Premium Essay

Therapeutic Encounter

In:

Submitted By greasyboy
Words 7701
Pages 31
NMHD 5003

Practice & Pharmacological Issues in Mental Health Nursing
By Neil Drummond

Essay 3048 words
Care Plan 1676 words
Overall wordage 7186

The aim of this essay is to show how I have formed, maintained and disengaged from a therapeutic relationship within a practice setting. This will include a profile of the client from their perspective. For the purpose of this essay, the therapeutic relationship was formed within the community mental health team. Their role is the primary intervention service promoting awareness, growth and helping people to work through difficulties (Mind.org, 2013). The interventions provided aim to facilitate comfort, support and a provision of care. The client I have chosen to write this essay on is called Angelo. Angelo is a fictitious name created to protect the individual’s right to confidentiality (NHS, 2012, N.M.C, 2008). The interaction was conducted because of a 6 month cognitive enhancer medication (galantamine) review. I will show an understanding of the importance of a therapeutic relationship building and the values that influence the formulation of mental health nursing assessment and care planning (Schultz and Videbeck, 2009). Appendix 1 will show the plan of management including risk and relapse. Appendix 2 will show the individualised Risk Assessment (profile). In my conclusion I will reflect upon my therapeutic encounter and will address the importance of knowledge and qualities needed to form, maintain and disengage from the therapeutic relationship in mental health nursing.

The therapeutic relationship is a term used in therapy which highlights a client’s preferences and the treatment required to successfully accomplish goals (LaRowe, 2004). The focus of the nurse during the therapeutic intervention should be caring and never pull the focus away from their individual needs (Videbeck, 2011). The quality

Similar Documents

Premium Essay

The Feedforward Interview

...Feedforward interview is a tool that is used by the supervisor and the employee together in order to identify the behaviors and skills that an employee possess in an effort to gain the best performance from the employee (Agiunis, 2013). Feedforward interviewing is a great tool that allows the management and employee to work together to figure out what the employee is excelling at and what areas need improvement. In my opinion, this type of interview promotes unification and team work in an effort to enhance and promote the best possible employee performance level of all employees. The feedforward interview is composed of three steps: producing a success story, identifying success factors, and using the past to forecast the future (Aguinis,...

Words: 379 - Pages: 2

Free Essay

Mr. Slim Business

...------------------------------------------------- We want our staff to be courteous and to acknowledge members who approach them as well as dress appropriately; Shirt, nametag, and closed toed (and heeled) shoes. Yes | No | X | | X | | X | | X | | X | | 3. Were you acknowledged (verbally/non-verbally) when you approached the staff? 4. Was the employee wearing an A.S. name badge? 5. Was the employee wearing a uniform? 6. Were you greeted promptly? 7. When leaving from the encounter, did the employee acknowledge you? 8. If you answered no to any of the questions above, please describe the situation below: ------------------------------------------------- We expect: open posture (unfolded arms, standing up while talking, and visibility; no slouching), smile, eye contact, no sarcasm, no inappropriate conversations, no cell phone usage, and undivided attention from staff during encounters with our members. * Did the...

Words: 700 - Pages: 3

Premium Essay

Tennents

...friendly, well dressed and approachable, which contributed to a relaxed environment. The setting of the meeting room was busy and kept the consumer’s mind occupied whilst they waited for the tour to begin. This helped detract from the issue of the tour starting later than the proposed time. With a contemporary design, the room was appealing to the consumer aesthetically and helped build a positive insight as to the quality which could be expected from the tour. A successful blueprint of the service was clear as both customer A and B knew what part they played during the encounter. Such factors included marking yellow pathways on the roads between buildings for the customer to stay within for their safety as well as providing hair nets and high vis vests for health and safety. A leader follower relationship was adopted in this tour, meaning that the consumer relied on the guide largely for the encounter to be a success. In the case for tennents, this relationship was successful due to the educational and interesting tour provided by our guide. In a way, it is crucial that this intangible element is carried out to a high standard as the...

Words: 546 - Pages: 3

Free Essay

Evangelism

...Essential Guidelines for the Servant Evangelism Projects & Report How to do the servant evangelism project 1. This Servant Evangelism Report must document TWO true, face-to-face encounters a. (not a virtual encounter – via www, email, IM etc) with unbeliever in a setting in which you served them unconditionally. The servant evangelism encounter must take place within the semester that the student is enrolled in this particular course. 2. The three P’s to Servant Evangelism- b. P- PERSONAL: These 2 encounters must be personal- face to face- encounters done within this semester. c. P- PRACTICAL/PHYSICAL: In both of these encounters you must meet the physical needs of another individual. Even though prayer, and bible study are essential to the Christian life and growth. These are unacceptable forms of servant evangelism and do not meet the requirements of this assignment. This assignment is for you to meet the physical needs of another individual (Matthew 25:31-46; James 2:14-20). (SEE end of document for a list approved, and unacceptable Servant Evangelism projects.) d. P- PENNILESS: In both of these servant evangelism encounters you may not receive money for your work. This must be a free service to those you are serving. NOTE: All servant Evangelism Papers will be graded by the 3-P system (see above). If your assignment does not fulfill the three P’s it will receive a grade deduction. 3. The point of the service...

