...Related Literature 1 Therapeutic Communication Case Study by Quality Writers Description This paper discusses therapeutic communication from the point of view of the writer's clinical experiences as a nurse. It discusses the concept of therapeutic communication and how important verbal and nonverbal communication is with patients. The paper presents a case study that the writer was involved in and discusses how therapeutic communication was successful or unsuccessful in this scenario. 1 From the Paper: "Even when the nurse has experience with therapeutic communication, there can still be the problem of a breakdown in that communication. The nurse can have empathy, respect for the person, and use active listening skills, but the problem could still come about. The reason it happens is that the nurse also needs to do critical thinking. That kind of thinking means that that she is always assessing the patient and the situation (McNabb, 2006). Another point is that sometimes it can be very difficult to see things from the perspective of the patient. Bournes and Mitchell (2002, p. 59) state, "health is the way people go on and live what is important to them, moment to moment and day to day". Health for me is very different than it is for a person such as Mrs. A. The only way I can understand her experience is by empathy and through active listening." 2 Sample of Sources Used: 1. Bournes, D. & Mitchell, G. (2002). Waiting: The experience of persons in...
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...Therapeutic communication in its fundamental concept is providing a best treatment for patient based on patient-centre service. On the video case scenario, it is known that the woman is experiencing cerebrovascular attack. CVA or popularly known as stroke, needs a complex care as it involves plenty of communication barriers between patient and healthcare professionals, such as weakness, numbness, vision, and particularly, speech abnormalities (Grear & Bushnell, 2013). As stroke involves difficult communication, healthcare professionals need advanced skills of communication. For the purpose of the essay requirement, I will review how healthcare professional is conducting session with a patient from the therapeutic communication perspective. A patient is recently assigned to a hospital through emergency department. When paramedic team performs clinical handover to a nurse, he describes that the patient is 35 years old, 28 weeks pregnant and has history of hypertension. The nurse learns that she has difficulty in communication and gives a simple guideline. This is where the essence of therapeutic communication plays a great role. Anytime she shakes her head means affirmation and nodding means negation. Afterward, the nurse describes that there will be some other healthcare professionals visiting her. The first healthcare worker coming in after nurse is the radiographer. His intention is to inform and ask a consensual agreement of CT scan to the patient’s brain. The scanning procedure...
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...efficiency. The use of medication to treat insomnia is only effective in the short term since it is less intense. B. In the preceding weeks of treatment such as two to three weeks, meta-analysis shows that behavioral treatment is just as much as effective as the medical treatment. They both can be effective in handling insomnia. The use of non medication method to treat insomnia are more intense therefore are effective in the long term. The therapeutic applications are based on the individual specific condition and not general prescription. II. Key Issues and Controversies. In the long term patients who receive non-pharmacologic therapies have a long lasting feel good or relief while those who take medication get back to their baseline insomnia levels after a short while. This paper will base on the different types of treatments that are used to treat insomnia by the health professionals. The main issue of contention here is what the health professionals will find more effective in long term treatment of insomnia. The therapeutic way or the medication way will both be analyzed in the paper as given below. III. Multiple...
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...victims, their views on the pilot schemes, the criminal justice professionals’ views on the pilot schemes, the content of victim statements, the impact of the victim statement scheme on workload and court processes and the outcome of cases in which a victim statement was made. The research found that 61% of respondents felt better after making the statement even though more than half had no idea whether their statement was considered in court. Very few respondents made suggestions relating to the victim statement scheme itself and instead felt the desire to put their point of view across more generally. Another Research review requested by the Commissioner for Victim and Witnesses in England and Wales in 2011evaluated empirical research into the use of victim statements. The report was split into two parts where the first part contained general information about the scope of the VPS scheme in England and Wales while part 2 reviews empirical research into the use of victim statements at sentencing. The review found that there a common finding amongst several studies that victims were generally satisfied with making and submitting a statement as it had a therapeutic effects and helped them to move on from their experience with crime. These studies used different methodologies but the common finding is that most victims who submit statements report being satisfied that they had done so. A victims Voice is another report which conducted an evaluation into the...
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...underpinnings of Mental Health Courts (MHCs), their growth, and the defining elements and operations of the earliest MHCs, which are best, viewed as evolving models of practice. Finally, the paper reviews studies of MHC operations and effectiveness and suggests future directions for MHCs. Rehabilitating the Court System In 2000, the Bureau of Justice Statistics (BJS) reported there were an estimated 283,000 prison and jail inmates who suffered from mental health problems. That number is now estimated to be 1.25 million. The rate of reported mental health disorders in the state prison population is five times greater (56.2 percent) than in the general adult population (11 percent). MHCs were developed in an attempt to solve the problem of criminalizing the mentally ill; this phenomenon occurs when the mentally ill are arrested and prosecuted for minor offenses rather than being treated by the mental health system. A greater focus on this may foresee a decrease in the rate of reported mental health disorders within the prison system. The basis for the above approach was founded on the concept of Therapeutic Jurisprudence (TJ), the notion that the law can play a role as a potential means of therapeutic influence and this could be achieved by making court proceedings more therapeutic to mentally ill prosecutors through involvement in treatment, MHCs hope to produce better outcomes for their defendants. The underlying belief of this approach is that...
