Managing the relationship - Discussion, skills and self reflection sheet As a trainee therapist [and qualified] you will encounter resistant clients in your helping role. This may range from clients repeatedly missing sessions [cancelled or not cancelled], the frequently late client and the client who 'forgets' to pay. Task: To meet the above criterion, you are required to manage the helping interaction and demonstrate the skills necessary to undertake these difficult situations. In small groups of three you will practise the given scenarios, and discuss afterwards. Session should be no less than 15/20 minutes.
In February 2006, Emily Jerry, a two-year old child was at a Cleveland hospital to complete her last series of chemotherapy treatment. Her doctor ordered intravenous chemotherapy solution that was filled incorrectly by a pharmacy technician. The prescription called for 1% saline; however, a lethal amount of 23% saline was given instead, causing her to slip into a coma resulting in death. Eric Cropp, who was the supervising pharmacist signed off on the technician’s work despite her informing him that the mixture did not look right; nonetheless, he approved it. The pharmacy was so busy that day and short staffed, which led to a preventable fatal error that changed Eric’s whole life in a matter of seconds.
Ms P talked about family life and was upset and cried; she said the children have physical health or mental health issues and she is drained caring for them, Ms P is the main caregiver. Ms P said E two years and A seven months have not been well; E has not attended nursery for 2 days she will be attending tomorrow.I said respite care in the home or if the older children went to a day centre for a few hours would help. Ms P said it was offered to her before and she said no however, she did agree it would be a good idea. Ms P talked about her husband and said he opened the front door the other day and was barking like a dog, she asked him ‘what are you doing?’ and told him to come in. Ms P said he was talking to himself for 3 hours yesterday and it sounded like 3or4 different languages.
"Have you seen Jane lately? She used to be so neat and clean but for the past several months she doesn’t seem to care about her appearance," stated Polly. "I worked with Jane this week and she seemed in a daze most of the shift," replied Tom. "If I didn’t know better I would think Jane was taking drugs or something," Polly commented. "Drugs!
The family placed Adult D in a residential home which was nearby so that they could visit regularly. Adult D’s general condition soon deteriorated. She was admitted to hospital and then discharged back to the residential home. During this time, she developed pressure ulcers. Following further deterioration, Adult D died in hospital in February 2007.
Otherwise normally fit and healthy Nellie had a fall at home and suffered with a fractured neck of femur which saw her admitted to hospital, here she had some complications with her injury and also acquired a chest infection along with the first necrotic heel. Nellie was then transferred to a local cottage hospital for help with rehabilitation where she acquired the second necrotic heel. Both the heels were being dressed once a week in accordance to an assessment that was carried out by the Tissue Viability Nurse for the area who covered both primary and secondary care facilities, but no up to date assessment had been carried out prior to discharge. Nellie arrived at home and was referred to the District Nursing team via the Discharge Liaison Service, who act as an interface between primary and secondary care teams, as part of the more wider Multi-Disciplinary Team, to ensure that everything is in place to aid the patient upon discharge and thus make it an effective one. The
Shehas been able to go out and get her shopping from the nearby shops and is otherwiseself-caring, clean and tidy. According to the referral letterfrom her General Practitioner, who arranged this admission to hospital, anumber of people had recently commented that she looked ill and was not caringfor herself as well as she used to do. Her family live a considerable distanceaway from her and, although they see her about once or twice a month, they donot stay for long as they have a business to run. When she was admitted she was foundto be lucid and coherent but her family told us that she had had a number ofepisodes of confusion recently. She was occasionally very sleepy and had leftthe gas burning on one occasion.
Education and employment: Patient completed one year at William Paterson University, she worked for AT&T as a contract administrator for ten years. Patient ceased working after her mental health starts to deteriorate. ADL’s: Prior to admission, patient reside in an apartment, which was under auspices of PAC service, she shared a room with two peers. There she was contributing to the work in the apartment. She enjoyed sewing, reading and listening to
At the start of my work I felt lack of confidence as working environment here slightly different and don’t have much experience in caring vulnerable adult people as my previous nursing experience mostly involved in caring young children at home country. I would describe on the event takes place and describe that event during my clinical practice in which I have dealt with a 72 year old Spanish lady, having Dementia disease. After 4 weeks of my placement, one day I noticed this lady was sitting on her bed during the regular dinner time. She needs to be assisted if she wanted to stand or walk. So I took her dinner and fed on the bed.
We began spending everyday together, it was great. After two years of dating I got pregnant with our beautiful daughter. I got so sick I almost lost her at three months, then again at seven months. I had toxemia so I spent a lot of the time in the hospital. I had to go on independent study because I was bedridden.