Words: 990 - Pages: 4

Free Essay

Florentine Codex Translation

...Florentine Codex Translation The Florentine Codex has four version available to read. The original Nahuatl version, Spanish, English from spanish translation, and the new English from Nahuatl translation. Among these four versions, they both discuss the same story line without much variation. But it's the small differences in the Old vs New English that create interesting difference that change certain details and emotions. The new direct Nahuatl translation is of course the more true and preferred version for accurate information. But between these two versions you can see the errors that are constantly being made and the pieces of information that are essentially lost in translation. This can as well compel other historians to revise translations of other important historical documents seeing what type of mistakes and miscommunications can be possible. One of the small details that was found different was about the status of the nobility versus Montezuma, specifically the event where they all meet the new coming Spaniards. In the older English version, is just mentions the nobility alongside Montezuma. This can be misinterpreted as the nobility and Montezuma are of equal ranking with no one being on top of each other on the hierarchy scale. Thanks to the new English version, there is a clarification made that when they all meet the Spaniards, it's Montezuma and Montezuma's rulers and nobles. This adds a new possessive detail in which Montezuma essentially controls these...

Words: 636 - Pages: 3

Premium Essay

Ufo and Aliens

...have supposedly seen something out of the ordinary. There have been reports of unidentified flying objects (UFOs) all over the world and even reports of people being abducted by strange beings. Are people making all this up or are they really seeing something from another world?   In the article “Extraterrestrial encounters: UFOs,” Alexander Geppert, an Emmy Noether Research Group Director at Freie Universitat Berlin, contends that people throughout the country and around the whole world have seen UFOs. The size of the UFOs seen can vary from eyewitness to eyewitness. The first UFO sighting occurred on June 24, 1947. While flying his plane, pilot Kenneth Arnold reported seeing nine objects, glowing bright blue-white, flying in formation over Washington State’s Mount Rainier.After the Arnold sighting, a “reputed” UFO crash in Roswell, New Mexico occurred on July 8, 1947; this crash is known as the Roswell incident. Reported UFO sightings in Great Britain, North America, Japan and Eastern Europe, all within weeks of each other, showed a global phenomenon. People refer to these sighting as the “First Waves” of UFOs. Immediately following these encounters from 1947 to 1953, UFOs invaded popular culture; they were everywhere from movies to music. Movies portrayed UFOs as flying discs and aliens were pictured with small bodies, huge heads and big eyes. According to Geppert, “Science continue[d] to struggle: Are we alone in the universe? Some believed that, in the future-saturated...

Words: 776 - Pages: 4

Premium Essay

Transition to Professional Practice

...Chapter 1 1.1 Introduction By synthesizing the data from various studies and research, this dissertation will aim to systematically review the current literature of evidence for therapeutic hypothermia (TH) post cardiac arrest. The research question is as follows: does therapeutic hypothermia treatment present positive neurological outcomes for post cardiac arrest victims? 1.1a Rationale: Whilst working in the Intensive Care Unit, I had the opportunity to witnessed a patient being cooled (therapeutic hypothermia concept) after experiencing out of hospital post cardiac arrest. I was intrigued to learn more about the concept as I had never heard or seen it done before. This prompted me to research further on the evidence based practice pertinent to TH treatment on post cardiac arrest victims. Patients who have suffered post cardiac arrest are usually cared for in a critical care environment such as the intensive care unit (ICU), and the survival rate for in hospital incidents is considered to be poor (Gwinnut et al 2000). Furthermore, according to Becker (1993) and Rea (2004), approximately 0.04% to 0.19% of out of hospital cardiac arrest incidence occur each year in industrial countries. Around 14% to 40% of these victims regain Return of Spontaneous circulation (Giraud 1996, Finn 2001, Fischer 1997), and only 7% to 30% were able to attain good neurological outcomes on discharge (Jennings 2001, Westfal 1996, Weston 1997). By critically reviewing the literature of evidence...