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...quite magical. It's complexities stretch beyond our own horizons of comprehension and reach out into the mystic of the unknown. The mind possesses powers unrivalled by anything else - powers which extend to the self-healing of the human body with no aid other than faith - alias `the power of thought!' The use of the Placebo in medicine and pharmacy harnesses this incredible power and instigates the phenomenal self-healing process. The `Placebo Effect' has been used extensively throughout the history of medicine. Physicians have discovered the power of the human mind in healing and have tried to utilise this to it's full potential in all applicable aspects of therapeutic intervention. This report aims to discuss the Placebo Effect, it's power and history in relation to other forms of therapy, Case studies, the Ethical issues involved and whether they should be used or not. The `Placebo Effect' was defined by Wolf as "any effect attributable to a pill, potion or procedure but not to it's pharmacodynamic or specific properties" (Wolf, 1959. Cited by H.Brody, 1980). To date, the placebo has played a dynamic role throughout the history and development of medicine. Substances with no perceivable pharmacological benefit such as spiders, crocodile dung and human excrement have been prescribed up until the beginning of modern scientific medicine to treat various maladies. Obviously each of these substances induced a `Placebo Effect' in order to achieve the desired result...
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...achieve the desired result as the treatment itself had no real medical value. However, as the medical sciences developed further, the incredible power of the placebo effect was anything but discredited - the power of the human mind in it's self-healing was deemed by clinicians as `voluminous'. It is quite profound, for instance, how a patient will commonly react much better when they are administered with a placebogenic injection as opposed to a lesser response from a tablet or capsule. This infers that the reaction received will vary in proportion to how potent the patient feels their treatment really is; obviously with the injection seeming to be the most potent agent. It is in conjunction with these hypotheses that the therapeutic sciences such as psychotherapy are formulated. It is also through the application of various forms of these `insight therapies' (communication therapy) that the use of the placebo effect becomes evident in real-life medicine and pharmacy. Psychotherapy (a form of insight therapy) relies heavily upon good communication. The interaction between the therapist and patient builds an environment in which the patient is helped to come to terms with his/her feelings and inner conflicts. The use of the placebo effect in therapy is quite relevant to...
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...* “Discuss the relationship between stress, anxiety, habits and describe how you would treat these issues with hypnotherapy”. Introduction Common requests for hypnotherapy treatment are those related to stress, anxiety, habits and phobias. An understanding of the relationship between these disorders, examining the similarities and the differences between each, provides the therapist with information useful in deciding how and if to treat these disorders. It could also be argued that the uniqueness of each client and each set of symptoms demands the therapist to review each case on a one to one basis and not to blur the boundaries between each of these types of disorders, which may in turn result in a less effective form of treatment being provided. Each of these disorders is discussed below, along with mention of any similarities and differences, as well as the considerations that need to be made in the treatment of these disorders. Understanding Stress The term stress was first employed in a biological context by the endocrinologist Hans Selye in the 1930s. In his usage stress refers to a condition and stressor to the stimulus causing it. Selye researched the effects of stress on rats and other animals by exposing them to unpleasant or harmful stimuli. He found that all animals display a similar sequence of reactions, manifesting in three distinct stages, Alarm, Resistance and Exhaustion. He labeled this universal response to stressors the general adaptation syndrome...
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...RESEARCH DETAIL TITLE : Effectiveness and Appropriateness of Therapeutic Play Intervention in Preparing Children for Surgery: A Randomized Controlled Trial Study. RESEARCHER: 1. Cheung Li, PhD, is an Assistant Professor, Department of Nursing Studies, University of Hong Kong, Pokfulam, Hong Kong. 2. Violeta Lopez, PhD, is a Professor and Head of School, School of Nursing (NSW and ACT), Australian Catholic University, North Sydney, NSW, Australia. SUBMITTED DATE : January 25, 2007 ACCEPTED DATE FOR PUBLICATION : July 21, 2007 PUBLISHED DATE : April, 2008 JOURNAL : Journal for Specialists in Pediatric Nursing INTRODUCTION It can be observed today that nursing is a dynamic profession,both internally and externally due to constant change occurring in the profession. As a dynamic profession, nursing is responsive and is adapting to meets the needs of patients and the public.Nursing is a practice discipline, which is dependant upon a high level of professionalism,ethics and human values that demand for intellect, skills and a high sense of social responsibility.The knowledge and essential skill that increased dramatically make nurses leading and developing new services in health care delivery. Nurses roles and resposibilities will continue to change in line with the health reforms that are improving care for patients.Therefore, nurses need to be encouraged...
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...Hypnosis Toni Embrey Post University Hypnosis is a trancelike state that is performed by a trained therapist. While in the hypnotic trance a person is most susceptible to the power of suggestion (Feldman, 2013). Hypnosis and hypnotic suggestion have been used as a healing practice for thousands of years and can be traced back to early Greek times. A German doctor named Franz Mesmer believed that magnetic imbalances in the body were the source of illness. He then used gestures and a soothing voice to relax patients which he termed ‘mesmerism’ to restore the patients magnetic balances. In 1842, Scottish neurosurgeon James Braid was the first to use the term ’hypnosis’ and described this therapy as a trance ‘that resulted...
