...variety of frameworks which have been established to aid nurses in implementing Person Centred Care, and although these frameworks differ they all share important components. Person centred care focuses on delivering a standard of care which include incorporating a patients beliefs and values, maintaining a sympathetic presence, sharing and involving client in decision making all whilst providing for the patients physical needs or requirements. (McCormack & McCance, 2006) There are many different concepts which contribute to person centred care; in this essay I am going to discuss in detail both Communication and Relationship Building and the effects which they have on the implementation of person centred care. I am also aiming to discuss techniques and skills in which both nurses and student nurses can use in order to provide person centred care. Communication can...
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...Assessment Task 1 – Written Reflection I believe that therapeutic communication is a form of psychotherapy in which the person doing face to face interviewing consciously uses strategies that encourage the patient to express feelings andideas and that convey acceptance and respect they are achieved through advancing the physical and emotional well-being of a patient in a non-judgmental way, while showing empathy and concern. The aim of therapeutic communication is to increase self-worth or decrease emotions such as anxiety and anger by putting together information to determine the illness. Ufema, J. (2008). More than just hand-holding. Nursing, 38(12). doi:10.1097/01.nurse.0000342039.82567.3a All health care professional study techniques of therapeutic communication, these techniques help the patient and health-care professional develop rapport and trust with one another during each other’s company for example when going to an appointment. For therapeutic communication to be successful, a mutual understanding between both the patient and the health care worker needs to be met. It is very important for the health care workers to use proper communication to prevent a misunderstanding between the health care worker and patient. This open communication shows a genuine and continual concern for what the patient is expressing. Throughout this essay I will be using the Driscoll model of reflection in nursing to express my understanding of the vignettes and making reference to...
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...Therapeutic Relationship Patients [pic] Translate This Page [pic] Powered by [pic]Translate [pic][pic] Download PDF Free Essay Quote This piece of reflection will focus on my experiences whilst on practice placement; I will be using the (Gibbs 1988, cited in Jasper 2003, p.77) model of reflection. Gibbs cycle is set out in order of categories made up of different headings. (See appendix 1). By using this cycle it allows me to reflect in structured and effective way. The subject of this final piece of reflection will cover the development and utilisation of interpersonal skills in order to establish and maintain therapeutic relationships. Neal (2003, p100) states a therapeutic relationship can be described as being between nurse and patient and is based on patients needs for care assistance and guidance. It is a relationship that is established solely to meet the patient’s needs and therefore, is therapeutic in nature. Chambers et al (2005, p303) suggest interpersonal and therapeutic relationships are at the centre of nursing work, the relationship that exists between nurse and patient can often provide the energy and be the catalyst, the motivation and the source of strength to continue with treatment or face difficult sometimes life threatening situations. I felt the need to develop therapeutic relationships with the patient’s so that they could feel they could put their trust in me, also that I was there to listen and talk to them not just care for them. There...
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...In this essay, I aim to elaborate on my knowledge and understanding of therapeutic communication prior to and after observing the video ‘Handover’ relating to ‘Pregnant stroke’; scenario-based videos. In particular, my focus is to relate the techniques utilized in the video for therapeutically communicating with the client with construction and enhancement of my personal skills of therapeutic communication, through analyzation and reflection. The video initiated as the paramedic staff informed the client, Sally that he was going to handover the related information to the nurse. It progressed with inter-professional communication between the professionals starting with their introduction, description of the event involved, a brief clinical background of the client and related observations. Following the handover, the paramedic staff reassured the client before he left. Finally, towards the end of the video, the nurse involved in a remarkable therapeutic communication with the client. I observed that this interaction incorporated therapeutic communication skills which can be substantial in a therapeutic relationship. Therapeutic communication takes place when the nurse utilizes effective techniques to construct a therapeutic relationship and also to cultivate an understanding with the client. Such communication might not necessarily be verbal, it includes the understanding of the client’s facial expressions, body language and cues which requires skills such as empathy, informing...
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...the ways in which a nurse must effectively establish and maintain a therapeutic relationship with their patient through not only treatment and caring, but throughout communication towards a selected client from the City of Horizon online Hospital. The selected client to focus on throughout this assignment is Tai Cam. In this assignment, therapeutic relationships will be discussed, assessing the guidelines and boundaries whilst being compared to the national competency standards which must be followed by nurses. A therapeutic relationship is a relationship between the nurse and the patient, however this relationship is on a personal but professional level. Nurses need to ensure they are not coming...
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...Upon reflection of the first vignette I am able to gain a clear understanding of effective communication therapy techniques. What stands out to me the most from the first video is the trust that both sally and her husband have in the paramedics. There is a sense of complete faith and willing participation from both Sally and her husband. How the paramedics achieve this involvement is by implementing a holistic approach and some great communicative skills such as expressing empathy, active listening, encouragement and providing information. 'The focus needs to be person-centred rather than nurse- or task-focused and the relationship is a key element’(Bach and Grant, 2011). By taking time to do this, health care workers can advance their therapeutic relationships with patients, encouraging compassionate care. From this we can therefore see that it is different from social and collegial communication. In this essay I will discuss the communication techniques used and demonstrated in the first vignette, how they are applied and explain why they are successful. Empathy in one of many ways can be described as the ability to supportively communicate a sensitive awareness and affirmation of another person's feelings and the unique meanings attached to them (Mearns and Thorne, 2007). Healthcare workers who are committed and compassionate also must use empathy as a tool to build a rapport with their patient. This is demonstrated in the first vignette through the...
