Skye Lewis

3/17/2017
Psych Journal #3
Nursing 3080
Weekly Journal Guidelines

Today's Goals/Objectives (what and how):

1. Attend group therapy session held by an RN

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2. Complete the process recording \/-

Problems Encountered:

Iwas able to attend a group therapy session, however it was not held by an RN. I did contact
the RN about when they were planning to hold group, but she told me that because they were
so busy they would most likely put in a video for the patients to watch. Still, the session that we
did attend was very engaging and I really enjoyed it. We played Scategories using coping '' W.l r'd-i1__
1!|"1n:!ygsl9:IglThe patients admitted that they were enjoying themselves and I think
that it was a fun, stress free way to teach a lesson.

I did not complete my process recording today. Today was not a good day to finish this
assignment for many reasons, one being that there was a lot of activity on the unit today and a
few of the patients were showing signs of being agitated. ln addition, I am not really sure how I
should complete this assignment. I feel that when I talk with patients and we have deep
conversations it is because that is where the conversations led to, not where I forced them to
go. I feel that if I talk with a patient with the intent of doing a therapeutic process recording it
will be forced and maybe be more harmful than helpful. I need to find a way to overcome this
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Strategiesforpreventingidentifiedproblemsinthefuture:
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There really is nothing that I can do about the RN not holding {i;'"iil;^;t'i;;"pri6eting
besideshostingonemyself andlfeelthatlamnotreadytodothateffpctivety. - '/,,',"'--, L. --( yo,r-u,'o/
To better understarid how to conduct a process r".ording t feelthat I need to shadow more
people who have actual "therapeutic interactions" with the patients, not just take care of their
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 Main Points Learned/Reflection :

Today was a rough day. I am not sure if it was because I was having an off day in general or if
there was a subconscious reason behind my apprehension and anxiety, but I did not feel safe
on the unit. When we walked into the unit I could almost feel a darkness, or heaviness, in the
air. I found myself not wanting to leave the comfort of the locked doors of the nursing pod, and
when I forced myself to interact with the patients it was a struggle to sit and focus enough to
pay attention. lfound myself annoyed with a patient that I would have normally been
understanding with and that was very frustrating. Even when we were playing UNO I was not
able to fully relax and enjoy the patients because I was so preoccupied with it almost being
lunch time and the idea that I could leave for a little while. The only time of the day that I
genuinely enjoyed was the group session. lt felt good to laugh with the patients and enjoy their
company.

To try and counter my outlook, I read the chart of the patient that I was annoyed with so I could
better understand her behaviors. I found out that she was in a manic state and all of the
grandiose things that she kept going on about were part of her delusions. I have been
contemplating looking more into becoming a psych nurse because I love the idea of helpin$
people better themselves on a mental level. I see the debilitating way that mental illness alters
ones life and I want to help people through their darkness so they be the best they can be for
themselves and their famities. I also see a gap that desperately needs to be filled and I want to
eventually have enough education and seniority to be able to change the way some aspects are
handled. However, in that moment I realized that if my caring drive for these people can
temporarily be desensitized because of one off day, and that interferes with the way that I
interact and care for my patients, maybe I have no business being a psych nurse.

Goals for next week:

L. Shadow a physician who likes to therapeutically interact with their patients while they
round
2. Complete process recording

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