Words: 1199 - Pages: 5

Free Essay

Hypothermia

...can exacerbate the degree of permanent neurological damage following cardiac arrest. Each degree Celsius higher than 37C can cause cerebral destruction through increased metabolic expenditure, excitatory neurotransmitters resulting in calcium cellular reflux and accumulation of oxygen free radicals (Busto et al., 1987). To improve the outcome of patients who survive cardiac arrest requires not only reducing the ischemic process as quickly as possible, caused by cardiac arrest, but also preventing post resuscitation syndrome caused from reperfusion (Safar, 1993). Cerebral reperfusion after successful resuscitation can trigger harmful chemical cascades such as oxygen free radical production which can result in multifocal brain damage. Therapeutic hypothermia (TH) is considered as an effective method for reducing the deleterious neurological outcomes in patients who have out-of-hospital cardiac arrest. Clinical and animal studies have shown that TH following cardiac arrest reduces both the cerebral metabolic rate and oxygen demand and it is thought to attenuate reperfusion injury, global inflammation and endothelial dysfunction, all consequences of cerebral ischemia. Over the...

Words: 292 - Pages: 2

Premium Essay

Client Treatment

...of why acknowledging your own biases may be helpful when working with clients. As a future mental health professional being in the position of a client, that is seeing a therapist whose background is different from mine whether by ethnicity, linguistics or even sexuality I would crave for them to be understanding, non-judgmental and respectful of my beliefs and values. In reflecting an understanding attitude, it would be very important for me that the therapist displays keen listening skills; as these attitudes of listening can either assist in promoting a free flowing dialogue between myself and the therapist or build a wall which may prevent me from expressing my feelings on the challenges and issues I am currently facing. In the therapeutic relationship, it is important that the client feels that the therapist is not critical and judgmental towards them and displays a high level of "caring and compassion toward the client even if they have confessed their deepest secrets and hidden desires" (Brew and Kottler, 2008; p.115). Another aspect of being understanding on the part of the therapist is the therapist's body language. Especially with the therapist's cultural differences certain actions in relation to body language may have differing meaning and thus depending on the action may be construed as being offensive. With body language being so important Ivey, Ivey and Zalaquett (2010) noted that if the therapist faces the client squarely, leans forward slightly, has a positively...

Words: 650 - Pages: 3

Free Essay

Alien Existence

...Alien Existence There are a lot of things in this world that go unexplained. Not anymore, it was all aliens, everything you can’t figure out like, “Where does one sock go when I do the laundry?” Aliens. Earth has been very much impacted by aliens in its short history. Everything from supplying life-giving chemicals and wiping out the dinosaurs with meteorites to influencing human culture and evolution. The whole world is full of evidence that aliens exist, even though it is usually denied and ignored by the government and academics. This paper will give a short investigation of extraterrestrial events and evidence. Ancient people, especially their huge structures and exciting grip of mathematics and astronomy, have always attracted human kind. For example, the Sumerians were aware of Pluto as early as 5,000 bce, seven thousand years before it was discovered by Clyde W. Tombaugh in 1930. The first written evidence of extraterrestrials was discovered in 1935 by Prof. Tsum Um Nui of the Academy of Prehistoric Research in Beijing who found a stone disk in the cave part of the Baian Kara Ula Mountains near Tibet. The stone disk was buried with a group of humans with delicate bodies and weird large skulls. At first they were thought to be apes, Prof. Um Nui was rumored to have said “Who ever heard of apes burying each other?” They ended up finding 716 disks but the Chinese government would not let any more research be done until a Russian, Dr. Saitsew, examined them and wrote a...

Words: 2115 - Pages: 9

Premium Essay

To Infinity and Beyond

...To Infinity and Beyond until Across the Universe Have you ever wondered if there are any extraterrestrial life forms in the universe? An extraterrestrial is defined as life that does not originate from Earth. It is often also referred to as alien. “Alien” is a very familiar word even though many of us have never met or seen them. They are in TV or movies, and especially the Hollywood productions love to make movies about extraterrestrials. For example, ET (1982) is one of the famous SF movies. The alien, ET is very friendly to people, and it has an ability of making object flying. Since they are only a part of blockbuster movies, most of times people are careless about aliens; however, there are many incidents that show they are real. There are three significant signs that prove they are real such as we are able to suspect another life form in an infinite universe, have UFO sighting everywhere in the world, and have experiences of many people’s alien abduction. First, there must be another life form among the limitless galaxies. Since the universe began in the Big Bang about 15 billion years ago, it has constantly expanded. Therefore, the universe is infinite and Earth is just considered like a grain of sand. The universe is divided into two parts; the observable and the non-observable. There are countless planets and solar systems in the observable universe. Is it true that the Earth is the only planet where life exits in the infinite universe? If there are sunlight and...

