first condition : I want a an ENGLISH NATIVE speaker to write my assignment and not an international one because I’m an international student and i could have wrote it myself but it wont be with the same quality !! so native speaker is a must
I am a medical student doing ward rounds. and I was asked to write about my personal views, feelings and emotions regarding these four topics. Each topic should have 450 or 500 words (1-dealing with difficult patient, 2-dealing with loss and pain, 3-transference and contratransferance, 4-dealing with patients of different group (i.e different cultural background, deaf, blinds, and children). I was asked to relate these topics to what i saw in the ward rounds, and tell my personal feelings, views, and opinion and what i learnt and what i could have done to change the situation to a better one . this is an (intra)personal skill assignment. The tutor emphasized that we talk about ourselves and use the word (I) rather than (we, or one ) However I’m really blank and i’m really not good at talking about emotions and psychological stuff and pshyco-analyzing, plus my english is not good so I will write some of the things that i saw in the ward round and things that drew my attention and you can make up feelings and views. It is important to include personal feelings and emotions. the tutor also emphasized that i don’t spend much in writing the event itself, but rather, i write about my feelings and views of the event. here is an example one sentence of my last report about breaking out bad news just to show you the sort of report I’m looking for.
((however I think I should be aware of how nice I am when delivering the news because sometimes when trying to make the patient feels better, I might become overly nice and tend to make the situation sounds better than what it is in reality and this is so wrong. ))
and these are some main points that you can use. however, Dont make the whole report about these things, but use it as support and add feelings and views to it and rephrase the events in a better way and better vocabularies. you can also add short fake personal experiences regarding medicine to support your point, the tutor doesn’t know whats happening in the ward round. so here are the things
1- dealing with difficult patient
in one of the ward rounds i was with a Russian consultant. he had to do rectal examination to an old woman who refused aggressively. doctor told us this is why taking a consent of a patient is important. he couldn’t take the consent due to language barrier so he asked the translator to take consent from the patient but the translator didn’t and patient turned aggressive when the doctor asked her to take off her trouser. the doctor backed off and said to the patient that it is ok to refuse trying to calm her down. i thought its good not to argue with aggressive patient. also another time the patient was kind of aggressive and angry i believe because he couldn’t communicate with the Russian doctor due to language barrier. in this situation, if i was the doctor i would reduce the patient anxiety from the beginning and show interest in finding a better way of communication like a translator.
– add more things like thoughts regarding this topic because i don’t have much events to extract from.
2- dealing with the patient with different group
one of the ward round, there was a 3 or 4 year old child who was constantly crying. the consultant didn’t pay attention to the child and was talking to the parent. the child was bored. i disapproved the situation because i think a child should be approached differently and shouldn’t be ignored. i believe even though the parent is the key person in this interaction, however, if i am going to treat the child i have to gain his trust and build up a relationship with the child. the least thing i could have done is take the child to the children ward where he would be more comfortable in such environment rather than putting him in ward filled with elderly where the child may feel
another ENT ward round, the doctor was international doctor so there were language barrier, the patient was 7 years old child, and he has autism. so there were three component here, dealing with a child, and autism, and the language barrier. the doctor wanted to check the childs throat but the child was chewing a gum and refused to threw the gum so they spent about 10 mins trying to solve this issue, obvious ( add feelings and views to this situation, i didn’t notice anything but the interview took longer, more important than the event, is the views and feelings and thoughts )
loss and pain
write in the report that in the ward round i hadn’t witnessed any loss so far. but then go on and write about your views and feelings and thoughts regarding this topic. and add these events
-prevoius personal experiences not related to medicine taught me to be considerate when dealing with people pain and not to look down on their pain no matter how simple it sounds to us. one of the personal experience is that once one of my relatives died. in the same day the results of examinations came out. i failed one subject and had to do a resit for it and so did my friend who came to me crying and she was so sad because she failed. it was too much for me, i couldn’t take another sad story all in one day so i told my friend trying to make her feel better that her tears shouldn’t be shed for such event, because in the world there are bigger problems like death, some people had to deal with loss of beloved ones and as long as we are not facing such loss we should be thankful. i was referring to myself actually because i thought her saddness is nothing compared to what I was going through and it was silly that she was that sad. my friend was insulted and she made it clear that her success in her studies is a matter of life and death to her. this situation taught that what looks simple and silly to us, might be a big deal to others. so when dealing with patient its important to respect patient’s fear and anxiety and take it seriously even thought if its a simple thing in terms of medical diagnosis and treatment.
– another experiences is the death of my grandfather. loss of a family is never an easy thing for me and i believe there is no better way of telling relatives that their patient had died. because the pain of the loss will remain there no matter what you do. being nice to the relatives is not going to bring the dead patient back to life nor will it dissipate their bitterness. but rather it is a part of us being a civilized humans. its the humanistic aspect that instinctually lead us to fell empathy and be sensitive to the patients.
(sorry my english is not good so please don’t copy and paste, but if you understand the meaning then rephrase, reshape and use better vocabularies ad add up things)
About Transference Topic: 1. How does your personal life, that is personal views, character, aspirations, interfere with the patients you clerk? 2. Could it be that transference puts you to the tendency to prejudice others or not to be empathic? 3. How do you try and manage to keep your personal views away from hindering understanding of the patient’s situation? 4. Do you think that the consultants so far have acted with minimal bias?
for the last part its ok to make up answers and make a 450 to 500 word paragraph. because i personally blank regarding this topic but you can mention one thing that it may put me in risk of falling in this group is that i tend to put myself in patient shoesthis could reflect in the way i treat the patient. even though i dont think i would cross the boundary because i’m well detached and the reason for me to put myself in the patient shoes is because i want to be fully considerate when treating the patient, but now understating what transference and contratransfernce is, i have to be careful and to put a line. one time in the ward round there was an old man who reminded of my grandfather, he looked so think and pale just liked my grandfather before he died. and the nurse was kind of harsh to him. it hit me and i felt a bit unconformable inside which is not always the case when doing the ward round. I’m not sure if this is a type of transference but i’m sure it wouldn’t change the way i approach this patient. because i’m aware of it and the only difference that was happening is uncomfortable feeling from inside rather than an outside change in behavior or approach.
again, dont copy and paste what i wrote, summarize it, rephrase, and add to it. I only wrote those stuff to give you idea of my feelings so that you can add them in a better way and add to them.
