explained her role and responsibility in the clinic setting. During the first several hours, and MA and I were quite busy rooming the patient. Because the MA want me to see how to do thoroughly assessment on a new patient, the MA did a thoroughly assessment and examinations on the first patient we saw. During the assessment, the MA also explained some of the medical procedures to the patient. She did a set of vitals on the patient, particular on new patient, such as blood pressure, height, and weight. We had a total of 15 patients during the morning.

I was able to check the patient in a systemic order and to make her feel comfortable around me allowing openness and honesty about medical conditions. I responded to the patient in a professional way as to not make her feel uncomfortable and to represent myself as a professional. The patient felt very comfortable with me during the interview, I had asked her upon completion if I was professional and if she felt comfortable. She said that I was very gentle in examining her and that she was very comfortable speaking to me. During the examination there were moment when the patient and I had light conversation, as I did not want the experience to feel cold and calculated. She showed me picture of her family and the books that she loves to

The interview went well and was pretty conversational because the patient was in for a follow up appointment. Nothing went wrong and the patient was nice and I felt that I was able to do a good job getting information about her history and made a decent report back. This positive experience will help with confidence to see other patients.

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.

As I entered Mrs. Brown’s room I introduce myself, my role and the reason of being there and asked her how she would like me to address to her. Being supervised by the RN I asked for an informed consent prior to commencing a focused holistic assessment and then I asked what would be a good time for me to come back. I did recall from a handover that Mrs. Brown has a Clexane which

Standing near the door instead of coming closer to her patient, she immediately began the interview. Without making any eye contact, she dived into a task-oriented approach by reading questions right off the chart in her hands. Throughout the

I went into the scenario thinking I was just going to provide observational care. Describe the actions you felt went well in this scenario. I was able to deliver oxygen in a timely manner at the onset of his seizure. I was also able to perform a thorough neurological assessment after his seizures to make

I felt a stronger connection between the patient and me more than the patient with the intern. It may be have been because we were both Spanish. He liked the intern, but it was more about getting treatments done. While getting treated by the intern, the patient would discuss his family, his wife, and moving to Florida. Within treatments I developed some type of counter transference and the patient some type of transference. I always maintain professional behavior and I was more a listener and show sympathy towards him.

Observed the physician assistant while he conducted neurological and physical exams. We conversed about the role he plays. In this facility, he worked autonomously with minimal assistance from the physician. Learned various types of physicals and assessments that he conducted. Overall, I had a clear idea about the setting and the whole experience was invaluable.

Even worst she barely ate nothing I knew this because there was just 2 dishes to clean. It was until Ms. Lacardy said “Johana I’m ready for the interview don’t mind the empty bottles those are garbage from all week I just can’t walk without feeling an electric shock in my back this aeropathy is killing me”.” Oh Ms. Lacardy don’t worry I still think you should not be drinking at all it can affect your health dramatically”. I replied. With tears dripping from her eyes I was able to feel all the emotional pain she was going through she was battling with her life, loneliness, depression and pain. The interview setting was very sad, vulnerable, depressive but, one thing I knew for sure was that despite all this emotions at the time of the interview she was going to open her heart to me. She would often tell me I was her private phycologist and friend. Hence, at times I felt empowered to motivate her and invite her to the park even if it was just to sit in the bench have some snacks after all I was her phycologist. However, many times I failed she would preferred to be home close the curtains she didn’t like to see the

This week at Bridge House things are not running so smoothly. After returning from a long weekend I notice a change in the client ratio. Some clients was discharged over the weekend, resulting from unappropriated behaviors. I found the challenge to be the coed residential setting. This setting for some takes the recovery focus away. Individuals begin to form intimate relationships, and lose their focus. They become once again unable to make importance decisions for themselves. As seen with the two clients who decided to leave the program together, and the other two who got caught having imamate contact. I truly think that a rehab setting should not be coed.

An event that will influence my academic work and goals at CCU will be my Aspiring Missionary class and Missionary training that I am currently going through both at my church Saints Community Church of God in Christ and through our local jurisdiction the Fresno Metropolitan and later our state jurisdiction NorCal. My training starts with our Aspiring Missionary class which meet every second Saturday of each month for two years starting in February through October. During our classes we are required to study our lessons and be prepared to take at on our next meeting. At this level we have to know the background of the church, the church doctrine and history and structure of the church. Through this training I am

This essay will review the literature to critically explore the value and purpose of reflective practice.