My main aim of this essay is to evaluate different types of communication and how effective they can be when communicating with various types of people. I will do this using the IFEAR (Smart. G, 2011) model to reflect and structure the incidents I have chosen to talk about. In relation to this I will also be using this model to gain a greater knowledge on why interpersonal skills in so important for the role of a paramedic. Lauren Nelson (2019) suggests that effective communication in health care is critical for the correct diagnosis, correct care and effective treatment.I was part of a paramedic and ECA crew when we responded to a female who wanted to end her life by jumping of the Clifton suspension bridge. This patient was already known to the services as I high risk mental health patient. She also suffered from DiGeorge’s syndrome; which is a condition that can cause lifelong problems including learning difficulties (NHS, 2017). When we arrived, the patient was sat in the local library and was very resistant to talk to us; she only wanted to talk to us if we promised her that she was going to be sectioned. It was very noticeable that she was distressed, and it took a long time to convince her to come and sit in the ambulance.When talking to this patient it was clear that she felt like she couldn’t cope. This might have been due to the fact that one of the main links with her disability is that it is common to suffer from psychosis (Pedersen,2018). This made me feel helpless; knowing that she didn’t want to be here anymore. I also felt anxious as she kept repeating that if we didn’t section her, she was going to leave and take her own life. According to the Royal College of Nursing (2010) “people with a learning disability may be a vulnerable to negative life events and might not have the mechanisms for coping with these” ; because of this it can increase the risk of developing mental health problems. In reflection I felt that there was a larger problem at hand and it was essential to find out the bigger issue to why she felt this way .When I look back on this reflection I feel positively knowing that we were able to find out that she wasn’t taking her medication and we were therefore able to get her the help that she needed.I believe that the incident went well because I was able to talk to the patient through taking a history and through her body language to find out that she felt a lot more comfortable when she was around other people (Wendler,2019) .This became clear as she would gain eye contact with us which is important as it shows she was listening (Hoddereducation,2013) .Furthermore, another reason why I thought the incident went well was because instead of promising the patient that we were going to section her we tried to give her options such as going to A&E or talking to her personal mental health nurse. Consequently, made it clear that it wasn’t in our ability to section her. As well as this giving someone options is a technique which allows them to choose ;so they still feel in control of their care but also gives you the ability to do what is best for the patient with the resources you have.(Dr Michael J. Barry, 2014).another part of the incident that I think went well was when I got down to the same eye level as the patient when trying to talk her down from leaving the ambulance. According to Neil Baum (2019)” your patient may feel uncomfortable or non-receptive if you are not at the same eye level.”However, in some ways the incident could have been improved in the way that if we had more information about the patient’s disability it may have helped us to communicate more efficiently. From my research it has been made clear that people that suffer from Di George syndrome have hearing and cleft palate problems (Smith,2018). Moreover, the patient told us that she was trying to get in contact with her mental health nurse all morning, but he wasn’t answering her. This could have been because the decrease in mental health nurses as put a massive strain on the NHS (Palmer,2018). This is a representation of a patient’s unmet need (PUNS) I believe that from this incident I earned a better understanding of a first-hand approach when dealing with mental health patients. I also gained a better knowledge of different communication techniques to help me communicate in the future. For example, I tried to use open questions when the patient began to feel more comfortable so we could gain a better understanding of how she felt (Royal College of Nursing,2016). These techniques will help me gain confidence in a similar job in the future.When relating my practice to my PENs, I didn’t have much of an understanding around mental health assessments and the mental capacity act. I will and have; learnt more about this by doing further research in my own time. “The Mental Capacity Act (MCA) is designed to protect and empower people who may lack the mental capacity to make their own decisions about their care and treatment” (NHS,2018). I will also meet my PEN’s by talking to my mentor during debriefs and asking questions to expand my knowledge.In conclusion, I believe that I met the NHS framework of the 6 C’s during my interact with this patient (NHS England, 2016). I felt that I used compassion and communication as the main foundation of my care. As well as this I feel that I used the appropriate ego state of an adult to ensure that I was composed and calm to make the patient feel at ease (Boyd and Dare, 2014). Communication is vital when working in a prehospital environment as it is the main route to finding a diagnosis. It Is also important to be able to adapt and change the way we communicate during jobs; to make sure that the patient is always at the centre of our care. However, there are many barriers that clinicians face when it comes to communication. I aspire to work on these barriers to improve myself as a health care professional. I will do this through my practice and research; when writing my critical read so that I am able to reflect and improve. Furthermore, I have also booked onto a conference about medicine in society. By going to this conference, it helps to not only improve my knowledge but to also potentially meet other clinicians; who I will be able to learn key communication skills from.