Therapeutic Observation Report

After observing my mother in at the emergency room where she works, I finally understand the difficulty of being a doctor. Doctors constantly having to take care of anyone who walks through the door on a stretcher. Doctors have to try their best to feel empathetic towards everyone, putting themselves in other people’s shoes and trying to understand their situation. Whether they are good or bad, it doesn’t matter, the main goal is to stabilize the patients and make sure they receive the help they need. For example, last night walked in a psychopath who had killed 3 people, who also stabbed himself in attempt at suicide. By some miraculous move by God he didn’t die, only required immediate medical attention. As I watched my mother operate

In the midst of attending a party with his friends, a random, ricocheted bullet pierced the right side of his head while he was trying to break up a fight. The bullet blew away part of his skull and lodged into his brain. When he arrived in the trauma bay, medically he was dead- no pulse, no spontaneous respirations. His family was forewarned that if he woke up there was a strong possibility that he would never speak or walk again. The patient- B.H., was a seventeen-year-old high school senior, who was class president, and captain of the football team when he was shot. During his month long stay in ICU, the hospital staff worked around the clock to ensure that his issues were properly managed. Despite all odds, B.H. is currently in his senior year of college, plays semi-professional football, and works two jobs. What was particularly fascinating, was the way the physicians were able to prioritize and execute their management in a dire situation. The intricate thought process of managing the patient as a whole,

Through the years following Fiona’s birth, Jackie suffered with depression and anxiety. The stress of having a difficult baby was quickly remedied by prescription pain medication, subsequently causing Jackie’s dependence on thesubstance. Jackie has kept her addiction a secret from her family and friends, demonstrating both trust and a poor self-image. As part of this therapeutic intervention, I advised Jackie that she would be free from judgment within our therapeutic relationship. Jackie was also advised that she could speak freely about her feelings of being a mother and provider, verbalizing the stressors she associated with her roles. Initially, Jackie was opposed to entering a 28-day treatment program as part

Alice has just come out of an intensive inpatient treatment program and due to her home life with her husband having a job that requires him to be away a lot, leaving her alone with their two young daughters, I would recommend that Alice be a part of an intensive outpatient treatment program (IOP) (Brooks & McHenry, 2015). One of the reasons that I recommend a IOP for Alice is due to the structure that an IOP will give her and potentially her daughters that are living with her as well. Within the IOP she will be receiving continuum care that was similar what she was receiving in her inpatient facility. The goal would be within three months to reevaluate where she is with her goals to see if she could go to a level of care that is not so intensive.

The term disrespected jumped out of me! You are totally correct, and this is especially so for those in vulnerable situations. Early in my employment, I was contracted to work on a fairly intense sexual abuse case involving four children. I spent nearly forty hours a week providing in-house, therapeutic intervention to children who had been severely abused. It was by far the moment that made me into the professional I would become! Children need to be respected. If I would have entered their house without an understanding that this was "in fact" their house and that they are in control of their emotions, feelings and choices--then nothing would have worked. In fact, I could have made it worse. In this, being respectful to who they are

Client was observed coloring only one sheet and started moving around the office. Client switched chairs several times. He sat on the chair with wheels and started swirling it around for a period of time. He then sit backward with his knees on the seat while hold the back of the chair with his two hands and started rocking the chair back and forth for a period of time. He rocked the chair to the point that the chair's two wheels came off the floor. He moved the chair closer to the clinician's desk and picked up a pen and started throwing the pen on the table. He picked up the pen and threw it on the table about 6 times. Clinician eventually came to the client and asked him to sit on a chair without wheels. Client then crawled under his chair.

The broad therapeutic goals are to ultimately help the client live a fulfilling life, without the maladaptive thoughts that they are having, which brought them to therapy. This ultimate goal can be accomplished by changing the client’s current thoughts, which are causing them unease, to more positive and/or healthy ones. Clients need to examine how they dealt with situations in the past, and determine what worked, and what did not, so that they can change the strategies that didn’t work. When clients realize that they can change their thoughts, this will trickle down and change their emotions and behaviors as well. Once they understand this, it will help them to live healthier lives. One of the goals is also to equip the client with the necessary tools so that they can cope with situations on their own.

