Therapeutic Encounter Introduction This commentary shall provide a reflection on an encounter with an elderly schizophrenic woman admitted to the recovery ward. It shall utilize the Gibbs Reflective Cycle in its analysis, reviewing actions and critically assessing these based on evidence-based practice…
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She was not taken seriously when she expressed pain and the nurses believed her pain to be mostly psychological. They believed that since she was scheduled for surgery the coming month, she was experiencing some anxiety which manifested as pain. The nurses were opting to delay addressing her concerns because her haemorrhoids were going to be removed anyway. On assessment of patient, my adult nursing background helped me discover that she had a prolapsed uterus hanging out of her anus and it was also very painful and severely inflamed. I requested for stronger pain relievers for the patient and for the medical doctor to examine her as an emergency case. Through these actions, the patient was able to be referred for proper consult and care. Feelings I felt that I have acted in the patient’s best interest and that I made the best decision in reviewing her symptoms and evaluating her for other illnesses. I felt that in communicating better with the patient, I achieved better efficacy in understanding her physically, psychologically, and mentally. I felt that although the patient’ pain complaints may indeed be psychological, there was no harm in reviewing her complaints and evaluating whether or not such complaints may have an actual basis. I feel that by making assumptions about the patient’s condition, health professionals would not be able to uncover the exact condition of their patients. In this case, the nurses assumed that the patient’s pain complaints were psychological when in fact, it was very much real and was caused by a prolapsed uterus – one which needed immediate medical attention. This pain complaint stuck in my mind because the patient was showing signs of actual pain which I did not believe to be psychological as was expressed by the nurses. After the cause of the pain was established, I felt relieved about my decision and about personally checking the patient’s physical condition. In the process, I feel that I have done all I could to improve the outcome of the incident. Evaluation On evaluating the experience and my actions, I believe that the correct decision was made in reviewing the patient’s symptoms and its cause. The actions of the nurses were not appropriate because it caused them to miss the actual complaints of pain which the patient was feeling. Given any other situation, such pain symptoms if ignored in favour of psychological considerations, may also lead to dangerous and life-threatening situations. In some cases, pain may be a symptom of a stroke or a heart attack. When ignored, as was done in this case, less time is allocated to managing the patient’s symptoms. This is unfortunate considering the fact that early management of symptoms can best ensure early treatment and recovery. Recommending the patient to consult with the medical doctor was also a good decision, one which ensured a medical evaluation of the patient’s case. A stronger pain medication for the patient also implied an acknowledgement of the patient’s pain symptoms and reducing such pain has also become an effective means of reducing anxiety as patient was showing signs of stability in her mental state and happy mood. Analysis First and foremost, I reassessed the patient’s pain complaints. Assessing pain complaints can usually be carried out by applying the Visual Analogue Scale where the patients are asked to rate their pain complaint from 1-10, 10 being the most painful (Berger,
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(“Therapeutic Encounter Essay Example | Topics and Well Written Essays - 1500 words”, n.d.)
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(Therapeutic Encounter Essay Example | Topics and Well Written Essays - 1500 Words)
“Therapeutic Encounter Essay Example | Topics and Well Written Essays - 1500 Words”, n.d. https://studentshare.org/nursing/1440739-a-commentary-on-a-therapeutic-encounter-or-a.
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