Saturday, March 30, 2019

Reflection On A Clinical Skill During Clinical Placement Nursing Essay

Reflection On A Clinical achievement During Clinical Placement Nursing EssaySociopsychologyThis render result discuss Reflection on a clinical Skill during the clinical placement, using Gibbs template. The essay is divided into four main sections. It go out first consider some definition of psychology and sociology it allow and then go on to describe an incident from both psychological and sociological point of view. The third part will apologize how to find origin for both incident, and then some conclusions will be drawn to exhibit the best things should be d genius(a). Finally it is my reflexion on clinical placement.psychological science is how long-suffering feel, Psychology tends to emphasis the individual in contents, and it is non roughly how they think. Sociology is to do with relationships, which operate among hoi polloi when they line together in groups. Sociology looks at how an individual operates from the contextual point of view. Class, ethnicity, reli gion, sex, disabilithy, age these kinds of things argon sociology, and anxiety, filtrate, falling off be psychology.The first Gibbs is slightly an old wench who was waiting for her roentgenogram in the room. She was lying on the t able-bodied, and she was crying as a child. It has been explained already her presentuation and the psychology point of view of this enduring and how constituents equivalent be in pain and stress or anxiety force usurp her. So inter in-person and peachy talk skill would assist this diligent and in like manner would help the radiographer to be more professional and the unhurried whitethorn accept their advice because affected role belief that the healthcargons are professional and competence and they nurture ability to treat them. The patient was suffering from the physical and emotional stress, and it is demand to k like a shot what the stress is and how its impact on patient. Stress is unclear solution of the body to whatever deman d further on, and can get physically or psychologically effect. Stressors are the situations that can cause stress. Physical emblem of stress can faster heart beat, increasing sweating, dry mouth, extend muscle, diarrhoea, irritability and anxiety. fretting is the result of being emotionally stressed. (Edward 2006)Everybody experience stress in their life, still individuals are divers(prenominal) and material circumstances are varied. thereof it is important to reduce stress from the patient, and it is our frolic as a radiographer to have a advanced communication with her, by using SOLER.try to sit squarely and with open position, lean forward and have nice sum wholesaler with her and then relax (Egan, 2002).speak nice and clear, but not too slowly, and dont inflate the movement of your leap, Use natural facial nerve expressions and gestures and do not to turn your confront away from a deaf person.55 per cent of communication is body language (Mehrabian ,1970). In thi s case we pack to use different way of communication, because she had a little bit difficulty with hearing, so get patient attention before starting to speak. Make sure the patient can see your face and watch your lip movement and facial expressions. Speak more slowly and keep your tones of your voice low, because old mountain tend to have more difficulty hearing high-pinched sounds. Older patient need more time to find out and respond. Be patient and anticipate them to repeat instruction. Explain the procedure for her, so she would be able to on a lower floorstand what is going on. It is good to limit your hand on her arms, so you will show your empathy and how friendly you are. It can be calm patient down. Be familiar with patients emotions. She had not been given enough information to know wherefore she is at that place, if she had, she could not been so worried. Explain clearly so that she would be able to understand you, and give her right instruction.According to psyc hologists for the patient suffering from psychological and sociological problem, in that jimmy are m any(prenominal) factors that determine our behaviour such as the genes we are born with, physiological brain, nervous system. Cognitive system, thoughts, perception. The loving and cultural environments in which we develop over time. Life experiences including those from childhood and personal differences including our IQ personality and mental health. Being alone would be one of the factors that whitethorn transmit to getting old and hopelessness. As we getting old, there tends to be a decrease in mobility and social relations, with a likely for loneliness and isolation. (Oxman et al. 1992).And now we are going to find sociological factors which might be affect her, including the psychology factors. We will consider her in scathe of age, race, sex and disability. It is easy for women to be emotionally open. We can help aware stress by change coping style and value it. Women are more likely than men to be diagnosed with mental illness also they have poorer psychosocial health and use more psychotropic drugs for anxiety and economic crisis than men. (moodle site)Psychology is essential for health care professional because it enable the skiagraphy to understand and care after the patient more holistically.According to this, the old ladys brain is not functioning well because she is getting older or she has other mental problem therefore she was acting like a child scaring and dismayful. So, being old, her age, sex disability causes her to be anxious. The good communicate with her and make her assure that there is nothing to worry about it, could reduce her fear and anxious.The second Gibbs is about young lady, who had x-ray of her abdomen, but her keep up was not happy to do her x-ray alone. They were from different sylvan and different religion and culture. Her husband essential stay outside the room, kind of in a waiting area this is because of radiation safety. likewise it allows the immobilise to proceed without any interruption