Professional and Therapeutic Communication Reflection

Professional and Therapeutic Communication Reflection Willian Roger Dullius Nurses have determined the communication and interaction for nursing since Florence Nightingale in the 19th century. The method to provide the communication depends on the place where it is applied having a focus to interact and satisfy the client’s needs, once that communication is the basis of health promotion and prevention (Fleischer, Berg, Zimmermann, WÃ ¼ste, Behrens, 2009). Throughout this paper, I will answer the questions one and two, which are related to the class NUSC 1P10. Reflection can be defined in numerous ways. Firstly, it can be defined as an active process, which has different aspects of interpretation. Secondly, it can be an action to reflecting or a stage of being reflected. Thirdly, it can be defined as thoughts about something where require careful considerations. Finally, reflection can be defined as a process of observation in a specific action. All of these definitions reflect to a cognition’s method in a specific circumstance related to the person (OBrien, 2014). As a purpose of reflection in the context of teaching and learning, the reflection’s process provides a positive outlook on the material, which has been studied and analyzed. The moment of reflection also provides an opportunity for the student to look at what they have done in class. Thinking about what, why, when, where, how to do something such as assignment is a way to develop the critical thinking, which is an essential for the academic student. As a result, the reflection is responsible to develop the self-observation and self-evaluation in order to improve the academic skills as well as personal skills. Gardner (1986) also argues that the reflection is a fundamental part of the learning process for everyone, which is daily developed. The reflection provided an important contribution to my learning in the class. When we did reflections through this course in lectures or in class lab, I could think about my mistakes and after to analyzing why I did them, I corrected them. For example, when I was doing my weekly lab reflection reviewing my working, I could improve my paper. Fixing them, it contributed to change the way how I respond those activities considering my expectations. In another example, during the lab activity, I had numerous challenges. One of them is that I was looking for the patient considering his disease process. However, I should be looking for whole client’s history instead of just the disease process. After reflection about my practice, I could reflect more broadly in respect of the client’s history (looking more for social determinants than process of disease). I also made mistakes related to questions and language barriers, so reviewing these challenges aspects I could understand what was necessary to change and how to perform and provide my communication skills (see Appendix A). Still, reflecting on my lab activities, I could see a language difference between the first to last day (see Appendix B). It is explicit that I had an improvement because of in the beginning the semester, some activities which required interaction in group (talking and listening), were developed with low successful expectance; however, working to improve and reviewing words to pronounce and adding in the correct method did a change in a variety of aspects in my perspective of class’s interaction. Nevertheless, considering my background in communication skill, I have begun to look at a broad perspective of interaction among client and health professionals as well as with general people. In this course, a friend had a problem. Analyzing, doing a summary and paraphrasing, using the reflection’s process, I could help him. Instead of I give my opinion or solution to his problem, I motivated him to reflect his own history under the problem. Thus, he could find by himself how to cope that problem. After that, I gave him some feedback (evaluation) about that situation. In fact, looking my methodology and evaluating this process, I could understand and see in practice how the reflection’s process is helpful and it is a way that improves the communication skill. In relation to the question two, my communication skills have changed over this term because during this term I could review my thoughts and understand that communication is essential my daily activities with emphasis in my professional career. According to Burke, Boal, Mitchell (2005), the communication is present not only in terms of professional and patient, but it is an essential on health team. It needs to be present among health professionals providing better care for their clients. For example, when we are discussing health promotion and prevention, the communication is, basically, the basis to develop activities. Hence, the communication is a skill that needs to be built considering their environment. In this process, I could note improvements in my communication skill such as in the client’s response where I, as a nurse, need to provide concise responses related to the conversation, so it will initiate affective responses to me, as a nurse, and for the client, who needs to be cared (see Appendix C). In addition, people need to consider the cultural aspects of each other during the communication, which means, it is necessary to relativize and not to generalize in the communication process. In this course, I could experience in our lab and lectures activities how students perceive health considering the client’s background, which enabled us to better assess those clients. Nonverbal communication is another skill that I have improved throughout this course. In the past, I did not give importance to client’s gestures during my assessment. However, in this course I could see how it is important. Sometimes, the body of the client does agree with his speaking and as a nurse I might get this minor detail and try to understand the real situation that the patient is involved. Another skill that I learned refer to SOLER. Using the SOLER’s technique, I could improve my communication with the patient because it provides more confidence; however, I know that it requires practice. To learn about SOLER was an amazing because in my country, Brazil, I have never learned about it. Thus, as it was new for me, I need to improve more. Although it is not taught in my course, I understand that is extremely important, so I will use in my clinical practice and to share this information with my professors in Brazil. Likewise, my listen skill has also improved during our course. Now, I incentive the client talks as much as possible. I stay in silence to just hear him/her speech. As a result, I can better analyze and evaluate those aspects and conditions related to the client, providing a better assessment. Thus, I can identify how I have changed my listening in order to better assess the client during the interview. In the past, I listened with superficial; however, now I have developed a deep and adequate time throughout my nursing assessments. Another skill that I have improved is the paraphrasing, which was not accurate in my academic skill because it is not common in my native language. In fact, I am aware that it is hard for me to paraphrase well, so I have introduced in my daily communication to practice and improve it as much as possible. In brief, throughout this course, I could notice improvements in my communication skills, which were done through the reflection’s process after those activities developed during the course. Thus, combining theory and practical aspects must provide better understand and improvement in the student’s skills. Communication is an essential skill in the human beings, and it is raised with daily activities and reflections. References Burke, M., Boal, J., Mitchell, R. (2005). Communication for better care: improving nurse-physician communication. Education For Primary Care, 16(2), 217. Fleischer, S., Berg, A., Zimmermann, M., WÃ ¼ste, K., Behrens, J. (2009). Nurse-patient interaction and communication: A systematic literature review. Journal Of Public Health (09431853), 17(5), 339. doi:10.1007/s10389-008-0238-1 Gardner, R. (1986).The psychotherapeutic techniques of Richard A. Gardner. Cresskill, N.J.: Creative Therapeutics. OBrien, R. (2014). Expressions of hope in paediatric intensive care: a reflection on their meaning. Nursing In Critical Care, 19(6), 316-321. doi:10.1111/nicc.12069 Appendix A Appendix B Appendix C

