Understand Patient Interaction

In the times that we currently live in, communities are becoming more diverse with new cultures and races. In the clinical setting, this is requiring medical professionals to be more competent with their patients. In addition to being competent, it is important to use active listening with your patients while interacting with them. Active listening shows the patient that you actually care about their well being and in turn will make them feel comfortable sharing private information with you.When actively listening to a patient, it is important that you maintain eye to eye contact and let them do a majority of the talking. If the patient says something that has little detail, ask them a probing question if necessary. This shows them that you're

The World Health Organisation (2010) defines palliative care as: An approach that improves the quality of life of patients and their families facing problems associated with life threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. It is also our duty to support John and his wife`s in their decision for John to die at home, Department of health (2008) patients should have a choice over the care they receive and where.

I will stay calm and will not be nervous during the interaction. I will do this by focusing on the needs of my patient and by trying to understand how she is feeling in this situation. I will ask open ended questions. I will do this in order to foster a meaningful conversation and to allow my patient to answer questions in her own way. I will use silence throughout my interaction in order to give my patient time to think about what she wants to say. I will do this by waiting for her answers and by encouraging my patient to take part in our interaction.

Hospice is compassionate care provided to patients facing terminal illness or illness for which there is no cure. These patients are diagnosed with an illness from which they will never recover and usually have a life prognosis of six months or less (Hospice Foundation of America, 2014). The goal of hospice care is improving quality of life and managing the symptoms of disease and the dying process. The care hospice offers is focused on pain management and emotional and spiritual support for both the patient and family (National Hospice and Palliative Care Organization, 2012). Hospice care can be provided in many different settings, often the patient’s own home. Hospice care can also be provided in hospitals, nursing homes, long-term care facilities and free-standing hospice centers and is available to patients of all ages (NHPCO, 2012). A patient receiving care in a hospice program has a team of healthcare individuals that can consist of the patients own physician, nurses, home health aides, clergy, social workers, and speech and physical therapists (NHPCO, 2012). Usually, a care plan is developed by the hospice team and care of the patient is provided by family members with the support of the hospice staff (NHPCO, 2012). Nurses make regular visits to the patient and family and are on call 24/7. Once enrolled in a hospice program hospice covers everything that will be needed to care for you, from medications to manage pain to

“Hospice home health care has yet another added benefit for terminally ill patients. In particular, this type of care generally costs significantly less than inpatient care in

Previously, many families chose to send their loved one into hospice care, but with the recent advancements in medical research, fewer people are choosing this treatment route. According to the National Hospice and Palliative Care Organization (NHPCO), “In the 1970’s, cancer patients made up the largest percentage of hospice admissions. Today, cancer diagnoses account for less than half

Patient portals are suddenly in vogue for a variety of reasons. The Centers for Medicare and Medicaid’s Meaningful Use Stage 1 ruling in 2009 dramatically increased the use of electronic health records across the United States. In order to be a qualified electronic health record these systems must demonstrate the ability to allow patients electronic access to their medical records. Regardless of whether this translates into a benefit to patient care, many healthcare institutions are racing forward with the implementation of a patient portal for compliance and financial reasons as well as convenience to the patient.

I completely agreed with you about the safety issues that are encountered daily in the surgical areas. There has been implementation of safety intervention to remedy these concerns on patient safety. In most cases, nurses are rushed with the consequences that patients are not properly prepped in the pre-op areas prior to the surgical procedures. Personally I have been in same problem of being rushed to bring the patient in the room. In this particular incident, I just finished a case in another room and have not interviewed this particular patient. I informed the Anesthesiologist and the surgeon to give me few minutes to interview the patient prior to transfer to the operating room. To everybody’s surprise the surgeon wheeled the patient

When arrive to room patient was agitated, refusing services from Sitter Jorge Reyes. Patient stated that days ago Reyes refused to give him a white blanket. Reyes explained that was only white and blue blankets available at that time on the floor, that unfortunately on the last couple of days we had limited resources on regard to linen. Patient stated that he was the patient and Reyes was the server and he had to provide whatever he wanted, Reyes answered that he will provide him with whatever he needed, that he had to understand that this was a community hospital, that the linen department works limited hours and was not like a hotel where he was able to request

