Premium Essay

Therapeutic Encounter

In: Social Issues

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

Online Encounter vs. Physical Encounter

...Emily Miles Marketing 505 March 6, 2012 Exam #1 In the following paragraphs I will attempt to show how the attributes of an online encounter do indeed match those of a service product, even if machine and not person produced. Over the past decade, online encounters have shown to be more effective, less costly and provide faster service from both a consumer perspective and also a provider perspective. However, online encounters also have some of the same management issues that have always been and most likely will always be. Looking at both processes, we can determine improvements and also similarities. First, let’s examine the method of how services provided have changed over the years. Many years ago, when a person needed a product or service, they went to the store or the business office that provided that service. A meeting with a company spokesman was made and discussions were centered on what was needed and what price would be charged. After both parties were in agreement, some money and contracts may or may not have been exchanged. The main issues are that an agreement was made for some service to be performed at a future date. After the services were complete, the payments or the balance of the payments were also completed. Looking at the total transaction, let’s review the process. The consumer had to travel to the business, meet with the provider and explain what was needed. This takes time, energy, fuel and hours out of the consumer’s day. Planning......

Words: 1246 - Pages: 5

Premium Essay

Legal Encounters

...Legal Encounters LaTausha Freeman Law/531 December 10, 2012 Lillian Watson Legal Encounters This paper will answer questions posed during employment legal encounters based on law requirements to indicate liability and ramifications associated based on the scenario. Legal Encounter 1 Cheeseman outlines that employment is subject to the common law of contracts (2010). Pat entered into an agreement with NewCorp for employment; acting on the premise that NewCorp would uphold all terms of the employment agreement, made major personal and financial changes to be available for employment at the assigned duty location. Although Pat signed a document acknowledging his understanding that NewCorp had the freedom to discharge at will—Pats supervisor told Pat he was being discharged because “things weren’t working out”. NewCorp did not follow company procedure to notify Pat of unsatisfactory performance and neglected to offer a Corrective Action Plan. NewCorp, having a signed copy of the discharge at will document, could argue that the company was not required to offer Pat notification or the opportunity to follow the Corrective Action Plan process. An important factor in this instance is the implication that Pat is being released based on unsatisfactory performance. NewCorp is terminating the employment contract without complying with all clauses of the employment contract and as a result Pat is taking a financial loss. Additionally, an employer under the......

Words: 710 - Pages: 3

Free Essay

Therapeutic Communication

...Therapeutic Communication Techniques | Examples | 1. Using silence | The client says: "We drink and smoke a lot here." The student thinks…how can that be…drinking alcohol in a state hospital? But says nothing…using silence…the client then says: "yes we drink a lot of cokes and smoke a lot." | 2. Accepting | "Yes" or "I follow what you said"  | 3. Giving Recognition | "I notice you combed your hair." | 4. Offering self | "I'll sit with you awhile." | 5. Using Broad Openings | "What would you like to talk about?"  "Tell me what's bothering you." | 6. Using General Leads (using neutral expressions to encourage continued talking by the client) | "Go on.    " Ummm..I am listening" "Tell me about it" | 7. Placing he event in time or sequence | "Was this before or after…?" "What seemed to lead up to…?" | 8. Making Observations | "You appear tense" "I notice you are biting your lips." | 9. Encouraging Description of Perceptions | "What do you think is happening to you right now…?" | 10. Restating | Client: "I can't sleep. I stay awake all night." Nurse: "You have difficulty sleeping"  | 11. Reflecting | Patient: "Do you think I should tell the doctor?" Nurse: "Do you think you should tell the doctor?" | 12. Focusing | "This point seems worth looking at more closely." "You said something earlier that I want you to go back to." | 13. Exploring | "Would you describe that more fully." | 14. Giving Information | "My name is…I am a student nurse.." | 15.......

