The Power Of Patient Perspectives

There are many potential problems associated with the use of elderspeak. One of the major problems relates to the potential of negatively impacting the self-esteem of those to whom it is being directed towards. It has also been reported that through the use of elderspeak, “staff may unknowingly reinforce dependency and engender isolation and depression… contributing to the spiral of decline in physical, cognitive, and functional status” (Williams et al, 2003). Healthcare providers who engage in elderspeak can actually contribute to the decline of their patients, representing the total opposite of good healthcare practice for which most healthcare workers strive to achieve. It has also been reported that the stereotyping of older adults can have an impact on the quality of information being relayed to the patient. For example, “providers have been found to provide more information, offer more support, and share more decision-making with clients who are younger compared to older adults” (Williams et al, 2004).

The key issues that I am going to discuss from my reflection are disempowerment due to a person’s age where either their family or care giver answer on behalf of the elderly patient and deny the patient of their own voice. Emotional problems are a common in the elderly and this particular psychological aspect often goes unnoticed.

a. Patients who are used to be competent are not longer competent, but they expressed their wishes before becoming incompetent.

Patient's decision-making is influenced by several factors. Patients may change their decisions, from accepting or refusing treatment depending on the available treatment options. The capacity of the individual to make informed medical decisions can differ as the patient's status changes cognitively, emotionally, and/or physically and as the proposed treatment interventions change. Treatment refusal is a common situation faced by clinicians. Patients do not usually refuse the medical advice if the advice is of good intention. When patients refuse an advice, it indicates some underlying reasons related to the patients or family, factors associated with the physician as well as social and organizational issues.

When comparing and contrasting the differences in the three approaches, I will review the relationship between client and counsellor. I will attempt to discover how the relationship is formed and how it is maintained during the therapeutic process. Once this has been established, I will then look at how the changes occur in the therapeutic relationship and which techniques will be used. I will compare and contrast the approaches of Carl Rogers, Sigmund Freud and Albert Ellis. I will look at how their theories have impacted on the counselling processes in modern times and throughout history.

The interaction with an elderly patient’s was the main source of contemplation this week. The stereotypical thinking that most people will exhibit when interacting with an older population may bring the unwanted outcome to older patient treatment. The clinicians have to take into consideration the abilities of each single older patient not looking at their age as criteria for treatment.

Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by

It is important to understand that patients have been experiencing aging bias for a very long time. It is also evident in the medical profession as well, and one needs to do more to ensure that everyone is treated fairly especially the elderly patients. The elderly patients need to treat with the utmost respect and dignity. One needs to understand that the elderly are the ones who pave the way for the younger generation. Therefore, it is important that one takes the time out of their busy assignments to listen to what the older patients have to say and respond to them in an appropriate manner. This paper will discuss how aging has impact one nursing practice, aging bias that one has witnessed during their nursing practice, and a community plan to discuss aging bias.

The care team needed not only to perform the regular duties to rehabilitate the patient, but also to be communicators, psychologists, and social workers to solve the complex situation. The patient had experienced difficult time while regaining the strength needed and required a strong encouragement and the adjustment of his habits in order to reach his functional goals. Everything he would use or do before in order be functional did not give a positive result due to his lost strength. It can be frustrating for the patient to realize that he lost the last abilities to be independent and needs the assistance with ADL's and the PTA has to find the approach to solve the functionality problem and encourage the patient psychologically. The other factor that influences the patient's care is his family, which pressures on decision for discharge when patient is not ready. The financial burden can alter the process of communication with family and the PTA has to prove to the family the opinion of the team on patients disability to function. The proper documentation on the case has to be able to prove the necessity of services and possible welfare benefit or assistance for this patient. The example of this patients has shown me that a good PTA has to incorporate all the qualities of good professional, communicator, team member, psychologist, and social worker in order to reach the goals

The role of the physiotherapist is constantly evolving within our health service and the need to be at the forefront of patient-clinician innovations has never been greater. With half of women and 43% of men in England now regularly taking prescription drugs (HSCIC, 2013) the need for a holistic approach is more important than ever. Physiotherapists are trained in holistic approaches from the very beginning at university and this way of thinking is a fundamental part of the practice. Promoting patient-centred rehabilitation and care is paramount to achieving the agreed goals with the patient. But what about over the long term? With 18 million people living with long term conditions (LTCs) and, for example 3 million living with 3 or more

The case given shows as a good example of how these aspects can present conflicts in the clinical settings. In the scenario, affluent patients received longer sessions with a senior physical therapist along

This submission is going to focus on the nursing care that I gave on two placement simulations and one shift on placement, placing emphasis on oral care, bed bathing and medication management. It will outline the fundamental aspects of clinical nursing skills that have taken place in my setting. This will also highlight the learning process taken place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using other sources of current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as

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.

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

As a physiotherapist it is expected that you are able to influence your patient in becoming independent to achieving a persona goal and to be able to provide their wants and needs. A physiotherapist also needs to be able to provide options in helping them to achieve the best result.