This essay is a descriptive account of my experience caring for a patient with a variety of needs. The patient I will identify has the following chronic illness of schizophrenia, dementia, physical disability, poor hygiene. Therefore, please note that the patient conditions will be evaluated throughout. Because of confidentiality, I will abide by the Code of Professional Conduct (2008). As a registered nurse, you must respect people's right to confidentiality. I will refer my patient as Patient A.
I have been assigned to work with a patient who has been admitted to an acute psychic ward. On supervision i was allocate to work with patient A, following from her conditions it is observed that patient A refuses to engage with others. She
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This will have an impact on the way care is approached and delivering the well-being of patient. For example, when observing patient A in the mornings, her mood changes and she becomes very abusive and aggressive not only myself but other health professionals, it is important to develop strategies that is approached in an assesstive way rather than aggressive manner by and explaining with reassurance and explaining that they can understand even though it is difficult it will be an foundation of positive reinforcement. One theorist Challis (1994), identifies that managing patients care will involve tremendous co-ordination with using effective resources. On the other hand, McMahon (1998) identifies a number of activities in nursing that is considered therapeutic to care. Within this case, they include the following, comforting, onto-to-one and nurse-patient relationship. This is a perfect example of my role with Patient A.
According to Walsh and Kowanko’s (2002) study patients appreciate nurses using small talk to reduce embarrassment. Having observed patient A in the morning, communication was the focal point that was needed to be addressed. In this case, I applied the fundamental nursing care such as encouraging attending meal times, getting out of bed and gaining self-care of independence. If ineffective communication was put in place, it would lead problems