Friday, May 17, 2019

Clinical Reflective Journal

Clinical Reflective Journal The first day I visited psychiatric ward, I felt nervous and excited because of the psychiatric ward which is totally different from general ward. I feel that all patients who are walking in the corridor and some of them keep murmuring, and those behaviors I seen are seldom look in the general ward. However, after I found that they can communicate with others normally and have no aggressive behavior after approaching the patients.I learnt we should establish therapeutic relationship in the communication with patients via using non-judg rational, empathetic, active listening and supportive attitude. But I found difficulties in approaching patients who are introvert due to their unconcerned response. However, I think that we should obtain their confidence through persistent contact with them.Besides, I realized that being a psychiatric nurse, the observational skills is very importance, as the emotional or mental condition of psychiatric patient can be f luctuated between day and night. Therefore, nurses can implement fit precautions beforehand. In the private hospital, there are seldom opportunities to perform those skills, but there provide many a(prenominal) chances for me to practice the professional skills and of injection and physical restraint.For instance, choosing which type of restrained device should be applied on the patient and related assessment we should made. Moreover, through the guidance of the nurse, I could realize the rationales behind the intervention, weakness in my performance and how to improve it. After caring of psychiatric patient in these two weeks, it helps clear up my misunderstanding of them and I hope that the nursing care of psychiatric patient can be steadying for them to return the society.

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