IDH EQ3 Resources - Links to help with EQ2 for IDH PDF

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Links to help with EQ2 for IDH...

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Having read Rosa's case notes and clinical history I feel my emotion makes the communication with her difficult and could be very challenging for me. Emotion (Anger) Her Neuroticism personality triggers an anger and makes me feel irritated, disturb and impatient with her. It’s accompanied by muscle tension and an increased heart rate. Anger often masks another emotion. It comes out of upset which has the roof of my expectation from her at this age who should be more wise and watchful about her aggressive language and act respectfully towards people who try to serve her with their best. I find out that I take it personally as it’s associated with a thought of my disrespectful, demeaning and neglectful grandmother who caused my mother to scarify many things in her life for her and at the end, it wasn’t any gratitude. This situation arises awareness of my verbal and nonverbal expressions of anger which could eliminate the relationship between Rosa and me. By reinforcing emotional and self- awareness, I can look at the situation with more acceptance and curiosity on realistic goals which is her health condition, not my feeling. I should have noticed that People who are neurotic don’t tend to handle stress and their emotions well and may experience anxiety and depression and anger when faced with stressful situations. I might change her unacceptable behaviour (it might just be a defence mechanism for dealing with her feelings) by saying “You seem like you’re having a really difficult time right now. Would you consider talking to someone about how you’re feeling?’’ to validate her experience. I could take a break as soon as I recognize that I am angry, and I should remember that I don’t have to respond to a situation immediately. I can say “Please excuse me for one moment” and then I step outside the room and resume once my interaction composed. I can improve my skills by asking a trusted colleague to observe and provide feedback to have a better interaction with Rosa next time. If the episodes of emotional instability repeat, I should assign to mental health counselling or find a local anger management program. Communication Having read Rosa's case notes and clinical history I feel communication could be very challenging for me as she reminds me of my aunt who refuses to change her opinion and mind about her health situation. She just has a resolute adherence to her own ideas and opinions and finally leads her to cancer and all our effort to make an effect was worthless.

My preconception with the combination of verbal and non-verbal expression of my thoughts makes Rosa feel defensive and encourages her to be reluctant. I minimise Rosa’s feeling and makes her feel angry, misunderstood, unsupported or anxious to leave without increasing her medical adherence and treatment plan. My prejudgment behaviour underrates her feelings and stops her from being involved in the practice. I break the base of reliable relationship and effective communication. Lack of knowledge and experiencing in therapeutic communication can leads to the poor communication between us, loss of my image in her mind because I couldn’t create a comfortable context for sharing our feeling and perceptions. Rosa’s reaction to the recommendation makes me think that my communication skill doesn’t have a vital role in her view and action. This lack of communication makes me try to :  Have a better understanding of Rosa’s culture, belief system and daily routine activities. It could give me an opportunity to open a trusty and friendly relationship. As an example, if I know that she is interested in Opera music or friend gathering, I could use these factors for motivating her toward better medication adherence. It may require more attention and time, but It could lead to an acceptable result. l O Mo AR c PS D| 3 3 49 49 3

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 Avoid misunderstanding and misinterpretation by checking on her if she understands me and ensuring that I understand her needs completely.  Direct rather than collaborate with her. I should give her instruction rather consulting. Find out what is important to her in this treatment and makes her feel relevant and respected. I can help validate these needs by therapeutic questioning instead of ordering when communicating with her. For example: Instead of saying: “You’re having your physical adherence today.” I can Say: “would you like me to assist you with your physical adherence today.  Have empathy for her. It generates more patience and compassion in me and avoiding less frustration. It can be helpful to put myself in her shoes, even for just a moment by saying she’s being so apathetic, it must not be easy to live without her friend and her garden around or she does everything so slowly, it must be hard to deal with arthritis every day. And strengthening the connection by saying “I am committed to you and standing by you.

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During my final clinical placement, I reviewed the medical history of Rosa Calapari, an 80-year-old woman with significant health risks, both physiological and psychological. Her greatest health issue has been the non-adherence to medical advice and lifestyle changes due to several determinants of health. I have reflected on my own ability to offer care to Rosa, and, based on her clinician’s case notes, have anticipated the impacts of behaviour changeand human developmenton Rosa to be challenging for me to contend with.Personally, I have experience aiding several individuals with like acquired brain injuries, cancer, ADD and dyslexia; I’m successful at empathising and modulating my approach to gain trust and improve connection. However, I have little previous experience with the elderly and how determinants of health that affect them. Despite priding myself on a compassionate approach to people and avoiding fundamental attribution errors that pin situational influences on a person’s identity, a lack of experience in dementia and elderly caremay cause me to interact or offer advice that may not resonate with Rosa as an elderly woman experiencing both mental and physical distress....