For the purpose of this assignment I have chosen to reflect on not knowing how to treat a confused patient with dementia. During this experience I felt like I was of no help to the patient and as a result I was useless to the staff. I felt like this because I didn’t know how to talk to this lady. I didn’t understand how to act or what to say to fix the situation. Digby (2016) states that empathy is an essential quality for nurses in order to effectively care for a patient with dementia. Perhaps in this scenario I lacked the empathy to care for this patient properly? I was trying to re-orientate Margaret and reassure her that she was in the best place for receiving the help that she needed. This however did not go as smoothly as I had hoped …show more content…
Griffiths et al (2014) stated that frustration is a common problem for nurses who are caring for people with dementia. I think that Margaret’s emotions were the biggest factor that influenced my feelings. The frustration on her face upset me as I desperately wanted to resolve the problem for her. However, part of the problem was me not allowing her to go home. Marquardt (2011) acknowledged that care for people with dementia is made more difficult in the hospital setting as the busy environment can disorientate them and leads to …show more content…
I would have more patience and try to get to the root of the problem instead of dismissing it. I would try not to get frustrated so easily and have the empathy to care for this patient. Empathy is essential for person-centred care and nurses must have empathy in order to understand the situation from the patient’s perspective (Girffiths et al, 2012). If I responded with more empathy and less frustration I think the patient in turn would be less frustrated and although the problem may not be resolved, anxiety will be reduced and a trusting relationship will develop. Upon reflecting on this experience, I feel like I am more confident in handling the situation should it arise again. Reflecting on it has made me realise that not everything I did was wrong and has helped me to explore what I need to improve on. Reflection is important in the nursing profession as it allows us to think about our actions and talk about how we could have carried them out differently (Johns and Burnie, 2013). Reflection plays a big role in developing the student into a nurse (Barbour,
When facing patient’s apathy, anxiety, and unwilling emotions,
Description A patient I formed a therapeutic relationship with was a 72-year old man, Robert O’ Brien. Robert was a regular at the hospital. However, when I met him he was uneasy as he was new to my ward. He was familiar with nurses and other members of staff on another ward.
Refection –on-Action and Clinical Learning: Describe three ways your nursing skill expanded during this experience. I believe my nursing skills expends every time I go to clinical, every time I have new patients, and every time I have new task to do. I get more experience during each clinical. I get more used to clinical system, and I to know the patient and how to assesse them. Name three things you would do differently if you encounter this kind of situation again.
This study can lead to focusing on more specific sectors of care such as a dementia care unit. My focus on nursing homes and assisted living facilities could easily be mimicked in home care, hospitals, hospice and other avenues of caring for sick or elderly people. Awareness found through the practice of research is a helpful way to improve health care for people of all ages and
The purpose of experiencing a hospice clinical was to give me the opportunity to observe and participate in the care of my patients who are receiving hospice care in their home. My first encounter occurred in Jenks, Oklahoma at the patient’s personal home. Upon entering the house, we were greeted by his wife and one of their sons. Before we spoke with the patient we had a pre-conference in the patient’s living room with his wife. My nurse asked how the patient’s wife was doing and the wife stated that she needs more help with his care.
Description: In week 7 we had visited Wesburn Manor, the Long-term Care (Clinical Placement) setting. It was our first time there, therefore as a group, we oriented the place. At this time, we went to each nursing station on each floor and introduced ourselves from the organization we were from and how we will be providing patient care to the clients in this setting. We were educated by our clinical instructor on the different access codes in the building, the policies and guidelines, our assigned floor and the appointed personal support worker. Our role of professionalism as a nursing student was represented as we came prepared and greeted each healthcare and staff member.
Theoretical Framework for Dementia Care Patient-centered care is one of the six important aims identified to redesign the US healthcare system by the 2001 Institute of Medicine (IOM) report, Crossing the Quality Chasm. Various definitions of person-centered care in dementia exist in the literature. The Institute of Medicine (2001) defined patient-centered care as “being respectful of and responsive to individual patient preferences, needs, values, and ensuring that patient guide all clinical values”. However, the concept of person-centered related to dementia is greatly influenced in the United States by Thomas Kitwood, an English scientist who studied and wrote several papers on personhood, person-centered care and dementia starting the mid-1980s
Introduction In this assignment I will explore a clinical experience where dignity was maintained and reflect on my practice. It is important to reflect in both personal and professional development. Reflection will allow me to recognise both good and bad practice and how I can improve as a person as well as professionally. For this assignment I will be writing in first person, as it is appropriate for a reflective essay.
The Process of Reflection The process of reflection is central to clinical supervision. Launer (2003) describes external and internal factors in supervision whereby clinical practice and sharing skills are external and reflection is an ‘internal conversation.’ Brunero & Stein-Parbury (2008) discussed the effects of clinical supervision in nursing staff and argued that self-reflection generates a sense of self-awareness and knowledge to the individual. Supervisees or students may be asked what happened during a clinical event, how they felt, the implications of their actions and what they would do differently if faced with the same situation.
I think if I was not attached to the belief that I will never be a great nurse, I might be less likely to have less empathy and respect, and be more shy because I won’t want to say anything that makes me sound like I have an “attitude”. What I have noticed every since Sunday is that I do value how hardworking and helpful I am, and that what I do is not easy at all, but I hold little value to my communication skills. What I mean by that is maybe I need to be even more aware of what I say to people. To this day I still don’t think I did anything wrong to that patient, but she made me realize that I need to be more aware of what I say and some people get offended more easily. I am going to continue to focusing on others and showing respect.
I will be discussing how the care in David story was dehumanized by using the humanizing framework. “Ashely has a learning difficulty “This is lack of capacity because Ashely can’t speak properly and do not have much of understanding but however he has the right to make decision and choices. Ashely was treated horribly in the hospital; the care professional wasn’t communicating with the parents or Ashely. The experience of a patient’s loved ones such as friends, family etc. Are also important because they play an important part in the patient own well- being.
The nursing home’s spacious dining hall buzzed with warm greetings, the aroma of fresh omelets, and nurses pacing between tables. As a new CNA trainee, I quickly fell into a comfortable rhythm composed of serving trays and greeting residents brimming with gratitude. Then, I met Mr. Dawson Jenkins. He was a gruff, daunting man, with a booming voice complementing his large physique. While serving him breakfast, he demanded that I bring him more food.
I explained the situation and I would help her when my patient was safe. The nurse then berated me in front of my patient stated I was smirking and stormed off. I have identified embarrassment as being central to my critical reflection. Application of reflective model To demonstrate personal insight, I will use the
I have learnt at my hospice placement not all patients interact and communicate n the same way. Understanding the communication requirements is essential for the individual to express their preference, state what is wrong with them and to provide constructive feedback. Mrs P has dual sensory impairment of eyes and hearing; communication requires to be performed in a specific manner for her to understand. I position my eyes level to hers, touch her shoulder or knee; speak slowly and clearly so she can observe my lips move at close range. This method of interaction will increase the likelihood of clear understanding.
With regards to Lia’s case, my personal and professional reaction to this situation is that I will show empathy to Lia when she speaks to me. This is because I want Lia to feel and think that I understand her current situation, allowing her to have confidence that I can help her solve her problems. Communications with Lia would be more effective which would make it easier to get to the root of the problem and thus, solving the problem would be