Friday, December 6, 2019

Role Play for Self Regulation in the Nurse- myassignmenthelp.com

Question: Discuss about theRole Play for Self Regulation in the Nurse. Answer: This report is based on the conversation between a nurse and a patient, who is depressed and is addicted to alcohol. Education to the patient regarding the harmful effects of alcohol The role play reveals that the patient is taking alcohol within the hospital premises and thus tries to educate the patient about the abstinence from alcohol. The nurse has been correct in deterring the patient from consuming alcohol as alcohol poses both long term and short term effects in the body. Short term effects includes blurred vision, slurred speech, impaired vision and some long term effects like falls , liver problems and even cardiovascular diseases (Patton et al., 2013). The role play portrays that the nurse was actually trying to put an insight to the harmful effects of binge drinking. Furthermore the nurse has been quite mindful in reminding the patient that it is strictly prohibited to consume alcohol in the hospital premises. If the patient is under a treatment then alcohol might interact with the other drugs and cause adverse life threatening condition. Self regulation in the nurse The first part of the video shows that the patient was trying to crack jokes and wanted to intervene on her personal life, but the nurse was right in reminding him the boundaries of the nurse patient relationship. As per Kangasniemi et al., (2013), the nurses should not enter in to emotional or personal relationship with the client and should abide by the same with the clients families. The patients offensive tone might have perturbed the nurse at the beginning but she had rightly controlled her emotions and has tried her best to mitigate the patients concern. The student has displayed patience and has listened to his grievances by remaining under her professional boundaries. Active listening According to Kourkouta Papathanasiou, (2014), an effective communication between the nurse and the patient is mainly initiated by the active listening. It helps the nurses to understand what the patient is thinking or feeling. It also helps the nurses to understand the problems from the grass root level. Moral support to the patient Depression and anxiety cannot be always navigated by the pharmacological interventions and are sometimes cured by compassionate nursing therapies such as proper counseling and education. In the last part of the video it can be seen that the nurse was assuring the patient that this was not the end of his life. According to Lachman, (2012), as a nurse it is necessary to unearth and address the actual stressful event of the patients life rather than just giving instructions. In this part the nurse has been able to guide the skepticism of negative thinking in the patient. The video reveals that the patient was rude and indifferent of the nurses instructions, yet the nurse exhibited patience and tried to assess the cognitive status of the patient which is guiding his alcohol consumption. As per the Watsons caring theory, there are three major elements- the carative factors, the transpersonal caring relationship and the caring moment. It is evident from the video that the person is taking resort to alcohol may to numb his feelings or mental trauma, hence it is necessary in part of the nurse to develop a relationship of trust with the patient (Negarandeh et al., 2013). It is easily evident from the video that the nurse was self aware of any judgmental feeling about the patient. As per the nursing theories of ethics a nurse should be able to look at the uniqueness of the patient and go to all extent for preserving the dignity of the patient. The dignity of the patient here could have been harmed as other patient or patients family would have lodged complaints for consuming alcohol in the hospital premises. In conclusion it can be said that the main essence of nursing is caring for the patients beyond the conventional boundaries, yet maintaining the professional boundaries. Effective nursing involves active listening process, exhibiting proper verbal and non verbal communication skills and providing proper education to the patient. References Kangasniemi, M., Pakkanen, P., Korhonen, A. (2015). Professional ethics in nursing: an integrative review.Journal of advanced nursing,71(8), 1744-1757. Kourkouta, L., Papathanasiou, I. V. (2014). Communication in nursing practice.Materia socio-medica,26(1), 65. Lachman, V. D. (2012). Applying the ethics of care to your nursing practice.Medsurg Nursing,21(2), 112. Negarandeh, R., Mohammadi, S., Zabolypour, S., Arazi Ghojegh, T. (2012). Relationship between quality of senior nursing students' caring behaviors and patients' satisfaction.Journal of hayat,18(3), 10-21. Patton, R., Deluca, P., Kaner, E., Newbury-Birch, D., Phillips, T., Drummond, C. (2013). Alcohol screening and brief intervention for adolescents: the how, what and where of reducing alcohol consumption and related harm among young people.Alcohol and alcoholism,49(2), 207-212.

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