EP 196: What is Sports Psychology With Sean O’Connor

EP 196: What is Sports Psychology With Sean O’Connor

What is Sports Psychology With Sean O’Connor

Sports psychology is a practical skill that helps address athletes’ optimal performance and well-being. How can this be used? And what do you know about sports psychology? 

Traumas and repressed emotions can affect us in the long run. Some of us can handle these emotions well, while others displace them, creating more trauma, stress, fear, anger, resentment, depression, and anxiety. How can people heal from this? Is there a way to work through these feelings? 

In this episode, we would like to introduce you to Sean O’Connor. Sean is a licensed mental health counselor (LMHC) at Peaceful Living Mental Health Counseling in Scarsdale, NY. He specializes in sports psychology and trauma-informed counseling to help adults and athletes overcome anger, depression, anxiety, PTSD, and stress. 

To treat his patients, he uses a combination of EMDR therapy, mindfulness, meditative science, polyvagal theory for nervous system regulation, and neurofeedback when working with clients. Sean loves working with athletes and survivors of past trauma to help them heal from the past, love the present, and have hope for the future.

Questions for Our Guest

The questions below are some we’d like to tackle. We often go off-topic, so we don’t expect to hit them all. If you have any ideas, please let us know.

Looking forward to our conversation!

These are the questions you had in Calendly. We’ll go off your questions and wherever else our conversation goes.

  1. Can you give us a little background about yourself?

2. How did you get into Sports Psychology & what is sports psychology?

3. How do Athletes cultivate their identity? 

4. What does it take to improve your mental health?

  • What is the simplicity of happy living?
  • What are some common stigmas in mental health?

5. How does holistic health play a role in mental health?

6. What is the Polyvagal theory?

7. What is the problem with the age of information? 

8. Martial arts

ENDING QUESTIONS

Before we end the show, we have one last question we like to ask all our guests. If you had the opportunity to have a Cup of coffee with anybody one last time, who would it be & why? 

Connect with Sean through his Instagram @peacefullivingcounseling Or visit their website at https://www.peacefullivingmentalhealthcounseling.com/. 

Do you want to know more about sports psychology? Click here for more 👇👇👇

TIMESTAMPS:

00:00 Introduction
02:11 About Sean O’Connor
08:41 What is the language of an Athlete
12:13 The most frequent problems that athletes face
15:35 What transpires when an athlete leaves their sport
17:37 How to guide struggling athletes
22:34 What are the traits of an athlete
25:27 How to overcome extreme pressure and performance anxiety
30:38 How to communicate to a person who is tense and fearful
36:02 How important is physical health to mental health
40:16 How to recognize danger and when it exists
43:25 How our emotions make our consciousness
48:18 The negative impacts of the modern age of information
52:31 What makes EMDR more efficient
58:43 How martial arts enhance both mental and physical health
01:08:03 How martial arts foster self-control
01:11:45 The significance of a warm community
01:19:48 What separates an elite athlete from the rest
01:22:13 Wrapping up the show

Miscommunication Among Nurses and How to Avoid It

Miscommunication Among Nurses and How to Avoid It

Miscommunication Among Nurses and How to Avoid It

Nurses are among the essential workers in the healthcare world, especially now that we have a pandemic. However, miscommunication among nurses is an issue that happens quite often. How can this be avoided? What causes miscommunication among nurses? 

How Can Miscommunication Among Nurses Be Avoided?

There are a couple of ways that nurses can avoid miscommunication. Keep in mind that being able to relay the correct information about their patients can make a difference in nursing care. As a nurse, you must provide accurate data regarding their condition so proper nursing can be given. Here’s how you can do that:

1. Make eye contact when endorsing patients.

There is a sense of relief whenever the shift is over, especially if it has been a toxic one since you first clocked in. While it is exciting to exit the nurse’s station once your shift is over, make proper endorsements first. The best way to ensure no miscommunication is to make eye contact with the next nurse on duty when endorsing the patient’s chart. 

Take the time to explain everything, from the procedures done to the patient, medications given, the diagnosis (if you have to), and even the physician/s who came to check in with them.

Making eye contact gives you the chance to scan for any uncertainty in their face or if they understood what was said to them. It is also the best way to engage someone in a conversation and ensure they listen to what you say. 

2. Use bedside nursing boards.

Bedside nursing boards are also commonly known as bed-census boards. These can help you with an open line of communication among nurses in the team/building, the patient’s families, and you as health care providers.

The boards help with the patient’s condition and communicate with their families and the rest of the hospital staff. Understand that there are tons of healthcare providers in the hospital working on patients. Failing to communicate properly can lead to negative consequences.

