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Tuesday, April 2, 2019

Reflective Essay On Patient Encounters Using Gibbs Cycle Nursing Essay

Reflective Essay On Patient Encounters Using Gibbs Cycle Nursing EssayIn this essay, I entrust reflect upon a experience which I had with a patient using the Gibbs cycle of reflection (Gibbs, 1998) to avail to signpost my cause and help the reader to read this essay with ease.Description of the event During my clinical status I have discovered a number of patients, each one possessing a unique personality thereby required a slight readjustment of my professional behaviour in order to communicate most in effect with each individual. During one particular placement within my allocated hospital, I encountered a patient who was younger than the patients that I had previous met and conversed with over the previous months. The patient, old 3 months, attended the clinic with his father regarding his physiotherapy for his Cystic Fibrosis (CF). I was asked to hold up out a subjective assessment of the patient however, the setting of this encounter was kinda different from the set-up which had been used in the past, and although I had seen patients who were younger in the past, this patient was different as it rapidly became apparent that he had been brought by his father who was otiose to speak swimming English and was to a fault un equal to(p) to regard much English at all.In the normal position with young patients, due to the patients young age and the presence of her father, it would be common to direct most of the questioning towards the patients parents or guardian with whom they attended rather than at the patient himself, despite the necessary inclusion of the patient in the discussion wherever achievable. I would then physically assess the patient. However, in this setting, it was very difficult to ask any questions to two the patient or to their parent and instead, most of the information about the health of the patient and their physiotherapeutic interventions which they required was gained from the examination of the patient and not from any i nformation which they provided.Feelings Upon reflection, I feel that although, at first the situation did both(prenominal) feel and bulge out new and challenging, my ability to communicate with the client was not helped by the fact that I was unable to think of a new way to pronounce the questions, which I had. In addition, the patients father kept flavour at the educate physiotherapist (my mentor) for reassurance and guidance with the speech existence used and thus, this made me as well look towards my mentor for help. When my mentor took over the line of questioning, and the conduction of the assessment, his advancement was to ask the patients the questions in a loud and slow voice. This appeared to aid the patients fathers misgiving greatly. I matte, at this point however, that I had let myself and the mentor down, as I was unable to conduct the procedures which I was expecting to and I in any case felt that I had let the patient down, through my inability to commun icate effectively with them.When examining the patient, my tutor made sure that he looked at the patients father at all times when speaking and also that he used bole language to highlight the meaning of what he was saying also. This again, helped the patients father to understand the meaning of what was organism carried out and what was being said. Visual aids were also used to ensure that the patients father understood. For example, when my tutor was request whether the patient had taken his antibiotics for his CF and what physiotherapy he thought his child required. When asking such(prenominal) questions, he pointed to a prescription on his desk, which helped the father to understand what was being said. This straighten outly made the difference between the patient not brain what was being said to gaining an appropriate understanding and being able to answer the questions properly and accordingly.Evaluation From this experience I also learnt that in the shift of younger pat ients, particularly babies, it is important to be able to talk to the parents, as the patient themselves would be unable to provide information. This is because when a child has a condition such as CF, it is regularly the parents who allow for be demented and concerned about this and additionally it is the parents who deal with the physiotherapy and the treatments, which the child receives. Additionally, it will be the parents of the child who will manage the symptoms that their child has, and conduct the physiotherapeutic interventions on the child until they come of age where this can be continue by the child. In the case of the patient who was not fluent in speaking English, I have noted the importance of speaking both loudly, and slowly and using all the different sorts of body language possible in order to ensure that the patients parents were put at ease and were able to comprehend the questions, which were being asked.Analysis My experience has taught me that in order to m end my communication skills with patients of different languages, I will posit to increase my fundamental interaction with a range of patients with different native languages and those who are not fluent in speaking English. This will most likely be achieved through increased exposure to patients within my clinical placement and I will try to ensure that I increase my exposure to individuals of a concoction of nationalities wherever possible within my placements. Meeting this patient and his father also highlighted the requirement to adapt not only the language used when asking questions, but also the language tone and the nature of my body language used throughout the assessment.Conclusion In conclusion, due to the presence of both the patient (the baby) and his father, not only did this patient encounter bring with it the repugn of the language barrier, but it also brought the experience of needing to integrate multiple state into a conversation without loosing the flow of the conversation. For example, it was clear that there was a need to build a rapport with the patient themselves, despite their young age, in order to put them at ease during their physical, physiological examination. This is important for physiotherapists to dedicate a good patient rapport, especially with children, in order to confound physical assessment easier. This was clear because when the patient first entered the room, he was looking around the room and not smiling very frequently. After being within our company for a small amount of time, and after I had smiled at the patient and looked at him to engage him when speaking to his father it was clear that he felt much more relaxed and comfortable as he began to smile and look at us when we were talking. He was less kindle in his surroundings and appeared to be much more at ease. treat plan The experience also showed that I must work on my communication skills and my coping strategies in different clinical situations. Thus, in the future, I aim to increase my level of exposure to patients of all ages by attending a variety of physiotherapy clinics and talking to patients. This should help in the nurture of such skills and make experiences such as this, much easier to manage effectively.

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