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...012011051056 Programme : BPH Lecturer Name : Dr. Jiyauddin Khan Submission Date : 30th September 2013 An attachment report based on the lesson learned, activity being carried out, experience gained, problem faced and suggestion at Hospital Tuanku Ampuan Rahimah, Klang in various pharmacy departments for period of 3 weeks Submitted to Dr. Jiyauddin Khan, PhD Report writing lecturer, School of Pharmacy Management & Science University Shah Alam, Selangor Darul Ehsan, Malaysia. Prepared by, Thiban Ellumalay, 012011051056 3rd year Bachelor of Pharmacy, Management & Science University Shah Alam, Selangor Darul Ehsan, Malaysia. 30th September 2013 Acknowledgement First and foremost I would like to thank the almighty lord for giving me wisdom to get my attachment done with successfully as well as with the preparation of the report. Without his blessings I wouldn’t have achieved this stage. Besides that, throughout my attachment accomplishment, many people have inspired me, influenced me and contributed their time, energy, ideas, and suggestions for improving my report. I will always be in debt to these people, too numerous to mention. I would like to express my deepest appreciation to my honourable dean school of pharmacy, Assoc. Prof. Dr. Eddy Yusof for allowing us to do the attachment...
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...person’s day to day living, those being alcohol, drugs etc. (FAI 2014). Food isn’t something that can be eliminated. It would be more effective that a change would need to be considered and an assessment of what the underlying issues are in order for the eating habit to be changed. (Hadley and Straudacher 1996). While the subconscious isn’t a simple power, it is only through permanent changes in this part of your mind that you will experience permanent changes in your life – changes that come automatically and are not painful (Hadley and Straudacher 1996). This would in turn lead to a better life or weight loss in order to maintain a healthy weight and lifestyle. In view of this, this essay will assess Miss E’s issues as presented in the case study. I will describe a treatment plan with an attached initial screed and any ethical issues that may arise. Hypnotherapy is a popular therapy for weight loss. (Chrysalis 2010). Clients may have tried techniques and diets. As an ethical therapist, you wouldn’t jump to any conclusions about the clients weight but obtain information, to build rapport. The client may initially be looking to lose weight but may be masking deeper issues. I would offer a free initial consultation with decisions from both parties being made about suitability. As an ethical and responsible therapist, I would ask questions about background asking to complete an initial consultation form including medical history, medication and personal...
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...In the case study as described a seemingly cultural competent white counselor meets with African-American male. Although during the intake evaluation the client was listed as depression, he early on indicated that he was frustrated with finding employment and hoped that he could receive help with making this become reality. The counselor felt that the client hoped to get everything on a “silver” platter and unwilling to do some work to achieve this to happen. The counselor felt that he should go to an employment office. This issue created frustration in the relationship between the counselor and his client. Because of a single incident the counselor felt at some time threatened and concerned for a physical altercation. With this experience he felt that...
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...My therapeutic recreation courses, experience hours, and internship all have molded my approach to therapy and treatment of individuals with disabilities or other challenges. I am still learning and facing challenges within this profession, as I will continue to do. The biggest challenge for me in my internship would be learning how to work with a population that I have never worked with, which is geriatric psychiatry. Not getting the immediate feedback that I would from younger populations can be a challenge. The goal in geriatric is often to maintain a baseline or standard of behavior and cognition instead of making improvements. It can be hard to not necessarily see a big improvement and then not hear feedback either. Even though I have faced challenges...
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...Fiction? Gunver S. Kienle* and Helmut Kiene ¨ Institut fur Angewandte Erkenntnistheorie und Medizinische Methodologie, D-79112 Freiburg, Germany ABSTRACT. In 1955, Henry K. Beecher published the classic work entitled ‘‘The Powerful Placebo.’’ Since that time, 40 years ago, the placebo effect has been considered a scientific fact. Beecher was the first scientist to quantify the placebo effect. He claimed that in 15 trials with different diseases, 35% of 1082 patients were satisfactorily relieved by a placebo alone. This publication is still the most frequently cited placebo reference. Recently Beecher’s article was reanalyzed with surprising results: In contrast to his claim, no evidence was found of any placebo effect in any of the studies cited by him. There were many other factors that could account for the reported improvements in patients in these trials, but most likely there was no placebo effect whatsoever. False impressions of placebo effects can be produced in various ways. Spontaneous improvement, fluctuation of symptoms, regression to the mean, additional treatment, conditional switching of placebo treatment, scaling bias, irrelevant response variables, answers of politeness, experimental subordination, conditioned answers, neurotic or psychotic misjudgment, psychosomatic phenomena, misquotation, etc. These factors are still prevalent in modern placebo literature. The placebo topic seems to invite sloppy methodological thinking. Therefore awareness of Beecher’s...
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