Evidence-based practice uses current research and clinical judgment to provide interventions and care for patients (Kelly, 2012). It is important for nurses and all healthcare team members to be up to date on current practices so patients can receive evidence-based interventions that improve clinical outcomes. According to Kelly (2012), almost half of patients that receive care, receive interventions that are not based on evidence which can ultimately compromise the safety of patients and their health outcomes. Peripheral intravenous therapy (PIV) is a common practice in the acute care setting and evidence-based practices have been established to drive appropriate care for this intervention.

Shoulder instability is commonly seen in rehabilitation settings. Many patients come in either with shoulder pain, spasticity, subluxation, decreased range of motion(ROM), stiffness, or instability. Exercise is an effective key component in achieving stability of the shoulder. Therapeutic rehabilitation relies on evidence-based practice to provide the best care to improve function and stability. The purpose of this research study was to investigate the effects of stretching and joint stabilization exercises applied to spastic shoulder joints on improving shoulder dysfunction in hemiplegic patients using three groups of hemiplegic patients (Young Youl You, Jin Gang Her, Ji-Hea Woo, Taesung Ko, & Sin Ho Chung, 2013).

The article written by Kennet, Hardaker, Hobbs, and Selfe compares crushed ice, gel pack, frozen peas, and ice-water immersion to see which one had the best therapeutic outcome. These modalities are supposed to cool the tissues in the injured area to decrease swelling and pain. The researchers had several patients undergo 20 minutes of application to the right ankle with each of the four different modalities. After the 20 min application, the patient’s extremity had 30 minutes of rewarming time. Temperatures were taken to see which modality cooled the extremity the best and compared rewarming temperatures too. Crushed ice and ice-water immersion had the greatest cooling ability in those 20 minutes. The gel pack only cooled the surface area

I am incredibly enticed by your available veterinary technician position, as referred to me by my uncle, Kurt Moody, who works in your corporation as an accountant. Per your request, I am attaching a completed job application, my certification, my resume, and three references.

As I walked up to Therapeutic Links, a wave of nervous electricity overwhelmed me. Having previously shadowed at Loyola Hospital’s acute rehabilitation unit, I didn’t quite grasp where these feelings were coming from. Deep down I knew. I was about to set foot into an outpatient pediatric clinic. I was afraid. I have children of my own and believed any child facing challenges would trigger emotions to spill out. What I didn’t realize was this experience was about to change my outlook on therapy practices forever. Julie Kwasiborski, the clinical manager and continuing therapist, greeted me at the door. She discussed the varying training techniques she practices from musgatova neruo-sesnsory-motor reflex integration to sensory integration and

The purpose of this paper is to reflect on my fourth day of Clinical. Today was all motivated and had a positive attitude for accomplishing the day. I knew there was the possibility that my previous resident might have been discharged, I was happy, but worried whether he would reposition every so often to maintain and increase blood flow to the sacral region for the pressure ulcer. Also concerned whether he would take steps in preventing urinary infection especially with use of briefs. Therefore, when I step into the resident’s hall, I checked for his name at the door. The name was not there, so I knew he had gone home. With that news, I informed our instructor that the resident had been discharged. I was assigned to a new resident with unilateral

The techniques that I utilized with Janet after having done a spiritual assessment (where and what her relationship is with God) and doing a spiritual history (an informal conversation about spiritual views); the first technique I used was prayer, at the beginning of each session, this allowed for Janet to know that she can be at ease, that this is a safe environment for her to have open communication and that she is being heard by the three people present in the counseling (God, herself and myself). When in the sessions I choose to use open questions (meaning questions that Janet needs to think about and can expand on her thoughts and emotions), rather than closed question that require “yes or no answers”. I also suggested to Janet that she can pray on her own allowing her to have private conversations with God outside of session. Journaling or art would allow Janet additional ways to express her emotions and would allow her later reflection. Janet can also use relaxation techniques in challenging times such a taking deep breaths, during times of panic she can focus on one thing and bring herself slowly

The Therapy Process. This group counseling offers a strong atmosphere for healing and growth for veterans who have endured past trauma and are seeking help. In regard to a strong atmosphere, this group therapy offers a safe environment to help veterans feel valued, respected, and supported.