Words: 427 - Pages: 2

Free Essay

Encounters

...Suré Barnard An encounter can be described as either 'an unexpected or casual meeting' or 'a confrontation or unpleasant clash between hostile factions or persons' or it could be both. It is impossible for a story to unfold without an encounter happening in some way or another, even if it is simply the chance meeting of two people, never mind the deeper connection that will occur. At the beginning of his book, David Medalie states that "every story presents an 'encounter' [...] some are interpersonal, some socio-political [and] some ideological" (1997: x-xi). This essay will look at the 'encounters' that can be seen in Kwashiorkor and The Barren Woman. Kwashiorkor (2009: 31-43), written by Can Themba, is the story of a baby who has a very serious disease due to a lack of nutrition, which is brought about by the harsh circumstances of her upbringing and a lack of money to buy the necessary foods required by a child. The most important encounter that can be found in the story is when Dave, a journalist and the narrator of the story, meets the child for the first time. In this encounter, the kwashiorkor baby is an encounter with the extreme reality of suffering. It forces Dave to realise that the detachment that he and his sister, Eileen, usually live with does not make the problem go away. The disease is also a symbolic representation of South Africa at the time and the suffering that was going on daily to which people merely turned a blind eye. Dave also comes to this......

Words: 653 - Pages: 3

Free Essay

Therapeutic Jurisprudence

...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 the charges these individuals face are more a result of their mental illness than a criminality.  It must be noted that MHCs have expanded rapidly in the past several decades to provide more efficient coordination of treatment and supervision of prosecutors with behavioral health problems. A significant number of prosecutors in these court-based programs have co-occurring mental disorders, which predict early termination, re-arrest, and other negative outcomes (Arrigo, 2010). More recent years have seen a proliferation of problem solving courts designed to rehabilitate certain classes of prosecutors and thereby resolve the underlying problems that led to their court involvement in the first place.   Therapeutic Jurisprudence The term Therapeutic Jurisprudence first appeared in the law literature in the late 1980s, in the context of mental health law. TJ is defined as "the study of the extent to which substantive rules, legal procedures, and the roles of lawyers and judges produce therapeutic or anti-therapeutic consequences for individuals involved in the legal......

Words: 2318 - Pages: 10

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. ......

Words: 468 - Pages: 2

Premium Essay

Legal Encounter

...Legal Encounter 2 Sam's conduct is an example of a sexual harassment which raises the possibility of quid pro quo suit, where an employee is required to submit to sexual advances in order to remain employed, or secure a promotion or a raise. His conduct has made NewCorp also liable for an atmosphere- of-harassment case, in which the invitations, language, pictures, or suggestions become so pervasive that they create a hostile work environment (Jennings, 2006). In 1986 the Supreme Court ruled that sexual harassment was actionable under Title VII of the Civil Rights Act of 1964. The Supreme Court in Harris v. Forklift Systems, Inc., in 1993 made it easier for plaintiffs suing for sexual harassment by ruling that they were not required to prove that any abusive conduct actually caused an injury or affected the person's psychological well-being. Attorneys for such plaintiffs now only have to prove that a "reasonable person" would have found the conduct to be offensive to win their case (Sack, 1998).  Thus Sam's behavior which created a hostile working environment for Paula put NewCorp at risk of sexual harassment lawsuit from Paula. Sam's later action of blocking Paula's transfer, if deemed that he took it as an agent of NewCorp and especially in a supervisory role, made NewCorp further liable for violating the Pregnancy Discrimination Act (PDA). The PDA is a statute passed in 1978 that amended Title VII, the central federal anti-discrimination statute. Later in 1991 in......

Words: 428 - Pages: 2

Premium Essay

Therapeutic Communication Nursing

...Communication and Therapeutic Relationships in Nursing/Midwifery A therapeutic relationship can be described as one that offers support and care without being judgemental and can provide trust and a feeling of safety from threatening situations(Mc Klindon et al1999). In contrast to a social relationship it differs greatly in that a therapeutic relationship consists of collaborated goals which are identified when the relationship is initiated and once these goals are fulfilled the relationship is terminated in a therapeutic way(Nurses Association of New Brunswick2000).There are many communication techniques that can prove to be useful in certain situations for example verbal and nonverbal communication as well as being aware of body language and tone of voice which can benefit the therapeutic relationship. It is essential to learn how to be assertive as it can promote fairness and efficiency at work(Hodgetts 2011). One must learn how to communicate effectively with clients from different cultures who speak different languages in order to ascertain the clients needs and in order to build the therapeutic relationship. Developing a Therapeutic Relationship In order to develop a therapeutic relationship it has been found that a number of skills are required for example conveying empathy and understanding, accepting individuality, providing support, promoting equality, demonstrating respect, maintaining boundaries, self awareness and being there for the client in a genuine......

