The aim of the interview was to listen to Mr. John’s concerns and offer him help utilizing evidence-based research and therapeutic communication as applicable. Mr. John, 67 years-old was of black ethnicity and had been admitted in Lincoln Medical Center where he was receiving treatment for prostate cancer. During our conversation with Mr. John, appeared to be commonplace in perspective on the way in which he looked and acted when I got inside. He smiled at me and immediately adjusted himself in his bed. My targets for the gathering was to be tolerant focused, to ask the client to express what was focusing on him and empower the depiction of the client’s story. I was endeavoring to make social affectability and data to consider individuals from different social orders. To develop a relationship where the client will trust in me, I set up it together dependent on Arnold’s procedure which states, to get the patient’s trust in a brief time allotment, you gave him basic information about yourself. During the talk, Mr. John gave off an impression of being eager about being in the therapeutic facility for quite a while. Gravitating toward to the completion of our gathering I used Peplau’s technique for clarification. Empathy is one of the subjects used in this accommodating relationship. With my experience from this endeavor, I can build fondness with my patients and give them quality thought. I would recommend therapeutic overseers and all other restorative administrations specialists practice on extraordinary social capacities.
Purpose of the Interaction: To hear out Mr. John’s needs and help manage whatever is stressing him using evidence-based research and therapeutic communication accordingly.
On Thursday July 23rd, 2017, I got the opportunity to interview Mr. John for my process recording. Mr. John is a 67-year-old Black male who was admitted to Lincoln Medical Center, on the oncology unit. Mr. John was admitted for prostate cancer which was already in stage three. He was assigned to the medical oncologist who was working closely with the nurse oncologist and I was on duty that morning. I introduced myself to the oncology nurse, and we conducted our rounds where she oriented me, explaining to me about the patients’ conditions and what we would be doing for them. The nurse informed me that Mr. John was undergoing chemotherapy treatment and was slowly recovering from the side its side effects. Then, I decided to focus on Mr. John because he was open and seemed to know about his health condition.
Mr. John’s room was situated on the ground floor, room 14. As I went into the room, Mr. John seemed typical in view of the manner in which he looked and acted when I got inside. He grinned at me and quickly balanced himself in his bed. He was caution and arranged to individual, spot, and occasion. He appeared as though he was anxious to share something about his life. Mr. John was on a balanced task since he was in danger for fall and must be checked. I had a short discussion with the Oncology nurture on why Mr. John was set on balanced. The Nursing Attendant disclosed to me he was on fall safety measure and must be kept an eye on at regular intervals.
Before my experience with the patient I was restless in light of the fact that it was my first time meeting a patient in an emergency clinic setting. I didn’t know what’s in store and whether the patient will open up to me, and give me the data I required. I was additionally thinking about whether I could make a wide opening to empower the patient to tell his sentiments. I felt invited as Mr. John was agreeable and pleasing to every one of my inquiries. Once more, my association with the patient allowed me the chance to assess myself on viable relational abilities.
My objectives for the meeting was to be patient-centered, to urge the customer to express what was stressing him and encourage the portrayal of the customer’s story. Once more, to assess myself on how successful I can use my scholarly remedial relational abilities. I additionally needed to gain from the patient the explanation behind affirmation and to see whether I can help with patient instruction. I was attempting to create social affectability and information to think about people from various societies. To realize how to think about my patients, I accept that I should almost certainly think about patients from different societies with numerous convictions and qualities on the grounds that these qualities impact their recognition and choice to medicinal services.
Mr. John and I engaged in a good conversation and a few interactions between us are:
Verbal (Me): Hello, my name is Karimi Josephs and I am a nursing student from St John Fisher College. Can you kindly tell me your name?
Define Technique: I put on a smiling face and maintained eye contact after sitting directly opposite to the chair that was next his bed.
Mr. John (Verbal): “My name is Mr. John. He responded with a smile after adjusting himself in bed.
Verbal (Me): Mr. John, would you please tell me why you were admitted in Lincoln Medical Center?
Non-Verbal (Me): I leaned forward to listen attentively as he was speaking.
Mr. John (Verbal): Well, I have been struggling with Prostate cancer for the past one decade and came to this hospital due to its reputation in cancer management. The chemotherapy treatment is wearing me out and I am in a lot of pain and am really suffering. I have many other issues bothering me.
Verbal (Me): Do you mind sharing with me what you mean by ‘many other issues’ Mr. John?
Non-verbal (Me): I maintained eye contact, and listened attentively for any nonverbal cues.
Mr. John (Non-Verbal): He looked outside the window and looked put on a worried face.
Mr. John (Verbal): I am scared that I might die soon.
Mr. John (Verbal): He proceeded, “I am in a lot of pain and feel weak. Apart from that, my wife has diabetes and she really need me yet, I don’t think that I will last long. I am so stressed and want to go home and spend my last days with my family.”
Verbal (Me): I said in a low tone and with an empathizing face, “Mm-hmmm, what did the doctor say about your condition?”
Mr. John (non-verbal): Moved a little in bed and exhaled.
Mr. John (Verbal): I was told that I should be able to go home as soon as I stabilize. In the next one week probably since my immune system is still low.
Verbal (Me): I believe that you are going to survive Mr. John and we are here to help you. Please follow the doctor’s advice and I am sure that you will reunite with your family soon.