from family members. Dealing with family was difficult. Sometimes may need a family member to stay with patient. In this case it was better for husband to stay outside, because he had a kid with him, but he insists to be with her. Before doing any radiographic procedure is necessary to informed accord from patient .In these situations should given a clear explanation to them before the procedure. It would be because of their culture or might be having another reason. Naturally people as go into the hospital, they will experience some kind of stress. Anxiety can cause some individuals to be quiet aggressive when they will be packed in emergency situation. They as you would expect experience fear and anxiety. In public Refugees health-related behaviour and how they communicate with health professionals will be influenced by their culture and beliefs. To be able to perform an accurate regard a nd offer knowledgeable and sensitive care, the health care professional must think the patients religious and philosophy, as well as cultural background. Also to make them sure of what happens in x-ray room, explain the procedure to them, If we consider psychology views, both patient and her husband might be suffer from different type of depression, or stressed. In one hand, because the husband behaviour showed there is something that is afraid about it. Her husband was worried, enraged and emotionally stressed, and in other hand may be they did not like doing their x-ray with male radiographer, because of their culture, and they might have personal or religious reason for not doing it alone. Generally we all have different way of engaging with different patient as a radiographer. Everybody has its value, mindset and beliefs. When individual entre a new country and new community they face many challenges in terms of adjusting to a new language, different usage and unfamiliar norm s. These challenges may result in mental or general health problems. There is quite a lot of risk factor that put ethnic minority to suffer from mental illnesses. Generally in compare of general public, the health of people from ethnic minority is worse. Although there are some exeption. For the reason of many factors which affect their health. Lack of English, under or unemployment, being away from family, cultural differences and lack of social support, put people toward depression. (Journal of immigrant and minority health, New York Feb. 2010, iss.1, pg.100)So again you need to have good communication with them. scarcely In this case, may be shopping centre contact is not welcomed, because they were Muslim, and in their culture direct centre contact is supposed as being impolite or bad-mannered, particularly between the old people. In Asian and Muslim culture hand gestures and eye contact should be avoided. Occasionally between Muslims people husband may be respond the questio n telling their wives. In addition in their culture, silence possibly will show accepting or authorization. So it is very important to have knowledge of other culture, when dealing with patient. (Ruth Ann Ehrlich, Joan A. Daly 2009)Therefore you need to introduce yourself to the patient. First impression you put on patient is very important , Give explanation clearly, be a good listener, be familiar with patients emotions, control your personal emotions by developing better cultural competency ,and have familiarity with beliefs and practices of diverse groups, But it is very important to avoid stereotyping. Also it is very important to let them understand the LMP checked. For Certain radiographic procedure it needs to check LMP (last menstrual period). It is necessary to have fully understood the procedure and its risk and benefit, so that you can explain to the patient and answer their questions. The Ionising Radiation (Medical Exposure) Regulations IE (ME) R states that, every d istaffs of childbearing ability age must have their gestation status recognized if the abdominal muscle area is region of interest in radiographic examination. Where suitable, the pregnancy and breast feeding status of a female patient must be established. From knees up to below the diaphragm is abdominal region for radiographic purposes. (Ball J, Moor A, Turner s, 2008). After check the LMP and when you are sure that she is not pregnant, give the patient instruction to have her x-ray. And ask for female radiographer for her to do her x-ray. And help put her husband lead apparel or ask them to stay behind the screen, so that they will be protected against radiation. Additionally, an interpreter may be required, to help them get their job done.As a result, I should communicate more effectively and without any hesitant for both patient. Give them clear instruction and get help from radiographer staff. To know how to deal with patient in appropriate way, it is important to recognise their feeling, understand their problem and cope with different situation. Communication is very important. By using SOLER technique. Also be familiar with different culture and background, and respect everybody. . Avoid stereotyping patient. Stereotyping can direct you toward discrimination. (moodle site 2009).Also Remember to be assertive.What I have learnt using this reflective model, is that it has helped me to recognize that my knowledge is somewhat which I have to be proactive in. By writing this essay my reflection skill and my competence has developed. Now I feel more fortify in personal and professional skills. Within clinical placement I have experienced how to face with different situation and different patient. Also how communication skills is useful as a professional radiographer to deal with patient and their families. In the future communicate clearly and with greater confidence. Show empathy to patient in appropriate way. Respect all in any age, any culture and any background. Nervous, hesitant, anxious, exited, that was me on my first week of placement, but now something different and in the future more professional.

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