Tan
November
11th,
2015
Reflection
Journal
#3
Reflection
Journal:
Due
by
midnight
on
the
day
of
clinical.
This
is
a
brief
summary
(generally
a
single
spaced
page
of
page
and
1/2)
of
each
clinical
days
experiences.
You
may
then
focus
your
reflections
on
a
particular
event
or
issue
which
you
observed
or
experienced.
Reflective
journaling
is
designed
to
help
you
organize
your
thoughts
about
patient
care,
analyze
clinical
thinking
and
judgment,
and
demonstrate
your
participation
in
your
own
learning
process.
The
journal
will
address:
Goals
(for
the
day
and
practicum
experience)-
o I
wanted
to
be
available
to
calmly
have
a
conversation
with
my
patient
and
explore
her
diagnosis
further.
Daily
experiences
and
personal
responses-
o I
had
an
overall
interesting
day
and
Im
grateful
to
have
had
a
positive
this
clinical
day.
Knowledge
applied
/
used
/
needed-
o I
used
some
therapeutic
communication
skills
and
looked
to
improve
my
listening
skills.
Constructive
critique
of
self
and
others
(peers,
staff,
instructor)
performances-
o I
could
have
had
better
responses
to
some
of
the
things
that
my
patient
was
explaining
to
me.
Learning
and
performance
adjustments-
o
I
still
need
to
improve
on
formulating
care
plans.
Goals
planned
for
the
next
clinical
day-
o
I
would
like
to
explain
further
into
a
diagnosis
with
my
patient
again
but
a
patient
with
a
different
disorder.
Today
was
the
most
rewarding
day
I
had
at
clinical
thus
far.
I
arrived
on
the
unit
at
approximately
at
6:35
am.
We
received
report
with
the
morning
shift.
There
seemed
to
be
a
lot
of
interesting
cases
on
the
unit.
I
was
very
happy
to
hear
that
the
patient
I
had
last
week
had
greatly
improved.
I
had
chosen
the
patient
that
stuck
out
to
me
the
most.
She
was
a
female
who
identified
as
gay.
She
was
diagnosed
with
major
depression
and
anxiety.
I
spent
the
very
beginning
of
the
day
in
rounds
with
the
medical
student,
charge
nurse
and
physician.
It
was
interesting
to
hear
the
interactions
between
the
medical
student,
physician
and
the
patient.
Prior
to
going
into
psych,
I
had
thought
that
psych
patients
would
be
incredibly
hard
to
deal
with
and
uncooperative.
From
what
I
got
to
observe
today,
all
of
the
patients
were
involved
in
their
care
and
could
recite
their
medications
to
you
if
you
had
asked
them
too.
I
was
very
impressed
with
this.
They
are
also
are
able
to
articulate
how
they
are
feeling
and
willing
to
work
with
the
team
to
make
changes
to
their
therapy.
I
believe
in
general,
that
I
was
shocked
at
how
many
of
the
patients
had
the
desire
to
get
better;
however,
this
was
due
to
my
misconception
of
psychiatric
mental
health
nursing.
I
was
able
to
meet
a
lot
of
the
patients
when
they
came
into
rounds
and
they
were
all
very
polite.
I
was
surprised
to
see
that
there
was
an
18
years
old
man
on
the
unit.
He
was
kind
and
made
an
effort
to
say
hello
to
me
and
other
students
on
the
floor.
I
had
briefly
met
my
patient
after
the
end
of
rounds.
She
was
excited
to
be
working
with
me
and
that
made
me
even
more
excited
to
work
with
her.
She
had
a
morning
routine
that
she
followed
so
while
she
did
that,
I
was
able
to
work
on
my
SOAPIE
note.
I
attended
the
team
meeting
and
spoke
up
during
it.
It
was
nice
to
see
the
interdisciplinary
aspect
of
care.
I
was
able
to
meet
with
my
patient
later
in
the
day.
Her
and
I
sat
in
her
room
and
began
to
talk.
It
was
a
very
natural
conversation
and
I
let
her
determine
the
direction
she
wanted
to
talk
with
the
conversation,
which
I
believe,
played
to
my
advantage
in
establishing
rapport
and
getting
information
and
details
about
her
life.
She
had
confided
in
me
very
personal
details
of
her
life.
I
was
incredibly
touched
that
she
made
herself
vulnerable
to
me
and
was
comfortable
enough
to
express
her
feelings
to
me.
She
started
to
tear
up
when
her
and
I
talked
about
her
relationship
with
her
wife
and
how
she
had
physically
hurt
her
and
how
guilty
she
felt.
At
this
Katherine
Tan
November
11th,
2015
Reflection
Journal
#3
moment,
I
could
almost
feel
how
genuine
of
a
person
she
was.
She
had
told
me
about
the
hardships
she
was
going
through
and
had
been
through
throughout
her
lifetime
and
how
it
has
affected
her
as
a
person.
It
was
also
rewarding
to
hear
that
this
is
the
best
she
has
felt
about
herself
in
20+
years.
I
could
see
that
she
felt
ready
to
return
to
her
home
and
family
and
that
she
was
ready
to
make
necessary
changes
to
her
lifestyle
in
order
to
be
a
better
version
of
her.
Along
with
the
many
misconceptions
of
psychiatric
mental
nursing,
I
did
not
really
expect
to
see
recovery,
but
I
was
wrong
and
it
was
such
a
great
feeling
knowing
that
this
woman
has
changed
for
the
better.
During
our
conversation,
she
had
shared
with
me
many
gruesome
details
of
previous
relationships
and
I
was
worried
that
some
of
my
responses
were
inappropriate.
In
my
next
clinical
day,
I
hope
to
be
able
to
respond
in
a
more
appropriate
manner.
I
also
keep
forgetting
that
sometimes
addressing
that
I
have
nothing
to
say
at
all
in
response
to
what
she
has
told
me
is
a
good
technique
and
shows
my
interest
in
what
she
is
saying.
At
the
end
of
the
day,
I
was
so
sad
to
be
leaving
her
and
she
was
sad
that
I
was
leaving
as
well.
While
I
was
leaving,
she
gave
me
a
hug
and
wished
me
luck
in
my
future
and
I
said
the
same
to
her.
It
was
great
to
see
a
story
with
a
happy
ending.
After
I
had
said
goodbye
to
her,
I
was
able
to
travel
to
the
other
side
of
Crossroads
and
observe
a
woman
who
claimed
to
have
catatonia.
It
was
interesting
because
the
woman
was
clearly
pretending.
I
was
able
to
palpate
a
bruit
on
a
patient
with
a
fistula.
It
was
very
interesting
to
see
how
prominent
it
was
just
on
palpation.
Overall,
I
was
pleased
with
the
experience
I
received
on
the
unit.
I
was
able
to
take
away
of
lot
of
information
and
come
in
contact
with
great
patients.