Bedside boards are essential in providing reports to the next nurse on duty. It can help them understand what happened during your shift and fill them in on the patient’s history if this is their first time handling them. Bed-census boards also prove to the patient’s families that proper care is given to their loved ones. 

3. Take time to talk to your patients.

Nurses are often busy in each shift, and it is not surprising that they cannot give their patients full attention. However, taking the time to check on your patients, listen to their concerns, and show that you can help are enough to put them at ease. It is also a good nursing quality to have. 

Allowing a few minutes of one-on-one conversation with your patients can be rewarding. It is easier to see how they are improving and establish a sense of trust as their nurse. Although you may not do this every day, it is best to create a routine and stick to it. 

How Can Nurses Improve Their Communication Skills

Improving communication among nurses is possible. To do this, nurses like you practice patience and become better listeners. When you listen, you don’t offer one ear but both. Keep in mind that you are working with other nurses who are also busy. Listening to each other is crucial to providing better services to patients. 
 
You can also avoid communication conflict when you practice active listening. Active listening is repeating the key points of the conversation to the speaker. So, make it a habit to listen to your coworkers and improve your listening skills. 
 
Another way to avoid miscommunication among nurses is not to interrupt the speaker. This could be helpful during endorsements at the end of the shift. Allow the person to finish talking first before asking questions.
 
Keep in mind that even the slightest cues can determine the condition of patients. Resist the urge to ask questions whenever someone is talking. 
 
As a nurse, you must also learn to maintain a positive attitude. Remember, happiness is contagious! Your positive outlook can also affect your coworkers and even your patients.
 
When things get a little serious, be sure to keep your emotions in check. Your nurse training taught you to remain professional and courteous during conversations. No matter how angry or upset you are, keep it cool.
 
Be aware that your emotions can affect others and your ability to communicate at work. When you do so, miscommunication among nurses will not happen.

In Closing

Communication is an essential part of patient care, and when this is done accordingly, it is nurses can work together effectively. If you feel like you or your coworkers are missing out on proper communication, take the step to address this issue. It will surely help your team and other hospital staff to do better as you provide nursing care to your patients. 

 

The Basic Roles of Student Nurses

The Basic Roles of Student Nurses

The Basic Roles of Student Nurses

The roles of student nurses are essential in the healthcare system. Don’t feel like you cannot do much because you are still a student. And if you want to know what student nurses do, this post can help clear this up! 

What is a Student Nurse?

Student nurses are individuals who study nursing. They also work to maintain, restore, and promote patients’ health while following the policies and procedures laid out by the hospital or healthcare facility. 

The duties of a student nurse are limited. Often, approval is needed before you can administer care to patients. They must also follow the instructions given to them by their clinical instructor. 

Working at a health care facility gives student nurses a chance to practice what they have learned in school. They are also given a specific time frame to complete these duties. 

Roles and Responsibilities

As student nurses, you will also have roles and responsibilities to do. Take it as your “warm-up exercises” in the nursing world as you prepare yourself for your future role. 

Getting your patient assignment

Clinicals are exciting for many student nurses. This experience will give them a feel of what it is like to be actually on the job. As a student nurse, one of your roles is to acquire a patient assignment. It will consist of the names of patients you have to take care of during the day. 

Your instructor will expect you to understand the diagnosis of the patients under your care. It means that you must understand their medical condition to execute the treatment they need. Whether it be a bed bath or a simple change of bedding, knowing your patient’s condition will also help you determine the right kind of treatment to give. 

In addition to that, it is also vital that student nurses are well-versed in modern technologies. It will be helpful when it comes to giving patient care. 

Giving medications

As part of your clinical rotation, student nurses must experience administering medications to patients. However, this is not done of their own accord but with the instructions and supervision of a clinical instructor and physicians’ approval. 

Administering medication involves preparing them in the appropriate dosage, specified time, and correct procedures. They must also ensure that they give the right drugs by asking their names. To avoid confusion, student nurses must also check the patient IDs to confirm the right person. 

Nursing Care

One of the primary roles of student nurses is to provide patients with the proper care they need. It could be eating, bathing, or changing bed linens; student nurses assist these patients. 

Student nurses must also provide nursing care to bedridden patients. One of their duties is to bathe them. It could be laborious, but they must ensure to execute the procedures correctly and provide bedridden patients with blankets to keep them warm. 

Before doing these nursing care procedures, student nurses must first ask for the patient’s consent. It is best to remember this as some patients are uncomfortable with student nurses. 

Charting

A patient’s chart is essential in learning about the patient’s health history. It provides the involved healthcare professionals with the information they need to administer the correct patient’s treatment. This chart is also a good opportunity for student nurses to learn more about their patients. 

