Public Health

Topics: Communication, Childbirth, Nonverbal communication Pages: 12 (4136 words) Published: April 24, 2014

Public Health
Reflective Assignment

The following assignment will analyse and reflect on a communication situation which I observed during my practice .To be able to reflect upon this situation I will use Gibbs(1988) reflective model that will allow me to analyse the communication process between health visitor and client .It will also identify importance of reflective practice and will draw out conclusion for my new leadership role as health visitor .Epstein and Hundert(2002) stated reflective practice as being a benefit for practitioner while using communication ,knowledge ,reasoning , emotions and values in the care provided to improve the service for clients and communities. In addition Duffy(2007) considers that reflective practice is an active process that uses critique to analyse the practice ,where the practitioner is challenged to self-enquire the practice experience to improve professionally .This reflective assignment of practice is not just my ability to analyse the case scenario ,give sense to the events and draw a conclusion ,but an opportunity to predict what the practitioner need to improve for future professional development (Epstein and Hundert,2002). Communication

Communication it is a key aspect in day to day practice as a health visitor , purposely helps identifying the client needs and enable the practitioner to build in a short period of time relations .Healthy Child Programme (2009) highlighted the importance of different health professionals identifying health visitors for instance as one of the first point of contact for families during pregnancy and the first five years of a child life. Furthermore HCP (2009) identifies the importance of health visitors as trained and experienced health professionals that are working using a variety of skills including communication. This is in order to provide a universal reach service for parents and children with support and if necessary to access other services available when needed. Dougherty and Lister (2008) define communication as a two way process that involves verbal and non-verbal way to convey information, knowledge and feelings. Scenario

For the purpose of this assignment and to maintain the guidance of Nursing and Midwifery Code of Conduct (2008) with regards to confidentiality I will refer to the client in this scenario as Jenny. I met Jenny a mother of two in her twenties ,during a follow up visit with my mentor in a client home .The purpose of the visit was to follow up Jenny’s moods and feelings as an initiative supported by the guidelines of Healthy Child Programme (2009) with guidance for practitioner to use assessment of maternal mental health following child birth and ability of the mother to integrate and cope with family life .Jenny had a past history of mild post-natal depression following birth of her first child, now two years old .On the new birth visit with her second child she had also showed signs and symptoms of feeling loss, low self-esteem and anxiety. On the day of the visit I and my mentor found Jenny very angry, anxious and not very happy with our presence there .Moreover Jenny avoided eye contact and seemed not interested and subsequently not eager to communicate. Analysis

Gibson et al (2009) defines postnatal depression(PND) as an affective disorder occurring in women in the first year after child birth with various stages of mild depression where minimal intervention is required ,but which left untreated can lead to a stage of psychosis. Furthermore such situations will require multi therapy intervention and long term support. As health visitors to understand if the client identifies with the condition there is a need of different forms of assessments to establish what form of help and support can be offered. Gjerdingen and Yawn (2007) supports the need of screening for PND to improve the chances of clinical outcomes and suggests combining the screening with a system-based supplementary care to...

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