Letter of Persuasion

I hope this letter reaches you in good health and good graces. I am writing this letter to tell you about this persistent issue Eve had with my teeth. It all started when I was told that along with my four wisdom teeth I had to get an extra tooth which was growing on the bottom right row, extracted as well. After the first grueling month of post wisdom tooth extraction pain, came more problems. Now I have a hole in my mouth on that bottom right row and, I can't go one meal still to this day without it bleeding, and let me remind you that my teeth were extracted about six to eight months ago and the hole still bleeds after a meal, snack etc.Which also makes it hard when you want to get food out of that hole. Because the gap is wide enough after every meal something gets stuck in there and if the hole is punctured with a straw, fork, toothpick, dental floss in efforts to get the food out, it will not only cause more pain but more bleeding as well. This explains why the gap is swollen, because its been stabbed multiple times in efforts to get the food out, so now its become sore. The days you do not have a straw, fork, toothpick or dental floss readily available, the food stays there making the pain more unbearable, and making it more possible for infections.Imagine having to deal with this everyday, and your a sixteen year old boy with a Job which requires a lot of talking, and with every time you move your mouth, you feel a pain from this throbbing hole, which the doctors who took your wisdom teeth and your extra tooth out said would be handled by braces, all that would be needed was the insurance company to say yes. So after breakfast, lunch and dinner, I have to take a Ethylene or David to reduce the pain, swelling and bleeding, and each day that I take one, the drowsier I become, which makes It a lot harder for me to do my Job when Im extremely groggy.On top of all this my breathing has gotten heavier from after the extraction of the tooth, especially when I lay down, my heart rate increases, and my breathing becomes loud. I first noticed that I truly had a breathing issue when I was having a conversation with a friend, and he asked me had I been inning and I said â€Å"no', and he said â€Å"l can hear you breathing† Before the operation my breathing was fine, I never had any Issues, I never even had asthma. Now when I'm standing perfectly still or trying to go to bed, my constant deep breathing Is always there.So I am writing this letter today not plead for braces because of a minor overbite or cross-bite, but I truly hope that from my narrative and Orthodontics narrative that my very serious oral condition will be taken Into deep consideration a second time around. Ever since my teeth were taken out I was assured that the pain loud only be temporary and once the Insurance approved for braces the hole would be closed up and the Issues would be gone but since that surgery date I have had more problems then ever before, which ha s Interfered with my schooling, work and everyday activities.I hope you take pity In the fact that I suffer everyday with this Issue and would Like nothing more then the Insurance company to help finally see what I go through day to day. I would Just Like to say thank you for taking the time to read my letter, and hope you can get back to me soon. Letter of Persuasion By phantom day that I take one, the drowsier I become, which makes it a lot harder for me to do from after the extraction of the tooth, especially when I lay down, my heart rate running and I said â€Å"no†, and he said â€Å"I can hear you breathing† Before the operation my breathing was fine, I never had any issues, I never even had asthma.Now when I'm standing perfectly still or trying to go to bed, my constant deep breathing is narrative that my very serious oral condition will be taken into deep consideration a loud only be temporary and once the insurance approved for braces the hole would be closed up and the issues would be gone but since that surgery date I have had more problems then ever before, which has interfered with my schooling, work and everyday activities.

