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Nursing skills - Essay Example

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The first skill to be discussed involved my use of communication skills in the de-escalation of an aggressive patient encounter. I have considered such a skill…
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Nursing skills
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Nursing skills

Download file to see previous pages... I chose to discuss this skill as I noted that I was assigned a patient who refused treatment, and I wanted to know what and how I could manage a depressed patient refusing further care.
For this critical analysis, I will apply Driscoll’s reflection model. It is a model which asks three main questions: What? So what? and Now, what? (Driscoll, 2007). These questions would help me assess my actions and the justification for these nursing interventions and skills. In accordance with the mandates of the Nursing and Midwifery Council (2008), the names of the clients and other involved health personnel shall not be used, instead, assumed names would be assigned to these patients in this paper.
Mildred was a 36 year old woman who was assigned to me during my clinical placement in the mental health unit. She was diagnosed with bipolar disorder and often manifested aggressive behaviour during the manic phase of her disease. Bipolar disorder is a mental health issue wherein individuals go back and forth between very good or highly energized moods and depression (Goodwin and Sachs, 2004). The mood swings may in some cases be quick, but for some, it may take up to days or weeks. As discussed by (Goodwin and Sachs, 2004), bipolar patients can sometimes be severely depressed at one time and later on be highly charged, have poor temper control, be reckless, have little need for sleep, and be easily distracted. Their short temper and reckless behaviour can sometimes lead to aggressiveness and anger especially when they do not get what they want (Goodwin and Sachs, 2004). During my placement, my mentor asked me to administer to Mildred her due medications. As soon as I approached Mildred with the medications, she was already glaring at me, showing signs of aggression, like she wanted to hit me. She was also shouting for me to get away from her. When approached by other health providers, she also refused to calm down and turned even more ...Download file to see next pagesRead More
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