Many patient’s will only discuss their foot care needs, however, the nurse in this setting should be aware of other important health topics to help prevent illness. Since the patient feels like they are unable to ask other questions regarding health issues, this often prevents a teachable moment from occurring to help prevent future problems. For example, if the patient states that they have diabetes but are unaware that diabetic patients take a longer time to heal and may acquire infections easier because of this, the nurse would be able to provide the diabetic patient with ways to prevent sores on the feet. However, since the patient may not correlate diabetes to the feet, this moment of health maintenance teaching may not occur.

Although patient hold the main role of patient engagement, for health care providers, they also play a very important role as facilitator and collaborator. However, in practices, they were not adequately prepared to assist patients to engage in clinical treatment because of external barriers, including heavy workload, time constraints and hospital special setting et al. Consistent with previous researches, communication offer a critical lens for assessing the extent to which patient are engaged in their care. In our study, TB inpatients committed that keep cooperation with health providers in hospital settings may help to making them feel cared and promote patient engagement. Conversely, poor communication undermined trust in relationship with

if Ella remains in her home environment she will feel a sense of comfort. Based on Ella’s past responses concerning a treatment decisions, I think it is vital to mention the lawful aspects of her decision to stay at home. “The law permits individuals to die in the comfort of their own home, even in the event the decision would cause physical harm or death for someone who is too sick such as Ella to receive treatment” (Webmd.com). Since Ella is staying home, I would like to discuss the disadvantages of her decision. Staying at home could increase extend a burden on her husband and family members emotionally and physically and these factors can be overwhelming for the family, however I will include with the help of the Hospice team and proper organization and planning these disadvantages could resolved. Another disadvantage is not all physicians are willing to care for terminally ill individuals which this issue is easily resolvable by referring to a physician that care for Hospice patients. While completing my research, I found the advantages of Ella staying home by far outweigh the disadvantages. As I discussed earlier Ella will be in the comfort of her own home, in addition her family, extended family, friends and neighbors would be able to visit as Ella permits, dying in the home will enable Ella to maintain her quality of life, she will have control over her own decisions vs being at a hospital the physician or nurse has the final say based on what they recommend as well as diet schedules and no one wants to be controlled during their last days of living. Finally, I do believe one know when they are getting near the end-of-life as the physical and cognitive changes begin to diminish and it is visually noticeable. Most dying people are very intuitive near the end-of-life; thus

Nurses encounter many different perceptions during a single patient interaction. Understanding each patient and their situation centers around understanding those perceptions. Perception is a way of regarding, understanding, or interpreting something; a mental impression. This paper will outline the main tenants of regarding, understanding, or interpreting.

Hospice is a component of palliative care. A person does not necessarily have to be dying in order to see a palliative care specialist. This is where the service is often underutilized in the hospital. In the 18 months I have been a nurse, I have cared for many patients with chronic illnesses who have dealt with symptoms that have severely impacted their quality of life. Most of the time, it seems as though the patient’s care providers are interested in treating the patient’s acute problems. My experience has been that the symptoms are often overlooked or are being treated in a manner that is to the dissatisfaction and discomfort of the patient.

I would like to discuss my communication experience with patient that happened in nursing home during placement. To describe the situation, I will use Gibbs’ (1988) Model of Reflection. Pete Lindsay, Jeff D. Breckon, Owen Thomas, & Ian W. Maynard, 2007, pg. 340 explained this model as a cyclic approach which facilitates the continual development of practitioners as they progress through each six stage involved in it. It was my first placement and I was gleeful. I was given an opportunity to work independently on the third day. To begin with, I will describe about the condition of my patient, my feelings when I met him, good things which I learnt, impact of this communication on our relationship, discovered innate trait of myself and the areas in which I thought I need to improve.