Words: 2528 - Pages: 11

Premium Essay

Therapeutic Relationship

...Therapeutics Essay: Understanding Behaviour In psychology there are many theories of cognitive behaviour each with their own origins and aims. Within this text two psychological theories that will be discussed and how they can be effective within a health care setting with an introduction as to what psychology is. The two psychological theories that will be discussed are the Social Learning Theory as developed by Albert Bandura and the Humanistic Theory or also known as the Humanistic Approach developed by Carl Rogers, Abraham Maslow and George Kelly. Psychology is known as the scientific study of the mind One of the theories that will be discussed within this text is the Social Learning Theory which was developed by Albert Bandura in 1977 after evaluating previous theories which had already been attempted by other psychologists. He also used Julian Rotter’s learning theory and incorporated these theories together. His theory states “that observational learning can occur in relation to three models” these models are; live model which is when a person is demonstrating a desired behaviour for example a child behaving well because they know that they will be rewarded by their parent for this type of behaviour. Verbal instruction which is when an individual describes in detail the desired behaviour and also instructs the person verbally on how to engage in the instructed behaviour, an example of this would be when a lecturer is discussing the appropriate behaviour......

Words: 1265 - Pages: 6

Premium Essay

Therapeutic Communication

...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......

Words: 1197 - Pages: 5

Premium Essay

Therapeutic Courts

...Therapeutic Courts Through out the court system there is a up and coming alternate approach to sentencing, this approach is called therapeutic court. Therapeutic court is an alternate sentencing that can either shorten the jail time the offender was sentenced to or erase any chance of the offender serving any jail time at all. This sentencing combines both individual counseling as well as group counseling, also allowing these counselors to give random check ups with home visits and strict supervision. This type of court gives nonviolent offenders the chance to not only to stay out of prison but also the chance to better themselves by completing this “rehab like” sentencing and beating their addiction of drugs/alcohol. The history of therapeutic courts started in the mid 1980s when drug cases increased due to the war on drugs crackdown. More and more people were being arrested, prosecuted, and imprisoned for possession of illegal drugs. As time went on, drug abuse violations grew to “the largest single category of police activity - more than 1.5 million per year”(America’s Courts pg106) the majority of these crimes taking place in the countries largest urban areas. With the rapid increase of caseloads that were not seen as extremely dangerous crimes, courts soon began to seek alternative methods to help manage this drug abuse crisis. The idea that was created is known as drug courts and they viewed offenders not as criminals but as offenders with a drug abuse addiction.......

Words: 2368 - Pages: 10

Premium Essay

Fake Encounter

...FAKE ENCOUNTERS IN INDIA Aastha Maheswari 1) Distinguish between fake encounters and genuine encounters? Ans: A fake encounter is where a person has been killed in cold blood, and not in self-defence, Whereas a genuine encounter is that in which a person has been killed in self-defence. If somebody is firing at you, and the only way to stop him from killing or grievously injuring you is to shoot back, in that case you’re a part of a genuine encounter. Whereas a fake encounter is when you catch hold of somebody and kill him in cold blood. There is absoutely no threat to you. The Central and State governments generally interpret the word, encounter, to mean genuine encounters, with fake encounters being an exception rather than the rule. Those fighting for civil liberties, however, say that the dividing line between genuine and fake encounters is rather tenuous and argued that most of the cases considered by the police as genuine are indeed fake. 2) Does the police have the right to kill the suspects? Why do they resort to take such extreme measures? Ans: The Indian law recognizes the right of a citizen to private defence , and this same right is available to the policemen too. Thus, If the police is firing in an attempt to arrest a person accused of an offence punishable with death or imprisonment of life by the court orders, in that case the encounter cannot be termed as illegal or fake. However, if a death is caused in an ecounter that cannot be justified on the ground......

