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Effective communication in health and care
Effective communication in health and care
Effective communication in health and care
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I spoke with the patient 's wife via phone, The wife states that she needs additional assistance for the patient. She states that she is aware that the patient 's health is declining and that she wants him to be comfortable at home. I discussed hospice services with the patient and the wife. The wife states that she would like hospice to evaluate the patient, the patient also agree for hospice to evaluate. Case reviewed with the patient 's nurse, the charge nurse, case management and hospice.
Ali is a thirteen year old girl who finds an odd photograph in the attic. Ali knows that the two girls in the photo are her mom and her Aunt claire. But who 's the third girl in the photo and why is she ripped out of the picture? Ali, Dulcie and her four-year-old daughter, Emma were planning to go on vacation to the cottage that Ali 's mom and Dulcie went to in the summer. Dulcie and Ali’s mom hadn 't been there since they were kids.
Leah Messer Net Worth Leah Dawn Messer was born on the 24th April 1992 in Elkview, West Virginia USA. She emerged as a TV personality in 2011, when she was featured in the MTV reality show “Teen Mom 2” (2011-2014), making it the main source of Leah`s net worth. Have you ever wondered how rich Leah Messer is? According to sources, it is estimated that Leah Messer`s overall net worth is $50.000, an amount acquired through her career in reality programs “Teen Mom 2” and “16 & Pregnant”, both aired on MTV.
Rebecca Lee Crumpler is a woman that history knows little of other than her degree and the little she wrote about herself in the beginning of a book. What makes this woman so important to history, and so important to me, is that Rebecca Lee Crumpler was the first African-American woman to earn an M.D. degree in the United States, and one of the first African Americans to write a book of medical advice. Crumpler, born in Delaware in 1831, was raised by her aunt in Pennsylvania. Crumpler’s aunt was a woman who spent much of her time caring for sick neighbors and friends. In the beginning of her book, A Book of Medical Discourses, she explained that being surrounded by the work of her aunt is what made her form a liking to relieving the suffering of others, which is what pushed her to go into medicine.
In the essay “Practicing Medicine Can Be Grimm work” written by Valerie Gribben, as a starting medical resident, she correlates her experiences to the Grimm Brothers fairy tales. Gribben's during her undergrad, studying Victorian tales and never thought that those stories would ever be relatable to real-life situations; however, during Gribben’s first day in residency, that idea changed. “The Grimm fairy tales once seemed as if they had taken place in lands far, far away, but I see them now in my everyday hospital rotations,” emphasizing that those fairy tales that seemed once as impossible to occur are occurring throughout her rotations. Gribben finds it comforting that she can connect her rotation patients to the Grimm tales and not shaken
Challenges and Obstacles Margaret Sanger lived in an era where contraceptives were illegal. This made her ideas and beliefs very challenging. As stated earlier, she was a child of eleven, but that wasn’t the actual number of pregnancies that her mother faced. Her mother also had four miscarriages for a total of fifteen pregnancies. At the age of twenty-one, she had to overcome the passing of her mother far too soon due tuberculosis.
Oftentimes, grief can be a challenging thing to overcome as a healthcare provider. It not only stymies people from making sound decisions, but it can end up with blame focused in areas where it should not be. This is with particular regard to patient families. In the case of this 72-year-old patient, there are a number of issues in this situation that are both unethical and downright illegal, including the fact that the patient’s living will is not currently being respected. Legal/Ethical issue 1: The legality of the living will parameters Both the legal and ethical issues of this situation have the do with the legality of the living will.
Rhonda Nearhoof, this is very touching and I absolutely admire your courage and strength. Being a hospice nurse, you face a lot of challenges of whether or not to be emotional close to the patient and the family. Based on your post I can see that you went beyond the call of duty to advocate for the patient in every way that you could. I also agree with you that “if we do not speak for our patients, then who will?”. As mentioned in your post, many patients are unable to speak for themselves, and they need our education and guidance to advocate for them to their families, doctors, or whoever else is involved with their care, and I honestly agree that it is our duty as a nurse to speak up and ensure their needs are met because as a nurse
I only began to understand the concept of an individual being terminally ill when my grandmother went into the hospital. I placed my hand inside of hers and stared at her emotionless face. I could only imagine the pain running through her body and the agony of not being able to vocalize a response to my ‘I love you’. Day after day she waited only anticipating her death and the pain she would feel if indeed she woke up the next day. I would have done anything to not have to see her go through the pain, and to allow her to get to her fate quicker and more comfortably.
The pastor has to remain a silent partner without compromising and passing judgment. The emotions must be discussed at the time the news of dying expressed because feelings turn to depression if not articulated. EOL affects everyone. Everyone takes the issue personally and lose sight of what is important, and that is the decision of the patient if he/she can grant a decision. The family has to know it is faith that comforts and keeps them as they press through the
The Financial Resource Center http://resourcecenter.cuna.org/21871/article/3932/html cites the father of Angela Esposito as just one example. “How do you tell your father…that he needs to go to hospice?” asks Ms. Esposito. “It sounds like you 've given up. It sounds like you 're saying 'You 're dying, so let 's put you in hospice so
Raymond Carver's "A Small, Good Thing" (6 points) 1.) When the baker call the Weisses the noise of machinery can be heard in the background. Is this at all symbolic of the larger theme of the story? The use of the humming in the background can be symbolic of life’s calling.
In all my experiences as a nurse, I’ve realized the importance of communication, providing holistic care to an individual and empowering them with the knowledge to manage their health. When an illness strikes a person, it affects not just his body, but also his mind and spirit. The art of communication is invaluable to patient interaction and establishing a therapeutic nurse-patient relationship, that facilitate coping mechanisms for patients, moreover it prepared myself as a nurse to meet their individual needs. Furthermore, there is at the moment an insurmountable demand for survivorship care as a result of the advancement in technology and medicine, which made living beyond life expectancy possible for increasingly more people. Living after cancer treatment is not free of complications as there are acute and chronic side effects of treatment that requires constant monitoring and attention, and this information spurred me to shift my focus from palliative to survivorship care.
Case Study - Family Aging Resources The adult I interviewed for this case study assignment is a Vietnamese adult who is currently living alone. He has his plan well thought out, as he has planned for a financial will and how he would live in the future after he retires. Based on the interview and the knowledge I have about the adult, I believe that fitness services, English language programs and translation services, caregiver support programs, grief support groups, and independent living assistance would serve him best if he resided in Eau Claire. There are some resources that would enrich his social experience if they were available, such as Buddhist-related organizations and Vietnamese senior centers.
Open ended questions are a good way to obtain fuller information, rather than a closed ended question that requires more than a simple yes or no answer. This therapeutic communication technique is particularly useful when the nurse wants fuller and deeper information from the client and wants to know the patient’s feelings and beliefs about their current health situation. Closed ended questions are useful when the client is cognitively impaired or they are on mechanical ventilation with intubation and not able to speak with the nurse and others. Nontherapeutic communication, like giving false reassurance or sympathy or just asking “why” questions, verbally or nonverbally, can make patients feel defensive. If we try to make assumptions about his/her feelings, we might jump to the wrong conclusions.
