Reflection for Communication and Language Problem- myassignmenthelp

Question: Write about theReflection for Communication and Language Problem. Answer: Event description This assignment highlights one event of my nursing career that has a special significance. I have used Carpers ways of knowing, located within the event and identified the impact of each of the ways of knowing. I had been associated with a mental care centre, where elderly people suffering from Dementia were being treated. I have been associated with the treatment of these elderly patients. People suffering from Dementia tend to forget things very easily (Alzheimers 2015). The symptoms include memory loss, communication and language problem, unable to focus or pay attention, loss of reasoning and power of judgement. Moreover, patients suffering from Dementia also experience immobility and visual perceptions (Mill et al. 2016). The patients, who have been suffering for a long time, tend to become arrogant and violent. They tend to harm the other patients as well as the doctors and nurses treating them. Being one of the care workers, I have often faced violence from the patients suffer ing from Dementia. Moreover, since they tend to forget things and suffer from short-term memory loss, hence they often forget whether they have eaten their food or taken their medicine. Patience and empathy are the only ways to keep the patients from being violent (Garrett and Cutting 2015). During the period of treating the patients, I have learned a lot and experienced various way of knowing. Treating the patients suffering from Dementia is critical, since I have to be patient and empathetic towards them. Since Dementia has, no definite medicine to completely cure it, hence care and therapy are the only treatment for the well-being of the patients suffering from Dementia. Ways of knowing In nursing and healthcare, Carpers fundamental ways of knowing is a classification that categorises the various sources of knowledge and beliefs in the professional nursing practices (Terry et al. 2017). The ways of knowing could be categorised into four fundamental patterns. These are as follows. Empirical knowing This refers to the knowledge that is organized systematically into theories and laws and helps in explaining the suffering of a person along with predicting the cure of the suffering. The empirical knowing is based on science and highlights the theoretical knowledge that a medicine practitioner needs to know. The empirical knowledge is believed to be factual and reliable. However, it is a generalised knowledge that is applicable for the initial treatment. This kind of knowledge acquired is useful for a reflective practitioner and has to be interpreted according to the situation encountered. In the chosen event, the empirical knowledge includes the therapies and treatment for Dementia (Steen et al. 2014). As a medical practitioner, the knowledge that I have gained, for treating the Dementia patients are included in the empirical knowing. Dementia cannot be completely cured. However, the various symptoms of Dementia could be lessened and prevented from getting worst. Acetyl cholinesterase inhibitors could be used for the patients suffering from mild Dementia. These patients suffering from Dementia with Lewy bodies, such that the hallucination could be reduced (Zolnierek, 2014). The Acetyl cholinesterase inhibitors also slows down the rate of the heart beat, hence ECG before and after the treatment has to be done. Another treatment to curb down the effect of Dementia is Memantine hydrochloride. This is a medicine that works by blocking the effects of a chemical on the brain. This is usually used to treat people suffering from severe Dementia. Patients who are not respondin g positively to the Acetyl cholinesterase inhibitors also undergo this treatment. I can also use cognitive simulation and reality orientation therapy for the Dementia patients. The cognitive simulation therapy involves problem-solving skills, enhancement of memory as well as exercise to reduce the immobility (Garrett and Cutting 2015). I can use the reality-orientation theory to reduce stress and mental-disorientation of the patients, thus reducing memory loss as well as confusion. This helps in improving the self-esteem of the patients (Klapwijk et al. 2014). Thus, using the empirical knowledge, I have gained knowledge about the treatment that is most appropriate for the patients suffering from Dementia, based on the severity of the suffering. Aesthetic knowing The aesthetic knowing includes the practitioners responses to the clinical situation. The aesthetic knowing involves the ability of the practitioner to grasp the nature of a particular situation, interpreting the situation and the practitioner knows taking the best actions that (Carnago and Mast 2015). Even if the practitioner faces the same situation, the treatment and the responses vary. The aesthetic knowing includes grasping and interpretation, envisioning and responding. As a medical practitioner, it is important for me that I respond to the same situation differently, depending on the situation, which I am facing. With my own style of care and empathy, I am able to establish a positive relation with the patients, thus assisting them to be cured faster. Moreover, since the patients suffer from Dementia, hence a positive relation with the medicine practitioner is effective and useful for the faster cure (Richardson et al. 2013). My personality and my way of communication have to be empathetic and directed towards ensuring the well being of the patients. Personal knowing The personal knowing, in contrast to the empirical knowledge, highlights the unique style of each practitioner to respond to a situation in his or her own way (Kelley et al. 2015). Based on the empirical knowledge, the response of a medical practitioner is referred to as the personal knowing (Garrett and Cutting 2015). The modifications of the empirical knowledge, according to the demand of the situation are essential for the practitioners. I, as a medical practitioner have a unique way of treating the patients suffering from Dementia. I am empathetic towards the patients and treat them with care. Since the patients are old, hence they suffer from immobility, visual impairment, auditory impairment and other age related diseases. Along with these, suffering from Dementia makes the patients confused and violent (Robert et al. 2014). Thus, I need to be empathetic towards them, in order to reduce their suffering. The patients tend to ask the same question over and again, since they suffe r from short-term memory loss (Garrett and Cutting 2015). Hence, I use hand-written text in order to communicate with them. The writings remain with the patients and they are reminded of the conversation by the written text. This is my way of treating these patients, thus helping them to reduce the state of confusion. The personal knowing involves three inter-related factors. These are: The perception of the feelings of a person, along with the prejudice within the situation The effective management of the personal feelings and responding to the prejudices effectively The effective management of anxiety of the practitioner (Garrett and Cutting 2015) Thus, I have to ensure that I am able to respond to the prejudice effectively, along with having control over my emotions and feelings. Thus, I will be able to ensure that the care and cure given to the patients will be effective. Ethical knowing Ethics has a major role to play in the lives of a medicine practitioner. The ethical learning highlights the sense of right and wrong in the medical practice. Based on the ethical dimensions, the practitioner makes the choice between the right and wrong. Ethics have to be maintained, while ensuring that the requirements of the patients have been met. As a medical practitioner, I have often faced ethical dilemma. The path of truth and the benefits of the patients might often take different paths (DiCenso et al.2014). Thus, ethical dilemmas are caused. In such a situation, I have to take critical decisions and ensure that the people suffering from Dementia do not get worst. There is often a tension between the ethically right situation and the best suitable decision for the patients. However, I have to ensure that I take up the best possible decision, thus helping in the faster recovery of the patients. Conclusion This assignment highlights the ways of knowing and its reflection in a real life event. The ways of knowing includes the empirical knowing, personal knowing, aesthetic knowing and ethical knowing. The empirical knowing has been done successfully and based on it, the personal knowing is applied. Using the aesthetic knowing, the patients could be helped to recover faster, while the ethical knowing helps to take the right decision in case of ethical dilemma. The empirical knowing could have been used more effectively, such that the personal knowing would have been enhanced. The interactions with the patients suffering from Dementia could have been made better, thus relieving them from the suffering. Better communication could have relieved the patients from confusion and helplessness. Thus, with the enhancement of the communication with the patients, the care given to them could have been improved. 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