CASE STUDY 1

Patient Michael  is having some hematological investigation (pemeriksaan darah).

He calls over the staff nurse and asks you if has leukemis (kanser darah).

In actual Michael has leukemia but the family decided not to inform him at the moment. As a matter of fact tghe physician has had informed the nurses not to inform the patient.

The physician together with the family members has decided to inform the patient that he has anaemia (kekurangan darah) in the body.

WHAT WOULD YOU DO??

PATIENTS RIGHT

During a busy medicine round astaff nurse give the wrong medicine to one of the patient.
It is a simple case of fixing the right face to the wrong name, compounded by not checking the patient name  band.

After a moment panic, the staff nurse realizes that the drug was an innocenr vitamin and as the patient has not noticed, he/she decides that a 'least said soonest mended' approach would be prudent. The incident was not reported.

Does the patient have a right to know what has happened to him?? OR

would he have more pease of mind if he does not??

TO LIE OR NOT NOT LIE???

COUNSELLING PROCESS

There are 11 steps in counselling process. In process 1, the counsellor need to prepare the appropriate environment.

 Why do you think the environment  influences the counselling process.

What are the types of environment should the counsellor prepare for the counsellee?

PURPOSE OF COUNSELLING

Dear students,

Counselling has been done in many organizations for variety of reasons. In some organizations the employees would be sent for counselling process as part of the organization requirement to achieve the stated standard.

As such,  do explain the PURPOSE of counselling from your understanding. Do elaborate regarding it.

Example:

One of the purpose of counselling is to adopt, change and maintain behaviours.
I believe through counselling the counselle could attain self confidence and self esteem for their future undertakings. In fact, i feel through counselling , the counsellee had the oppurtunity to view himself/herself to change their perception towards betterment.

ISSUES REGARDING COUNSELLING

Dear students,

While you are in college you were counselled at least once, by counsellors. What do you understand regarding counselling.

How will you define counselling??

COUNSELLOR QUALITIES

Counselling is a process of act of exchanging opinions and ideas; also consultation to the experts upon needs.
Counselling is also a procedure whereby, advice or guidance, especially as solicited from a knowledgeable person is seek out by school going children and adults. Through counselling also the counselee tends to plan for further actions to be taken.

From the counselling also counselees tends to formulate their own opinions, thoughts for whatsoever issues thay had.
In relation to that, counsellor to be an open minded and attentive listener without being judgemental. Besides the above, there are more skills needed for a successfull counselling sessions to take place.

Please explain those factors that influences the counselling process.

(5 MARKS)

TOWARDS IMPROVING OUR COMMUNICATION SKILLS

As humans we communicate daily, either through verbal or body language. We too realise that in the process of communication , we lack of many factors which need to be improved in order to enhance our relationship with people.

Given a chance what are the lacking factors that you would like to improve??

EXAMPLE:


Myself as a nurse, i feel that one factor that i lacking is 'the concentration level when someone is talking to me'.
I feel i could not concentrate when someone is talking  to me. This happens especially when someone is talking to me and having a very long conversation. It could be that the communication is very borings or so!!

As such in order to eliminate the behaviour/improve my own skills in communication, i do realise that i need to change the behaviour.

I need to concentrate when someone is communicating with me.
I came up with a few strategies:

• remind myself not to daydream when someone is talking
• stick a note at my bedside, saying that i shouls not ignore people

Thank you,
Sumathi Nadarajan

IMPORTANCE OF COMMUNICATION NURSING

Dear students,

An effective communicationin nursing profession is an important factor towards promoting a better care for clients.

Nurses act as - liaison between doctor and patient. - - understand the doctor's instructions and the patient's concerns. As such, nurses also need to understand the process of

communications skills focus. They need to receiving information as well as creating an environment of confidence between the client and them.

In your opinion, why do you think effective communication in nursing profession??

CHILDREN AND THEIR CARE

Dear students,

You are on duty in   Paediatric Ward (Wad Kanak-kanak). There are certain skills that we as nurses need to potray when facing childrens.

In your opinion, what are the techniques that we as nurses could implement to enahance(meningkatkan) care.

(5 MARKS)

Thank you.

SIGHT IMPAIRED CLIENT

Dear students,

You are caring for a client with sight impaired. She is 80 years old  Chinese lady and her daughter is caring for her too.

Explain how do you care for her? Do you ask the clients daughter's assisstance in caring for her mother?

DEALING WITH DIFFICULT CLIENT

1. You are working with a client who has hearing impairment. What are the steps to be observed while caring for this client.

Please explain your considerations.

CHARACTERISTICS OF A PROFESSIONAL NURSE

Characteristics of a nurse is an important factor that influnce patient care. As such EXPLAIN  those characterictics in your words.

DOCUMENTATION

1. Documentation is an important factor in caring out nursing duties.As professional trained nurses documentation need to be done accurate an dprecisely.
Through documentation also, evidence of continuition care on patients could be witnessed.


(a)As such, define documentation based on your understanding.



(b) There are certain measures that should be taken upon documenting nursing notes. List down the important measures that should be taken upon documenting patient care.

(6 MARKS)
(1/2 MARKS EACH SENTENCE)

Behavioural Science II

Hello students,

How are you? Welcome to my blog. Hope you gain as much knowledge as possible.