A chart includes the details of the patient’s condition, treatment plan, symptoms, and medication list. It also contains the treatment done to the patient or the medications/drugs given to them as part of the plan. 

As part of your duties as a student nurse, you must record these details by writing them down on the chart or recording them on the computer. 

Your Takeaway

Knowing what to expect during your clinical will help you understand the roles of student nurses better. These will help you get the experience you need, and you will be more confident in taking on the part of a future nurse. 

 

7 Tips on How to Handle Difficult Patients

7 Tips on How to Handle Difficult Patients

7 Tips on How to Handle Difficult Patients

Working as a nurse means dealing with different kinds of patients, even the rude ones. You must know how to handle difficult patients to become an extraordinary nurse. 

Why are some patients rude?

Several factors make a patient hard to handle. It could be due to the stress of the illness or the tensions they feel from being inside a hospital. Sometimes, patients can be distressed, angry, scared, demanding, or have unrealistic treatment expectations for their needs. However, some of these behaviors may also be due to their past experiences in terms of medical treatment. 

How to Deal with Difficult Patients

As a nurse, you cannot avoid patients that can test your nerves. However, you can also find ways to deal with them. Here’s how:

Tip 1. Don’t fight fire with fire.

One of the first things you must understand is that patients are sick and need your help, not the other way around. As a healthcare professional, you must try not to respond in anger or reactive behavior; keep your professional face on. A patient’s offense may not originate from when they were at the hospital but perhaps triggered by something that might have happened in their life. Try to be as patient and understanding as you can. Showing respect is still the right thing to do. 

Tip 2. Listen to them.

Sometimes, an angry patient will tell their story once they have calmed down. Showing concern for a patient is one of the best ways to calm someone who is being difficult. When they do, give them undivided attention and listen to what they are talking about. Be sure to collect your thoughts before speaking to them too. Address them by their first name, acknowledge their concern, talk slowly and maintain eye contact when talking to them. Avoid mirroring their words; this could trigger them and may even turn defensive again. 

Tip 3. Take note of your body language.

Sometimes, actions speak louder than words. That said, be mindful of your body language when dealing with a difficult patient. When a patient is angry, they will also find a way to push your buttons. In return, you become mad yourself. It will be easier to deal with a difficult patient if you do your best to remember not to take it personally.  Being mindful about how you react is crucial. It will also help you choose the right words to say, use the tone of your voice, body language, and overall response. 

Tip 4. Acknowledge the situation at hand. 

Learn to acknowledge the situation. Most importantly, recognize how your patient feels. You can start by saying, “I understand how you feel” or “I feel like we have a misunderstanding.” As you do, keep your feelings aside and stay calm. Avoid using negative words that could escalate the situation. 

Tip 5. Setting the boundaries. 

Patients go to the hospital because they need attention, no doubt about that. However, if you keep giving in to their demands, how can you give attention to your other patients? Be clear with your boundaries. Let them know that their abuse is unacceptable. Make sure to set a time limit, say 15 minutes, then tell them you will see them in the next 30. As you continue to practice this with them, they will soon realize that you have a busy schedule and empathize with your situation. 

Tip 6. Provide a Patient’s Satisfaction Survey.

This survey will allow your patients to share any of their concerns. Tell them that you value their feedback seriously. It also prevents them from leaving bad reviews online. 

Tip 7. Stay proactive.

There is no use ignoring the problem. Avoiding a problematic patient won’t work either. So stay proactive, acknowledge your patient’s situation, identify the source of their anger, and be sure to implement steps to de-escalate the problem. The more you understand the case, the better it is for you to handle difficult patients. 

Your Takeaway

There will always be unruly patients wherever you go. They will come to you with various ailments, mood disorders, fears, and other complications. You must also understand that they come from diverse backgrounds and live different lifestyles that you may disagree with. But it is part of the job, after all. As a nurse, stay professional; you were trained in this field, so use your nursing knowledge and abilities to provide them with the quality care they deserve. 

 

 

EP 173: Determining Fluid Status in Patients

EP 173: Determining Fluid Status in Patients

Determining Fluid Status in Patients

Maintaining the correct fluid balance in the body is crucial to the health of our patients. Knowing how to check for fluid status in patients will help determine if they are overhydrated or dehydrated. That said, learning how to determine fluid status in your patients is essential, and you will learn all about it in this post. Assessing a patient’s fluid status is a critical skill you will regularly do as a nurse. It involves evaluating if a patient is hypovolaemic, euvolemic, or hypervolaemic.

Hypovolaemia vs Hypervolaemia 

Hypovolaemia refers to a deficit of fluid in the body. Causes include:

  • Poor fluid intake.
  • Excessive fluid loss (e.g., vomiting, diarrhea, hemorrhage, excessive diuretic therapy).
  • Third, space loss of fluid.