Words: 763 - Pages: 4

Free Essay

The Fourth Kind

...The theatrical film, The Fourth Kind, addresses the prospects of aliens through a basis on real events occurring in Nome, Alaska in 2000. The plot line follows Dr. Abigail Emily Tyler and her professional experiences with patients claiming alien abduction. The film begins with Tyler recounting a personal experience of her husband’s supposed murder that occurred in August of 2000. The Fourth Kind then takes focus on Tyler’s professional career as she tapes hypnotherapy sessions with patients experiencing a similar account of events. The correlation is summed up as a white owl staring at the patients through their windows each night. While under hypnosis, two of the patients describe similar stories of the creatures attempting to enter their homes. In addition, the film portrays one patient killing himself and his family after undergoing hypnosis. Following similarities in the individual’s stories, Tyler suspects the patients were abducted by aliens. The plot thickens as a patient requests Tyler to hypnotize him, which results in the disturbing act of him hovering above his bed while a voice informs Tyler to end her study. To further complicate the scene, the patient is paralyzed resulting from the hypnosis leading to Tyler being placed on house arrest. While confined, police camera footage shows a large dark object flying above the Tyler household and the officer describes people being pulled from the home. Tyler then claims that her daughter Ashley had been taken, however she...

Words: 964 - Pages: 4

Free Essay

Pharmacology

...the nurse to carry out safe medication administration, monitor medication actions, educate patients, and act legally and ethically within the pharmacological parameters. This knowledge is also vital for the nurse practititioner in their role of nurse prescribing. Pharmacology plays a huge part in these roles for the nurse. This essay below will elaborate on the importance of pharmacology for the five reasons of safe medication administration, monitoring of medication actions, patient education, legal and ethical aspects of pharmacology and the nurse practitioner. Firstly, safe medication administration. To administer drugs safely it is the nurse’s responsibility to have knowledge of the prescribed medications as well as their therapeutic and non therapeutic effects. Knowledge of the medications include, knowing its approved drug name and classification, correct dose and route of administration. A medication may have as many as three different names- a chemical name, a generic (proprietary) name and a trade name (Crisp & Taylor, 2011). A chemical name refers to the chemical makeup of a drug, a generic name is the drug name listed in official publications such as the MIMS annual, and the trade name is the name manufacturers have registered the medication as. In a clinical setting medication is normally dispensed using the generic name to avoid confusion, but because medications may come under a number of different names nurses must be able to identify the exact name and spelling so...

Words: 1344 - Pages: 6

Premium Essay

Therapeutic Touch

...Therapeutic Touch By Chelsie Boyce Let me begin by saying that after watching several videos (including those provided by you) and reading even more articles, I am more mixed about my acceptance of therapeutic touch. Before this assignment I would have said I was strongly against this practice, but now I am more open to the idea. However, I still believe that therapeutic touch is not a true form of medical healing. To begin with, the Merriam-Webster's Medical Desk Dictionary states that this alternative medicine is a practice where the nurse or practitioner treats a patient by passing his or her hands over a person’s body to promote relaxation, pain reduction and or healing. I must say that the thought of someone’s hands hovering over my body kind of makes me giggle. I keep replaying a scene from Karate Kid over and over again in my head and thinking “yea right” if only it were that easy. After reviewing my resources, I am still very skeptical. Yes, some stated that patients believed they were doing better. But to me that was just it… a belief. Those who had a strong faith in this technique did show signs of relaxation and possible improvement, but I am not sure if the technique caused the reaction or the patient themselves invited the result. Just like Emily Rosa’s experiment supported, as nurses or practitioners we want to believe we can feel the energy being given off and that we are interacting with our patient. Yet, more times than not we are wrong. Along...

Words: 468 - Pages: 2

Free Essay

Poop

...Name ____________________________________________________________ NVCC Pharm HW 9 summer 2015 (chap 31) 1. Why is the pituitary called the ‘master gland’? 2. What is a common use of clomiphene(Clomid) for women? How is a dose of Clomid likely to make the woman feel (side effects)? What adverse reaction to Clomid did Octomom experience? 3. What is a common use of chorionic gonadotropin in little boys? * In grown men? * How might it make the patient feel? 4. What does somatropin (Humatrope) to to children (the therapeutic effect)? 5. 2 serious hormonal conditions might result for growth hormone therapy: what are they? 6. Cosyntropin may be used for inflammatory conditions when _____________________________ wasn’t successful. When you look at the long list of adverse reactions (p 316) you notice that they are the same as __________________________________________ drugs. 7. What drug may be used to treat diabetes insipidus? Does diabetes insipidus have ANYTHING to do with diabetes mellitus? 8. What is a post op use of vasopressin? What should be taken before a dose of vasopressin? 9. We have talked about glucocorticoids (steroid drugs). Recall adverse effects on: Fluids and electrolytes: Bones: Stomach: Immune system: Skin: Knowing all that, what kind (s) of patient is at a lot of risk for dangerous complications of steroid therapy? 10. fludrocortisone (Florinef) is...

Words: 612 - Pages: 3