The purpose of this essay is to reflect on a positive therapeutic interaction that I observed in practice on my placement. Firstly I will give a brief summary of the situation that I observed, followed by evidence that will be supporting why I considered to be a positive interaction, reflecting on what I observed, including feelings and thoughts, also what I have learned by observing and how I can apply my finding to my next practice. I arrived for the early shift at work; after hangover I was allocated to work with the nurse who was in charge of doing the drug round. After dispensing the drugs to a few patients, we went in a bay with 4 patients. One patient had problems with speaking and movement; the nurse placed the medication on the …show more content…
Although the patient could not speak properly he could use his hands and face expression to see if he was happy or sad. He took all the medication and finished the entire yogurt and at the end he looked happy. The nurse was pleased because these were medications that he had to take every four hours because they were essential for him to get better, as they were medications that were prescribed by his doctor. When we left he had a happy face and looked pleased. I think this is a positive interaction because the nurse assisted the patient to take his medication, instead of leaving him alone to take it by himself. The nurse was determined to find an alternative method to help the patient take his medication. The evidence that support my findings are related to the situation that I observed, but they have to be consider as a last resource and the method has to be justified. Wilkinson et al. (2011) in his procedure to administrated oral medication, suggested that oral medication, such as tablets being prescribed can be crush or dissolve with water or soft food such as pudding or yogurt to help the patients have their medications, using this method as a last resort and seeking consent from the patient, as well as consulting his doctor or the pharmaceutics team. Similarly Brennan. (2011) suggested using methods that are considered to help patients
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.
MY patient Mr. W. wheeled himself into my office for a checkup. He’d lost a leg to diabetes and was also juggling hypertension, obesity, vascular disease and elevated cholesterol. He was an amiably cranky fellow in his mid-60s who’d used heroin in the past though had been clean for decades.
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
Patient walks in the office looking a little stress. Smiling and greeting back the receptionist or DA did not pay extra attention to her. Patient needs an implant on her tooth and has anxiety. In the treatment room the patient is sitting down breathing normal, until she sees the doctor walk in the room. She starts breathing faster and faster. Dental assistant and doctor reacted by calming her down, telling her in a nice and calm voice not to worry.
The past two days I have spent in clinical has been a great learning experience. The first day, Wednesday, I had a patient who was a frequent flyer. He had just been admitted to the med-surg floor the day prior from the ICU. He was admitted to the hospital for DKA. He was admitted to the hospital multiple times in December because he is noncompliant with his diet for diabetes. The second day, I had a patient with has asities and A-fib. With this patient I learned the importance in receiving, and giving report to the next nurse. As my nurse and I were preparing my patient’s morning medications the nurse noticed that the dosage on one medication had increased. Before we gave the medication she went to speak with the doctor, who then informed
One of my patients who was at risk of falls was very eager to get up from bed at the begging of my shift therefore, it was important to start with his morning care first. This patient was blind and deaf, so I had to direct him where things are. He was a very polite man and easy to approach to talk to. I assisted him with a complete bed bath and then set up his tray for breakfast. I transferred the patient from bed to chair as soon as he finished his breakfast as he requested. I administered his morning medicines to this patient while sitting on the chair. His morning medicines included Pantoloc, Aspirin, vitamin B12 and Domperidone. Later in the afternoon the patient was transferred back to bed.
They concurred but were full of questions on how to help their mom plus they wanted a better explanation of CBS. I smiled at the group and proceeded to tell the patient I had noted the information in the chart and the Dr. would be in shortly to answer her questions.
In these assignment I’ve learn to use my therapeutic communication skills and techniques a lot, if it works successfully with families, I hope so, and I believe I did my best that I can.
“Thanks, but you did everything.” I replied with a chuckle. Less than five minutes later another patient was brought in. This time he was only bleeding from his mouth. “Why did they bring this patient in?” I queered as Dr. Pearce walked to the operating table.
She was 82 year old and presented with acute change in mental status secondary to urinary tract infection. On admission, she was irritable, aggressive and disorientated. The patient was treated with IV levofloxacin and adequate fluid hydration. The next morning, before morning rounds I went to examine the patient, her demeanor was almost the other side spectrum that I didn’t expect. She was wide awake, approachable and had a warm pleasant smile. Throughout the admission, managing her acute illness until the point of discharge was a pleasant experience.
who don’t expect to see smiling faces, warm greetings, and, of great importance, compassion. They expect to be greeted in a professional manner that is cold, uninviting, and at times, devote of feelings; almost robotic. It has always been my mission and challenge to greet every patient with a smile and ask them how they are, knowing that if they were “feeling great,” they wouldn’t be there. I still ask and, to my pleasant surprise, I see people light up because “it’s not as what you’d expect. And there’s something joyful about it” ((Seckel, 2004, Feb.). I frequently receive comments regarding the kind and compassionate care they received from us while we took their images for the day. They can see our expressions and in return we get to see the joy that, for that moment, allows them to forget about their pain and
“Better. Better,” announced the physician. “I will keep up the yarrow and feverfew for ‘im. But for now, he needs much quiet. I will sit with ‘im tonight.” He looked directly at Audra. “Eet eez for the best, my lady. You may call on ‘im in the morning. You need rest as well.”
The primary therapeutic modality is surgical drainage of any pus collection. A pulpectomy or incision and drainage is the recommendedf management hof a localized acute apical abscess in the permanent dentition. Incision and drainage or spontaneous grupture of the abscess quickly accelerates resolution of the infection. The addition of antibiotics is not recommended for a localized dental abscess.
gratitude displayed on the patient’s face affirmed that he was most thankful to have someone
Therapist will work with individual on self-control techniques to assist individual with calming down and being in control.