Hypervolaemia refers to an excess of fluid in the body. It is also known as fluid overload. Hypervolaemia is expected in the elderly and those with renal or cardiac failure. It can be caused by excessive fluid intake or inappropriate fluid retention (e.g., heart failure, renal failure). It is also why checking patients’ fluid status is crucial. 

Assessment Findings Determining Fluid Status in Patients

  • Bleeding from any source
  • Vomiting: frequency, volume, presence of blood
  • Stools: frequency, volume, presence of blood
  • Fever and diaphoresis
  • Urine output: color and volume
  • Heart rate
  • Lung sounds
  • Pre-syncope/syncope
  • Mucous membrane – Wet or dry?
  • Skin tugor – skin tenting 
  • Capillary refills <3 seconds
  • Oral intake
  • Daily weight 
  • Fluid restrictions
  • Fluid overloaded symptoms:
    • shortness of breath
    • Orthopnoea
    • paroxysmal nocturnal dyspnea
    • leg swelling

Labs of Fluid Status in Patients

  • Full blood count – May reveal raised hematocrit in hypovolaemia  
  • Urea and Electrolytes – Urea/creatinine will be raised in hypovolaemic patients and those with acute or chronic renal disease. Electrolytes such as sodium may be low in hypervolaemic patients (e.g., dilutional hyponatremia).
  • Urine and Serum osmolality – consider if suspected SIADH or DI. 
  • BNP is a marker of cardiac stretch under the effect of fluid overload.

Passive leg raise

If a patient has a blood pressure cuff, and you want to see if the patient will be fluid responsive, a passive leg raise is easy to check. Passively raise the patient’s legs to at least 45 degrees and check a patient’s blood pressure before and after the leg raise.

You can also lift the foot of the bed and see if there are changes in the blood pressure. This motion acts as a mini fluid bolus because you are forcing the blood to go from the legs into the core. 

Orthostatic 

Orthostatic hypotension, also called postural hypotension, is a form of low blood pressure that happens when standing after sitting or lying down. To check orthostatic:

  1. Have the patient lie down for 5 minutes.
  2. Measure blood pressure and pulse rate.
  3. Have the patient stand.
  4. Repeat blood pressure and pulse rate measurements after standing for 1 and 3 minutes.

A drop of 20 mmHg in the systolic is supportive of hypotension.  

Jugular venous pressure (JVP)

JVP provides an indirect measure of central venous pressure. The Internal jugular vein runs between the medial end of the clavicle and the ear lobe. 

To check this position, see that the patient is in a 45-degree place, turn their head slightly to the left, and assess the vein. 

A raised JVP indicates the presence of venous hypertension/hypervolemia. It can also be indicative of Right-sided heart failure. 

Patients with a Central Venous Pressure (CVP) 

These patients have access to the central venous system and peripheral arterial line. When you have a Central Venous Pressure (CVP), you can measure the patient’s preload. That will directly correlate with the patient’s fluid status. 

A CVP is good for checking where your patient’s fluid level is moving. A normal CVP is between 8 to 12 mmHg. 

Systemic Vascular Resistance (SVR)

If you don’t have a Swan, you can still check and SVR by Non-Invasive Continuous Measurement. SVR is the afterload, the pressure the heart is working against to push blood across the body. A normal SVR is between 900 and 1440 dyn/s. If your SVR is below 900, you will be more dilated vascularly; if above 1500, you will be more clamped down. 

So if you have a patient that needs fluids, you will have someone with a high SVR because the body is clamping down to increase volume to help maintain blood pressure. Maybe your patient is low BP, but the SVR is down, well, that can be a sepsis issue, and we can fix the SVR with vasopressors. 

Swan-Ganz catheterization

Swan-Ganz catheterization is also known as right heart catheterization. The tiny catheter is placed into the right side of the heart and the arteries leading to the lungs. This catheter monitors the heart’s function, blood flow, and pressures in and around the heart. 

One way to check fluid status on a Swan is by looking at the cardiac index. The index relies on cardiac output and turns cardiac output into a normalized value that accounts for the patient’s body size. A normal Cardiac Index is 2.5 – 4.0L/min/m2

Here’s how you can determine fluid status in your patients correctly. Click here for the full episode 👇

TIMESTAMP:

00:00 Introduction
01:21 Hypovolaemia vs Hypervolaemia
03:36 Assessment findings to determine fluid status
13:28 Passive leg raise
15:13 Orthostatic
17:02 Jugular Venous Pressure
18:06 Central Venous Pressure
24:55 Systemic Vascular Resistance
28:24 Swan-Ganz catheterization
33:07 Wrapping up the episode