Jimmy Carter- Facts on the 39th President

Here is a quick list of fast facts for Jimmy Carter. For more in depth information, you can also read the Jimmy Carter Biography. Birth: October 1, 1924 Death: Term of Office: January 20, 1977 - January 20, 1981 Number of Terms Elected: 1 Term First Lady: Eleanor Rosalynn Smith Chart of the First Ladies Jimmy Carter Quote: Human rights is the soul of our foreign policy, because human rights is the very soul of our sense of nationhood.Additional Jimmy Carter Quotes Election of 1976: Carter ran against incumbent Gerald Ford against the backdrop of the United States Bicentennial. The fact that Ford had pardoned Richard Nixon of all wrongdoing after he had resigned from the presidency caused his approval rating to severely drop. Carters outsider status worked in his favor. Further, while Ford performed well in their first presidential debate, he committed a gaffe in the second concerning Poland and the Soviet Union that continued to haunt him through the rest of the campaign.   The election ended up being very close. Carter won the popular vote by two percentage points.  The electoral vote was very close. Carter held 23 states with 297 electoral votes. On the other hand, Ford won 27 states and 240 electoral votes. There was one faithless elector representing Washington who voted for Ronald Reagan instead of Ford.   Major Events While in Office: Vietnam War era draft evaders pardoned (1977)Panama Canal Treaty (1977)Camp David Accords (1978)US officially recognizes Peoples Republic of China (1979)Three Mile Island incident (1979)Iran Hostage Crisis (1979-81) States Entering Union While in Office: None Significance of Jimmy Carters Presidency: One of the big issues that Carter dealt with during his administration was energy. He created the Department of Energy and named its first Secretary. In addition, after the Three Mile Island incident, he oversaw stricter regulations for Nuclear Energy plants.   In 1978,  Carter  held peace talks at Camp David between Egyptian president Anwar Sadat and Israeli Prime Minister Menachem Begin which ended in a formal peace treaty between the two countries in 1979. In addition, America formally established diplomatic relations between China and the U.S.   On November 4, 1979, 60 Americans were taken hostage when the U.S. embassy in Teheran, Iran was taken. 52 of these hostages were held for longer than a year. Oil imports were halted and economic sanctions were imposed. Carter staged a rescue attempt in 1980. Unfortunately, three of the helicopters used in the rescue malfunctioned, and they were unable to proceed. The Ayatollah Khomeini finally agreed to let the hostages go if the US would unfreeze Iranian assets. However, he did not complete the release until Ronald Reagan was inaugurated as president.   Related Jimmy Carter Resources: These additional resources on Jimmy Carter can provide you with further information about the president and his times. Chart of Presidents and Vice PresidentsThis informative chart gives quick reference information on the presidents, vice-presidents, their terms of office, and their political parties. Other Presidential Fast Facts: Gerald FordRonald ReaganList of American Presidents

Gm Food Research Paper - 1341 Words

Are Genetically Modified Food Harmful to Human Health? Genetically Modified food is a technology that changes the genetic information of living organisms to make them more useful to human. This new technology was created through the combination of different genes from different living organisms. Genetically Modified food could be utilized in medicines, vaccines, foods, and other food ingredients (Genetically Modified Foods and Organisms). However, the most significant advantage of GM (Genetically Modified) food is that they contain adequate amounts of all necessary nutrients, which can prevent malnutrition. They could be modified to enhance desired traits such as pest resistance. The benefit of pest-resisting plant is one of the†¦show more content†¦The first GM crop that reached the market was Bt cotton, with this crop; farmers can spray less pesticide and improve the health of consumers. The planting of GM cotton had been very effective to farmers, â€Å"Transgenic cotton reduced pesticide use by more than two million pounds in the United States from 1996 to 2000, and it has reduced pesticide sprayings in parts of China by more than half† (Rauch). Genetically Modified crops have been successful in the United States and China because these two countries are the major producers in the agricultural world. To further prove this point, the use of pesticide had reduced by more than 14 million pounds on 23 million acres of U.S. land; ever since the use of GMO which was proven to be statistically significant (Rauch). However the various consequences that follow the benefits of Genetically Modified foods such as the threat to human health outweigh its benefits. The negative consequences of GM food are innumerable, but one of the worst consequence is that the process of modifying food genetically can cause mutations inside the food gene. 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