Words: 2633 - Pages: 11

Premium Essay

Therapeutic Alliance

...KANTHAROUP Term. Establishing an efficient relationship between client and counsellor is one of the key aspect in counselling. Every therapeutic session starts with the process of building up a therapeutic alliance. Bob Shebib defines the therapeutic alliance as a time limited period of consultation between a counsellor and one or more clients for assisting the client in achieving a defined goal (Shebib, 2014). However, to achieve successful results, a partnership that primarily focuses on the clients’ needs and goals is required. The therapist must be eager to help the clients with care and compassion while the patient also need to perceive and understand their own mental state. Interactions between both sides should be done with trust and respect to ensure the safest environment possible for the client. As therapeutic alliance is the heart in counselling processes, it is significant to acknowledge some of the key components that leads to a successful therapeutic session. This paper will demonstrate how a successful relationship is constructed. It will first explore the emotional and affective component highlighting the bonding of both therapists and client. Agreement on goals between both sides be examined in a detailed method. To finalize the paper, numerous principles will be shown to illustrate the ways therapists should cope if a therapeutic rupture interferes. In order for the client and therapist to form a partnership based on the client’s goal and needs, it is......

Words: 2334 - Pages: 10

Premium Essay

Cam Therapeutic Modalities Paper

...CAM Therapeutic Modalities Paper In today's world, there are many treatment methods for the different ailments people encounter. Although traditional medical practices are the predominant choice among Americans, many also use complimentary or alternative medicine (CAM) to treat certain conditions. According to NCCAM Clearinghouse (n.d.), CAM is defined as "a group of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine" (Defining CAM). In this paper alternative, complementary and integrative medicine will be defined and differentiated, and the role of conventional medicine in these medicines will be discussed. There will also be a comparison of the regulations and oversights in conventional and non-conventional medicine in the United States, a review of the CAM philosophy, and a description of the domains of therapies according to the NCCAM website. Finally, a CAM treatment modality within one of the domains will be described and evaluated. Alternative medicine is the use of CAM as a replacement for conventional medicine such as faith healing ("alternative medicine," 2014). Conventional medicine does not play a role in alternative medicine because the conventional methods are discarded for the alternative methods. "An example of an alternative therapy is using a special diet to treat cancer instead of undergoing surgery, radiation, or chemotherapy that has been recommended by a conventional......

Words: 1355 - Pages: 6

Premium Essay

Therapeutic Conversation

...appearance was well groomed and attitude was positive in the morning, pt seemed scattered in the afternoon. IV. Therapeutic Techniques and Conversation Analysis – 30 pts. See attached form V. Self as Nurse It was a great day. At this point I like Psych nursing and feel I have found a niche for me, except, I would like to travel and I don’t think psych nursing is in that realm. Once I am done traveling, this is definitely an option for me. Well see! VI. Nursing Process: (Do 3-10 pts. Each) First Nursing Diagnosis: Ineffective individual coping R/T: inadequate level of perception of control Identification of Symptoms: pt stated that she was severely depressed and that she stayed in bed for over a week. CPS removed her child from the home and she had no reason to live and she decided to try suicide. Identifications of Coping Mechanisms: I did not get to visit enough with my pt to identify this, but I can try and assess. Pt was positive at all times. Denial Sublimation Rationalization Are Coping Mechanisms Adaptive of Maladaptive: pt exhibited adaptive behaviors in coping. Pt was always positive and verbalized the counseling was helping. What therapeutic Approaches are being used?: Milieu therapy, group therapy, recreational therapy. Pt seems to do well with structure. Are the Therapeutic Approaches actually therapeutic or not?: It seems that the patient has done well with the structured environment. Second Nursing......

Words: 723 - Pages: 3