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...In this reflective essay, I will be describing how the midwifery emergency department had helped me develop clinical skills in therapeutic communication using Driscoll’s reflective cycle. Sally was assigned to a hospital for a thorough checked up as she has become a victim of stroke while being 28 weeks pregnant. Due to the stroke, Sally was only able to communicate through nodding her head and answering yes or no. Sue is a midwife and has been appointed to be Sally’s midwife for the time being. As a professional, Sue must go through a procedure to examine her patient and the infant’s health. When Sue first approached Sally, Sue provided information that was needed for patient and her husband. Sue introduced herself and then described the process that she would attempt to do on Sally. I sense this action Sue has taken was able to relieve patient and her husband as they were informed of what would happen in the next few minutes, therefore they would not be frightened. Sue then continue to proceed to the next phrase and started exploring more fully about her patient’s situation. Sue asked Sally some fundamental questions such as “Do you feel the baby moving?” as Sally was unable to speak. Gradually, Sue tried to extinguish the worrying and devastated atmosphere by using a gentle tone, such as “You’ve seen one of these before Sally, this is a doppler.” From my observation, when Sue was communicating with Sally and David, both verbal and non-verbal techniques were used, for...
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...converse how effective the communication in nursing practice will ease a mutually satisfying therapeutic patient nurse and their family relationship. Nursing is a challenging profession and requires critical thinking and good communication skills. With the baby boomers getting older the need for nurses is more than ever. No matter the setting whether it is in the hospital or in a community, nurses receive the same reward of helping people. Nursing has come a long way since Florence Nightingale and will continue to evolve well beyond into the future. Communication mainly requires the mindful utilization of the spoken word, and even though accounting for only fifteen percent of all interpersonal communication, is the major means of stating factual information in relations among nurse, patient and patient’s family. At the same time as communication is a vital part of building the relationship among nurse, patient and patient family members it is also just as significant among nurse and coworker. A virtuous relationship is good to quality patient care, obviously both nurse and coworker have the similar agenda, to care for the patient, mend and accelerate recovery Superior communication between providers can be a wonderful boon to older patients and their families; therefore, improved nurse–physician communication is not simply a remedy for diminished job satisfaction, it is similarly an elixir for improving patient care”. Evidently the use of verbal communication among the nurse and...
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...COMMUNICATION IN MENTAL HEALTH NURSING Communication is a key concept in nursing. Care Quality Commission (2012) highlighted the importance of accessible information and communication in the delivery of high quality care services. Nurses often spend a large proportion of time exchanging information with their patients and listening to their needs. Therefore, effective communication and interpersonal skills are vital in building caring professional and ethical nurse-patient relationships. These enable the delivery of personal centered care which is particularly important for mental health patients. For instance, therapeutic communication in mental health services can promote the well –being of the clients. To address these issues, this essay aims to identify key components of effective communication that can enhance good quality care for people with mental health problems. Poor practice examples that are resulted from the lack of sufficient communication are investigated for example, report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (2013). Finally, the influence of effective communication on my future practice is discussed. Communication is the process by which people use to exchange information through verbal or nonverbal messages. It comprised of both verbal and nonverbal messages, such as; body language, eye contact, facial expression, tone of voice, rate of speech, context and hesitations that accompany the words (Videbeck 2011). Morrissey and...
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...Communication with clients having hyperthyroidism Insert Student’s Name Insert Institution’s Name Introduction Communication is an important aspect in the client – healthcare provider relationship because it builds a foundation and the doctor or nurse can provide useful and timely diagnosis that the client sorely needs (Doenges & Moorhouse, 2012). Communication is also imperative in building trusting relationships with patients and their families. Such relationships are built upon honest communication between the two parties involved. The value of communication between these parties is also highlighted fact that it produces a therapeutic effect for the client as has been validated in a controlled studies. The following essay examines the situation whereby a particular condition impacts a client's ability to communicate and the effects the condition may have on the patient’s ability to communicate including the psychological and the physical impact of the disorder. The condition, hyperthyroidism, is examined in order to determine its effects together with the role of a speech therapist in helping such clients impacted by the condition in the health environment. The patient has had a thyroid gland surgically removed. Furthermore, the means and the strategies that the professional may employ in facilitating effective communication in order to build therapeutic relationships is examined. The strategies may include basic communication skills and non-verbal. Hyperthyroidism ...
