Section 1 – Critical Incident
Write up a critical incident from your clinical experience. A critical incident is a situation in which you are involved that requires you to make a decision about what kind of action to take to benefit the patient. It could be a conversation, an event, or an activity you observe. Be concise, but include details to “paint a picture” of the incident so your faculty will see the situation as you did. Remember this must be a specific incident, not a recording of your clinical activities.
Section 2 – Respond
What did you think/feel when you recognized there was a critical situation/event? Describe in detail your feelings and thoughts.
Section 3 – Analyze
List all the actions you considered taking and why you thought about that particular action. Then state which action you chose as the best action (critical decision you made) and why it was the best action to take. Describe what might have happened if you had chosen one of the other actions. Describe here what, if anything, you would change about what was done and why. If you would not change anything, explain why.
Section 4 – Implications for the Future
How will this incident influence you in your own clinical practice next week/next year/the rest of your life? Are there any changes in your perceptions of yourself/others
to deal with chronic pain and it is a great way of using psychological and social ways to deal with the illness. The pain is managed rather than to cure the actual illness. The use of both traditional biomedical treatments and psychological pain management strategies could help the patient feel more at ease (Roth, Geisser, & Williams, 2011). Looking at this from a psychology perspective self-awareness is a key factor to help emotional regulation with furthermore helps facilitate through hardship (lane, 2014). The study conducted by (Seminowicz, Shpaner, Keaser, Krauthamer, Mantegna, Dumas, & Naylor, 2013). looked at the amount of grey matter volume in the brain after CBT treatment, this was specific to patients suffering from chronic pain. The study found that the grey matter in those who completed CBD had increased significantly and those suffering from chronic pain, grey matter in the PFC and PPC results in better control over pain and pain reappraisal. This study used scientific methods like brain scans to find evidence to support the biopsychosocial model which shows biomedical practices and psychology can work well combined. (Tanaka & Kanazawa & Fukudo & Drossman 2011) Irritable bowel syndrome is a common bowel disease, “it is characterised as recurrent abdominal pain associated with altered bowel habits without obvious structural abnormalities seen on endoscopy or X-ray”. There are different contributing factors which increases the chance of developing IBS. Firstly, IBS is known to be associated with psychosocial distress. Psychological factors such as major loss, abuse, physio social trauma all can contribute to developing and the severity of IBS. Australian twin study identified that IBS could be passed down through genetics. “concordance rate for IBS between monozygotic twins was significantly higher than that between dizygotic twins”. When looking at the brain. Neurotransmitters regulate gastrointestinal activities providing a strong link between biological factors and psychological (Mach, 2004). Furthermore, when looking at patients suffering with IBS the most common mental health conditions are Anxiety disorders, Depression and phobia disorders. This is due to the pain threshold being lowered by somatic symptoms which is caused by distress. A study conducted by (Prxekop, Hayiland, Yan Zhao, Oda, Morton & Fraser, 2012). looked at four different types of groups and identified any links between irritable bowel syndrome (IBS) and fibromyalgia (FM). The four groups included females with IBS, FM, IB>GET ANSWER