Define technique: I gave him comfort and assured him he will feel better and I’m there to help him.
Mr. John (Verbal): Thank you.
Verbal (Me): Thank you Mr. John. It was nice talking to you. Feel better.
Mr. John (Verbal): Thank you. Come again.
Verbal (Me): You welcome. Thanks for your time.
Even though I was on edge as I started the meeting during the initial stage, his reactions to our discussion were warm and affable which made me feel quiet and invited. This is the orientation stage where the nurse and the client set up a relationship and build rapport. The customer presents himself and uncovers the issue or issue close by and looking for assistance. To build up a relationship where the customer will confide in me, I put it together based on Arnold’s technique which states, to pick up the patient’s trust in a brief timeframe, you gave him essential data about yourself (Arnold and Boggs, 2019). As we continued with the discussion, the customer appeared to have more worries about his circumstance. I needed to find out about the issues he was having with the goal that I can empower him. As such, I utilized open-ended inquiries to enable the patient to communicate uninhibitedly. Utilizing open-ended inquiries will enable me to acquire data and this allows the patient to expound on the inquiry.
During the discussion, Mr. John appeared to be restless about being in the medical clinic for a long time. Drawing near to the finish of our meeting I utilized Peplau’s method of explanation. As expressed in Peplau’s Interpersonal Relations Theory, this is the working stage. What’s more, to ensure I comprehended what the patient was stating to me, I needed to utilize the method of explanation (Arnold and Boggs, 2019). This system enables the patient to develop what he implied. At long last, toward the finish of our meeting, I felt compassion and regard towards how he felt about his condition. I accept the patient would concur with me on how troublesome it is for him. At the end stage, I was cheerful because the discussion went well and the patient looked satisfied and offered his thanks by expressing gratitude toward me.
While going in to talk with the client, I was restless as I didn’t have a clue what’s in store. Since it was my first time, I questioned myself a bit. I was uncertain whether Mr. John would invite me or reject the meeting with him? I had every one of these contemplations going through my mind. When I moved toward Mr. John, he energetically reacted and indicated an eagerness to respond to my inquiries. He was not modest and was open to offering his issues to me. He was very much educated and proficient about his condition. I understood that open-finished inquiries and quiet with insignificant signals enabled the patient to unreservedly communicate. Taking all things together, it was a decent encounter for I comprehend what’s in store.
Compassion is one of the subjects utilized in this helpful relationship. Being compassionate wasn’t tied in with being enthusiastic and making the patient’s inclination mine, rather it is tied in with comprehension and perceiving the sentiments of the patient. Also, an empathic reaction makes the patient feel acknowledged and manage their emotions straightforwardly (Decety & Fotopoulou, 2015). Once more, trust was another procedure utilized in structure the remedial relationship. The patient must consider the nurse to be as somebody whom they can open their worries to, and not feel judged. This was utilized to make a climate where the customer felt agreeable to share his needs. Additionally, nearness was utilized to make the customer feel that I was there for him, and inspired by what he needed to state.
I accept this experience edified me since I’ve encountered clinical setting meeting and as a medical caretaker we should manufacture an association with our patients which depends on trust and secrecy. With my experience from this venture, I can construct affinity with my patients and give them quality consideration. Great correspondence among nurses and their patients is fundamental for the effective result of individualized nursing care of every patient. To accomplish this, in any case, medical caretakers must comprehend and support their patients, exhibiting politeness, generosity and truthfulness” (Riley, 2015).
I would suggest medical caretakers and all other medicinal services experts rehearse on great relational abilities. This is indispensable to the achievement of human services groups. Great relational abilities help patients feel quiet. It makes them feel in charge and feels esteemed. Correspondence in nursing don’t just advantage the patients, yet the medical attendants also. Attendants who discuss well with their collaborators will in general observer an improvement in confidence just as employment fulfillment.
Arnold, E. C., & Boggs, K. U. (2019). Interpersonal Relationships E-Book: Professional Communication Skills for Nurses. Elsevier Health Sciences. Retrieved from https://books.google.co.ke/books?hl=en&lr=&id=XC2GDwAAQBAJ&oi=fnd&pg=PP1&dq=Interpersonal+relationships:+Professional+communication+skills+for+nurses&ots=NpXj40-KIV&sig=6s7nsbDGsFSXkYyxN_Snbuuqo0g&redir_esc=y#v=onepage&q=Interpersonal%20relationships%3A%20Professional%20communication%20skills%20for%20nurses&f=false
Decety, J., & Fotopoulou, A. (2015). Why empathy has a beneficial impact on others in medicine: unifying theories. Frontiers in behavioral neuroscience, 8, 457. Retrieved from https://www.frontiersin.org/articles/10.3389/fnbeh.2014.00457/full
Riley, J. B. (2015). Communication in nursing. Elsevier Health Sciences. Retrieved from https://books.google.co.ke/books?hl=en&lr=&id=SwndCwAAQBAJ&oi=fnd&pg=PP1&dq=Communication+in+Nursing+Practice&ots=YZsm07wmwz&sig=4PeqhPB_VJZwAI03y67hJK5jctc&redir_esc=y#v=onepage&q=Communication%20in%20Nursing%20Practice&f=false