The purpose of this essay is to reflect on a positive therapeutic interaction that I observed in practice on my placement. Firstly I will give a brief summary of the situation that I observed, followed by evidence that will be supporting why I considered to be a positive interaction, reflecting on what I observed, including feelings and thoughts, also what I have learned by observing and how I can apply my finding to my next practice.
I arrived for the early shift at work; after hangover I was allocated to work with the nurse who was in charge of doing the drug round. After dispensing the drugs to a few patients, we went in a bay with 4 patients. One patient had problems with speaking and movement; the nurse placed the medication on the table with a glass of water. After checking that the other patients had taken their medication, she noticed that this patient was having problems with taking the medications; she assisted the patient by letting the tablets dissolve in water in the little cups that the tablets were placed. This helped to take a few tablets but the only issue was that the patient drunk the water more and as the tablet was not dissolved properly and the tablets were stuck at the bottom of the cups. Although she still had to do give medication to other patients and that the other nurses needed the drug trolley, she was patience and encouraging to the patient to take the medications.
After a while when she notice that the patient was taking time to take his medications, she remembered that he liked strawberry yogurt, then she asked a health care assistant if she can go to the staff kitchen and get her the yogurt. She explained to the patient what was she about to do and asked if he agreed with the procedure, as he consented she placed the tablets that were left to take in a spoonful of yogurt, at the same time interacting with the patient by talking to him and asking him questions such as if he had slept well and how was his breakfast. Although the patient could not speak properly he could use his hands and face expression to see if he was happy or sad. He took all the medication and finished the entire yogurt and at the end he looked happy.
The nurse was pleased because these were medications that he had to take every four hours because they were essential for him to get better, as they were medications that were prescribed by his doctor. When we left he had a happy face and looked pleased.
I think this is a positive interaction because the nurse assisted the patient to take his medication, instead of leaving him alone to take it by himself. The nurse was determined to find an alternative method to help the patient take his medication.
The evidence that support my findings are related to the situation that I observed, but they have to be consider as a last resource and the method has to be justified. Wilkinson et al. (2011) in his procedure to administrated oral medication, suggested that oral medication, such as tablets...