Working with patient’s that are aggressive can be challenging and even overwhelming at times, making it important of the nurse to self-reflect upon the encountered situation to gain insight and understanding. Being self-aware to one’s own feelings while working with patients and reflecting upon those feelings can benefit a nurse’s practice and care that is provided. As I stood outside the clinic room, I had a lot of nervous energy going because I had no idea what to expect walking into the room and what would happen. I felt hesitant to enter the room which seemed to be a similar response to everyone else as well that was waiting outside their respective doors. As we entered the room I was quite throw off by having the patient sitting on the …show more content…
This intervention is one way to establish a bond with an patient who may be presenting as agitated or anxious because it creates a relationship of mutual respect, which leads to the lack of need for aggression (Price &Baker, 2012, p. 314). To foster this technique, I used a variety of different therapeutic approaches, such as facilitating expression and shared problem solving. By allowing the patient to divulge how she was feeling about this sudden change in her life, she was able to communicate openly which allows for the expression of anger and frustration (Price & Baker, 2012, p. 315). This patient talked openly about every feeling that she had occurring due to the news of needing the colostomy, even her most private emotions which showed our growth in rapport with her, as we made her comfortable during this visit. Furthermore, I used the intervention of shared problem solving by recognizing the patient’s anxiety upon first appearance of her and asking what was happening that was causing her to feel that way in this moment. This allowed her to center within her feelings and see that we cared to notice how she is doing and how we are interested in how we can help. The second theme that I used to help de-escalate was differing interventions using non-verbal communication. I maintained eye contact without going over board which is a great technique to use when dealing with an agitated person (Price & Baker, 2012, p. 314). Similarly, I maintained a close enough distance to the patient in order to seem open and wanting to be present to listen, but far enough away to ensure my own safety. Lastly, I used personal control of my own feeling to remain calm with the patient as they escalated further from calm. Tied with this, I was able to become comfortable with silence which allowed for the patient to have time to think about her feelings, which lead to an ease
This paper will explain the seven principles of patient-clinician communication. It will then apply three of those principles to my interactions with my patients. Next, it will describe three methods being used in my area of practice to improved communication between the patients and clinicians. It will ultimately choose one of those principles that applies best to my practice and clearly describe how I use it. It will describe ethical principles that can be applied to issues with patient-clinician communication.
a.Paraphrase what the patient tells you, to ensure you understand. b.Remain silent for 15 seconds each time the patient speaks, to ensure everything has been said. c.Kneel down so that your face is below the patient’s, to demonstrate your willingness to listen. d.Move your body as close as you can to the patient’s, to provide emotional support when the patient speaks. 25.
I feel so bad for this patient. As we were changing her dressing. I had the patient go to her happy place in which she talk to me about. She was on the beach with us (those whom were in the room) and we were all building sand castles with her. This was a nice non medicine therapeutic technique and she said she loved talking to me about her happy place.
Then we were ready to interact with the patient. The patient was in his room, so I asked a nurse technician to direct the patient to stay in the day room for a while. We started to assess the patient when he was walking to the day room. We engaged in about ten minutes of conversation with the patient and got some information including suicidal ideation assessment. After the conversation, we also noticed how the patient interacted with staff and other patients.
She takes advantage of the patients’ insecurity in order to demean them, both mentally and physically. She encourages patients to list emotional problems their fellow patients have shared through daily conversations in a logbook, consequently eliminating opacity pertaining to personal information of each patients. During their daily Group Discussions,
Tuesday, March 29th, 2016: Montana State Hospital The day began with a care conference by an interdisciplinary team (psychologists, social worker, nurses, and psych techs). Every patient on the wing was discussed about their current situation, behavioral problems, or change in care plan. The nursing process seemed to be utilized when dealing with these problems. The problem was assessed by the entire team, the root cause was determined, a plan was established to implement, and then would be evaluated the next day.
The patient simply tells the “listener” all his troubles and fears, beginning with the earliest difficulties he can remember.” (pg.
Kindness and thankfulness are appreciated, but you have to be careful with eye contact and touching of the patient. With male patients touching with a handshake is important, but with women you should wait for them to extend their hand first. Eye contact varies with the patient. Some see prolonged eye contact as a sign of being impolite. Most importantly lengthy indirect discussion of a condition is not preferred, but the method of direct action oriented approach is
Therapist met with individual to discuss anger management. Individual states she is controlling her anger by using her calming techniques. Therapist and individual continue to work on calming techniques when angry through role-play. Individual states she likes to control her anger and will use more calming techniques at school when someone is bothering her.
Not only do you need to focus on the wellbeing of your patient, but the patient
Managing people and their behavior is not exact science. However, there are some rules we can follow to be better at verbal de-escalation. We are not trying to control every situation; we can only control ourselves, which can help us achieve our goal of chosen compliance. Verbal de-escalation can be considered a continuous strategy to establish a calm and safe environment; while in a position of authority.
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.
Nurses are typically a target in these situations because they are consistently in contact with the patient throughout their shift. When nurses interact with patients, their actions and reactions to certain circumstances can, most of the time, determine the next interaction with the patient. The behavior of the nurse and the patient are essential at this step, as negativity from one person can cause negative behavior as a response from the next person. Nurses cannot control the actions and behaviors of others; however, they can
There are several methods we use for verbal de-escalation. The first method we use has nothing to do with actually talking and that is “listening”. Most people are not capable of doing more than one thing at a time and doing it correctly. This would include listening skills. If someone needs to be de-escalated, than that is our priority and listening vitally important our success.
About the hours of adrenaline pumping through my veins as our team tried to save a patient’s life and the final feeling of disappointment as the patient expired despite our many efforts. But instead I simply answered, “It was okay honey, goodnight.” The purpose of this essay is to discuss the article "Strategies of Emotion Management" while debating over the positives and negatives of stress-inducing events nurses face, and finally the limits of the qualitative approach this article utilizes.