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...factors will an ethical therapist cover at this time?” Year One – Module Three (Word Count – 2226) This essay endeavours to document the importance of the initial consultation within a successful therapeutic treatment plan. It will comprehensively describe ethicality, before applying this fundamental component of treatment to a beneficial, healing and professional environment. It will present, describe and discuss a multitude of, sometimes complex, ethical issues that may face a therapist upon meeting a client for the first time. Lastly, it will conclude with a summary of such matters, and ways in which the therapist should aim to address and manage these ethical factors in an effective and professional manner. The initial consultation is paramount in the potential success of any proposed treatment for each individual client. It is the optimum time for a reputable therapist to assess a myriad of informative aspects and circumstances concerning their client. Foremost, upon the client and therapist meeting, face to face, for the first time, approximately 55% of all communication is projected in a non-verbal manner, via body language (Chrysalis Module Two notes), and this is an integral, and natural basis in the formation of first impressions; both of the client to the therapist, and the therapist to the client. Whilst, the remaining 45% of communication is through the words we choose, and the tone and volume in which we deliver them (Chrysalis Module Two notes), this...
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...Evaluate the claim that Person-Centred Therapy offers the Therapist all that he/she will need to treat clients. Contents Introduction Carl Rogers. Background and Influences Theoretical Constructs Strengths and Weaknesses Conclusion Notes References Introduction In this essay I will be discussing the viability of Person-Centred Therapy as an exclusive method of treatment for clients. Without an appreciation of this approach it would be difficult to judge the merits of the claim as laid out in the main essay title. Therefore I will begin with an introduction to Carl Rogers, his background and influences. In this essay I will explore the main theoretical constructs. Following on from this I will look at the advantages of this approach and consider its success in treating psychological disorders. Although Carl Rogers inspired many, he was not without his Critics. Therefore I will include the difficulties and doubts expressed by other Practitioners in order to get an opposing viewpoint. I will end with my evaluation of the claim itself and the reasons why I have arrived at my conclusions. Carl Rogers Background and Influences Carl Rogers was born in Illinois, Chicago, in 1902. His parents were middle-class, respectable and hard-working. His Father was a Civil Engineer and his Mother a stay-at-home housewife. Carl was the fourth child in a family of six children. Rogers’...
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...First and Second Order Cybernetic Approach 1. How is reality seen by each specific approach? Describing reality is a challenge as is something that is unseen and untouchable. The first order cybernetic approach talks of the system that is entirely independent to the observer, while the second order cybernetic approach talks of systems that observe themselves. Hoffman (1985) challenges the way reality is viewed in second order cybernetic as he believes that people could never be sure as to what they think they saw is actually a real or is actually there. From the first order cybernetic approach the epistemological principle view reality a something that can be learned through the process of observation and at the same time the whoever has went through that process will not influenced by the same process. Individual can observe themselves, reality is how the individual see themselves without looking at the outside world (Becvar & Becvar, 2006). According to Becvar et al (2006) the therapist in the second order cybernetic approach has to take note that their observation can be influenced by the process and reality will be a challenge as they will have to consider the perception of their clients and their own perception. Looking at both the approaches reality is seen or view as perceptions created by the individual. 2. How is health and pathology addressed by each approach? In trying to address health from the first order cybernetic a healthy family is a family which...
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...1. Importance Of External Factors Affecting An Organization External factors have an immediate effect on an organizations planning. Marketing a product takes thorough planning. Managers organize ideas on where to market a product that provides benefits to other countries. Leading globalization can be difficult because other countries may not want to use a product they are unfamiliar with. Therefore, a thorough explanation of why a product would be beneficial in another country is very important (Moon, 2010). The cell phone for instance has brought forth much controversy. Rates, service areas for Internet, communication, contractual agreements, and a wide range of other issues have been broad topics for subscribers of cell phones. To control globalization, cell phone providers must have management teams that extend enough information about products to other countries to determine if the product is marketable around the globe (Moon, 2010). Information is organized through technology; via Internet so customers are better informed regarding price, and other vital information before purchasing. 1.2.the needs and Expectations of stakeholders in orchid The board of Piramal Healthcare has approved the spin-off of the New Chemical Entity (NCE) from Piramal Life Sciences, reports CNBC-TV18. The unit will then be merged with parent. According to the company filing with BSE, shareholders will be issued one fully paid up equity share of Rs 2 of parent Piramal Healthcare for every four...
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...The purpose of this essay is to describe an example of communication from my recent clinical placement and discuss the factors that contributed to its outcome. A communication theory can be dated back to 300 BC, when Aristotle provided an explanation of oral communication through his ‘rhetoric’ theory. Here he stated that there were three elements to communicating; the speaker – the message – and the listener, and it is the person at the end of this chain that holds the key to whether or not communication takes place (Roberts, 1924). These underlying principles still remain in today’s modern models of communication, as the essay will demonstrate from looking at Berlo’s (1960) model of communication. The essay will also focus on the importance of communication within the nurse patient relationship. As Riley (2008) states, “communication is the heart of nursing”. (p.3) Firstly the essay will give two definitions of communication and a brief history of the expectations of the nurse over the centuries and how the role has developed to the professional nurse as we know today, and one that is expected by the public. It will then lead on to some examples of methods of communication and a brief explanation of their importance within nursing. I will briefly discuss Berlos (1960) communication theory and demonstrate how the model was used effectively to communicate with a patient with language impairment, which is a deficit in comprehension, production and use of language (Newman...
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