Highlights
Learning outcome one
The expert instantly addressed the clear power imbalance between herself and Danny by seeking permission to continue the assessment. As a novice, I was unable to identify the power imbalance between Renee and Danny. This illustrates the importance of developing a strong intuition, like Renee, to notice and address particular issues that arise. By identifying the issue of power imbalance, Renee is able to remove the thought that she is the reason why Danny is under an involuntary assessment order. By eradicating Renee’s authority over Danny, she is able to commence a therapeutic relationship.
Additionally, appropriate body language and use of paraphrasing was strongly encouraged by the experts and myself. The expert’s emotional intelligence enabled them to identify the importance of pausing in the conversation to allow Danny to answer. This enables an interpersonal relationship to be built as it provides a chance for the health practitioner to assist the patient in clarifying their own thoughts.
Learning outcome two
The patient’s irritability was a stressed priority by Vanessa. As Danny clearly communicated, he wants “to get out of here”, Vanessa was placed in a difficult situation. The expert displayed emotional intelligence, praxis and resilience. This was evident in the de-escalation techniques used (e.g calm tone of voice) and the understanding of why the patient is irritable. Additionally, the resilience of Renee was displayed by the success of completing the assessment without Danny absconding. As a student, I noted the irritable behaviour displayed by Johnny however I was not confident in deciphering interventions to manage this behaviour. Strategies and interventions for aggressive/irritable patients are difficult to interpret as Renee proclaimed each patient is completely different.
Learning outcome three
The patient’s ideas of reference are a clear concerning issue. As an expert, Alison is able to implement a broad set of skills to provide reality-based orientation for the patient. Within this, the expert would challenge what the patient is experiencing which will determine what is real and not real. This displays the advanced technical competencies experts attain from clinical practice. As a novice and limited clinical experience, I was unaware of this intervention. Hence, I chose to address medication adherence to reduce Danny’s presenting symptoms. Looking back at it now, I believe that reality-based orientation would be more beneficial for the scenario.
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