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Communication and Counselling

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Communication and Counselling
Critical incidents are occurring at all times, it is something that happens to a patient, their family or to the nurse. It can be positive or it could be a situation where someone has suffered in some way .
Through this assignment, the author’s feeling about the whole interaction between the author and the client involved will be explored and evaluated. Through reflection which is described as a process of reviewing an experience which involves description, analyses and evaluation to enhance learning in practice (Rolfe 2001).
This incident also made the author is more aware of the inadequacies as a mental health clinician due to lack of knowledge and experience with the client’s dementia and how this could be learnt from to prevent the same mistakes from occurring again.
This assignment will also summarize in what the author had achieved through reflection of this critical incident and provide recommendations for future practice.
Description of incident:
The incident occurred in the client’s own home environment and it involved the client, his wife and two community mental health clinicians. Client is Mr. SS, a seventy –two year old man at the time of the incident was living in his own home with his sixty-eight year old wife who also is his main care giver.
Client has a diagnosis of vascular dementia with a component of Alzheimer’s Dementia for several years. Client also has other multiple physical diagnoses. Client’s wife had reported that recently, client has become increasingly confused, anxious, agitated and quite often verbally aggressive towards her and their children. He seemed more paranoid as well for example he keeps checking the doors at night to ensure that there are locked and he also looks out of the window all the time. There has been a potential of physical aggression as client has been physically aggressive towards the household furniture for example he had smashed the house window with a chair recently. He has been confused particularly

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