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Thursday, December 20, 2018

'A clinical guide for nurse practitioners Essay\r'

'Reflection is a method used in clinical practice, where one expresses the experiences from a given situation, olibanum helping to learn and improve skills by applying the knowledge come alonged for future practice (Cottrell, 2011 and Schon, 1984). It is my mark to use Driscoll (2007) model of reflection to have my understanding of the issues I viewd during a recent presentation to the health check centre. This matter study involves a musing composition of a unhurried that I provided compassionate for interest blunt detriment, eye defect, uphold during exercise.\r\nDescription of events\r\nA 23 class old male soldier presented to the medical centre complaining that he could non see out of his right eye, following(a) being hit in the face with a blunt object. He was understandably agitated and inconvenienceed, as he was repeatedly asking if he would be for in effect(p) blind. Therefore prior to commencement of either natural interrogation I tangle it was autho ritative to create a honourable vibrancy with the affected role of, in oder to gain his self-confidence in my ability (Platt et al, 2001). Good conference skills be vital in build a therapeutic relationship with the enduring. then I offered reassurance and advised the patient what examen and tests I was going to perform, in set up to effectively assess his condition.\r\nThrough the physical examination I was able to receive minor fractures in his zygomatic chock up that where causing him pain. As the patient was concerned about losing his sight, I had to maintain a supportive environment while explaining the carry for an Xray and further hospital input, without causing him groundless stress. I assured him that he would regain sight in his eye and that the trauma had caused temporary blindness only delinquent to the impact.\r\nAnalysis of events\r\nIt is important to take epoch to listen to the patient and understand how they are feeling following such injury (Bar nes, 2003). However, due to the patient’s distress I was unable to begin a physical examination until I had calmed him tweak and reassured him that he was in grievous hands. Consequently, I found it surd to spread over with the patients’ behaviour initially as I was to a greater extent concerned in ascertaining the comport of his injury. Although I soon realised that in order to gain his cooperation with the physical sagaciousness I first needed to bring forward the patient to relax and discuss his concerns. I feel I cleard advantageously with the patient through the application of a well structured consultation and was able to gain an adequate history, to assist with the diagnosis of the patient’s injury (Seidel et al, 2010).\r\nAction following events\r\nMaintaining a therapeutic relationship with good rapport can be difficult in situations where the patient is uncooperative and/or distressed. Therefore, in order to find solutions for patients I treat it is imperative to learn umpteen problem solving techniques, including effective intercourse skills (Egan, 1998).\r\nThis situation taught me that building a rapport with your patient is just as important as developing physical examination competence. As offering encouragement to the patient ultimately led to a more productive consultation and improved patient/practitioner relationship.\r\nI intend to utilise the skills learned throughout this module to change me to adequately adapt to stressful situations and communicate effectively with my patients.\r\nReferences\r\nBARNES, K. (2003) Paediatrics: a clinical guide for nurse practitioners. Edinburgh: Butterworth- Heinemann. COTTRELL, S. (2011) Critical thought skills: developing effective analysis and argument. (Palgrave culture Skills): Palgrave Macmillan. DRISCOLL, J. (2007) Practising clinical supervision: A reflective approach for healthcare professionals. capital of the United Kingdom: Bailliere Tindall. EGAN, G. (1998) The skilful helper: a problem-management approach to helping. London: Brooks/Cole. SCHON, D. (1984) The reflective practitioner: how professionals presuppose in action. New York: Basic Books. SEIDAL, H.M., BALL, J.W., DAINS, J, E., AND BENEDICT, G, W. (2010) Mosby’s guide to physical examination. Philadelphia: Elsevier.\r\n'

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