Boyd E et al. When analysed in overview, one can note that the main issues contained in this scenario are that a schizophrenic patient, who may therefore be psychotic, who is certainly confused due to his metabolic disturbances hyponatraemia and possibly idiopathic confusion, has made an allegation of physical assault against another staff member.
How to Write a Summary of an Article? Reflective Essay on Communication I am a health care assistant HCA on an elderly care surgical ward and we nurse many different patients who have had elective surgery and corrective surgery after a trauma.
I have a lot of contact with patients who suffer with dementia, ongoing confusion due to urinary tract Reflective essay behaviour management and can often display challenging and aggressive behavior.
I have found on a daily basis that patients become can frustrated when they cannot communicate what they want, and I was sure that with my strong accent I would come across as harsh. With this reflective account I will be discussing an experience that I had on my ward and how through reflection I have managed to gain more confidence in my ability to talk to my patients and convey my compassion in the way I communicate with the patients in my care.
I will use the reflective framework devised by Atkin and Murphy to construct this account. It is the right model of reflection for me to look back and learn from my experiences. Reflection is something that should be engaged with on an everyday basis and from very early on in your health care career.
It enables you to carry on caring about the patients you treat and how to improve yourself personally and professionally. I enjoy both the personal rewards and the challenges that go hand in hand with working with patients with dementia.
I find that on the drive home I tend re-evaluate everything in my life and be grateful for the now. I was advised that the patient was very confused, and would spit at staff and be both physically and verbally aggressive when approached but would constantly cry out that she needed help.
In handover that morning I found that I would be working with her that day, and as she was post operative I would need to wash her and try to mobilise her to sit out in her chair so that the physiotherapists could help her to walk again and get her on the pathway to being discharged back to her care home.
I found that I was nervous in approaching this patient as I did not want to upset her or get hurt. Personally I would always wake patients like Polly who require the attention of more than one member of staff last as it is better to leave the patient to sleep so that they are well rested.
That, and from handover I had learned that Polly had experienced a rather active night. With this information I could help maintain a similar routine for Polly and I would not confuse her by overloading her with too many questions and instructions.
I woke Polly up gently, and sat myself down in the chair by her bed so that I was not standing over her. Once this was completed I handed over to physiotherapists that they too should take this approach with Polly. I spent twelve days in total with Polly.
In this time she was aggressive with me, and she would spit at me when I approached her. Yet, once I used her preferred name and tailored my approach to what she needed from me, I found that Polly was a pleasant and wonderful lady, who could be the complete opposite to the patient that was first handed over to me that first morning.
It enables staff to really look at each individual patient and assess what their needs are. In reflection, if I had not read this leaflet and just gone ahead and woke Polly up as I do each patient, the events of the day could have taken a very different path.
I found that by talking to Polly as requested in her leaflet that she reacted in a calmer manner and did not get as anxious or frustrated as quickly as my colleagues had prepared me to think.
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Reflecting over my first day with Polly, I do not remember struggling to say my words more clearly than what I normally would have done. Polly was not deaf, nor was she a child and I kept it in my mind that this patient was still a scared lady who had broken a big part of her body and was in a large amount of pain.
Furthermore, she might not be able to communicate this fact as clearly as someone without dementia. Taking this into consideration, Polly might not be actually asking for her Mum but actually trying to communicate a much deeper need.
In reflection I found this was a much better approach rather than just asking if Polly wanted any pain relief.Reflective Essay - Organisational Behaviour Words | 11 Pages Reflection on my experience in the Organisational Behaviour team over the semester with particular attention to the way that Communication interacts with Conflict.
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