Arlene's Therapeutic Relationship

As I grew older, the need for me to attend these visits were increased due to my proficiency in English. Fortunately, there was now a translator between my parents and the physician, however the authenticity of the translation was skeptical. This is a common issue among the children of non-English speaking families who are unable to successfully relay issues regarding health and finances from the healthcare provider themselves. Due to the complexity of the conditions and the emotional burden that it may contain, I often found myself struggling to relay these messages to my family. There were times where I found myself sugarcoating the diagnoses given by the physician because I did not understand the severity and because I did not want it to impact my family. Once I became a teenager, I realized withholding pertinent information was actually doing more harm than good.

Nurses often use the aspect of time as an excuse not to conduct a family interview, however, Wright and Leahey (2009) clearly demonstrate how integrating families into patient care does not have to consume a lot of time. Using the Calgary Family Assessment Model (CFAM) and Calgary Family Intervention Model (CFIM), a family interview can be organized and conducted in a less amount of time, and end in a greater understanding of the patient and family. The CFAM contains three major categories including structural, developmental, and functional, which can be used to assess a family or help them address a specific health issue (Wright & Leahey, 2009). The CFIM uses assessments focusing on strengths, meaning that it uses the strengths of each individual family member, and the unit as a whole to provide positive interventions. This allows the interventions to focus on encouraging the family, rather than their deficits or dysfunctions (Wright and Leahey, 2009). During the 15-minute interview, it is suggested to have the entire family present so that the interviewer is able note reactions and collaborate with each family member, thus providing the most acceptable plan of care for the entire family.

There are many conflicts that arise between doctors and patient’s families. As stated in the articles, “Some patients, or their families wanted aggressive treatment up to the very end” (Keith 1). This quote is followed by a series of facts about how keeping someone who is not benefiting from treatment is taking away from someone who is that can’t get the resources for the treatment. When a family member or patient is sick people only see what they believe is best for them, not for other

Develop an alliance by using caring gestures to the family. Asking caring, sensitive and perceptive questions convey sincere concern for the patient and will help develop trust with the family

When it comes to nursing, the writer believes that one must understand a patient’s family values. Doing so can give insight into proper interventions. Said interventions may include a support system that includes family member or close friends. The interventions may also include resources for various avenues of information when a support system is not available. Adapting to the patient is the most important part of health maintenance.

Expertise of multiple organ systems, with family patience essential requires an inquisitive mind. commitment to developing long-term relationships. During my clinical rotation in family medicine, I learned the importance of vaccinations. Having seen my overseas family endure the difficulty of preventable diseases such as Hepatitis B or polio, I understood the face of successful primary care when fully implemented. Excellent primary care involves simple explanations that helps shed light on the importance of disease prevention or

Completing a family assessment is a very important aspect of health care because the family is a crucial component to the patient’s recovery and sense of well-being. By using the Calgary Family Assessment model to evaluate the A family, we have been able to assess all of the different components to the family in a manner that is relative to nursing. The interview process allowed us to examine the family dynamic in regards to their developmental stages, interpersonal relationships, communication, problem solving, family functioning, and their own strengths and weaknesses. Assessing each of these components to a family allows the nurse to put together the big picture of how the family dynamic is accommodating toward the patient, as well as how

Cultural competency is an essential skill for family physicians because of increasing ethnic diversity among patient populations. Culture, the shared beliefs and attitudes of a group, shapes ideas of what constitutes illness and acceptable treatment. A cross-cultural interview should elicit the patient’s perception of the illness and any alternative therapies he or she is undergoing as well as facilitate a mutually acceptable treatment plan. Patients should understand instructions from their physicians and be able to repeat them in their own words. To protect the patient’s confidentiality, it is best to avoid using the patient’s family and friends as interpreters. Potential cultural conflicts between a physician and patient include differing

A therapeutic relationship between the family and the nurse is an important aspect of nursing. It allows nurses to assess the family within the eyes of health, including the biological, psychological, spiritual, sociological, and culture factors of individual members within the family. The 15-minute interview is an essential tool used within family-centered care as it provides the nurse with a realistic and relevant ideal opportunity to facilitate learning in a real world context of the family by establishing therapeutic relationships between the nurse and the family involved. As Mariana proves, “The 15-minute family interview is a condensed form of the Calgary Family Assessment and Intervention Models (CFAM and CFIM) that aims to contribute to the establishment of a therapeutic relationship between nurses and family and to implement interventions to promote health and suffering relief, even during brief interactions,” (Mariana et al, 2017). The Calgary Family Assessment Model, also known as CFAM, helps nurses organize data, and is used as a template to guide the family assessment within the clinical environment. The CFAM model consists of three major categories, which include: structural, developmental and functional assessments. Throughout this paper, I will discuss the many ways in which I used these three categories to guide the interview with my client. I will also develop nursing diagnoses and interventions in which have to do with the three domains: cognitive,

Oftentimes, as patients it is easier to analyze the healthcare setting from a critical perspective rather than a hopeful perspective. Oftentimes, as patients our encounters in healthcare settings are high stress to begin with (e.g. diagnosis, disease, caretaking). To my surprise, Nicole informed of several communication projects that she underwent and continues to participate in at Stanford Children’s Hospital. Nicole informed me that she did undergo a mandatory general seminar on the basics of professionalism and therapeutic relationships with families upon being hired. Since then, Nicole has been required to take more formal classes that have developed as an aim of standardizing certain interactions with families. Some examples include: standard way to answer the phone, walking with someone who is lost to their destination rather than just giving directions. Nicole stated “it has really become more customer service focused.”

Spending so much time with anyone creates a certain level of attachment, let alone between a doctor and his or her patient.This attachment or bond can expedite the curing period of a patient.

A pivotal aspect of receiving quality medical care is being able to communicate your health concerns and have confidence and trust in your doctor, which is essentially the doctor patient relationship. Yet, this

Patient provider relationships play a pivotal role in the healthcare process. This relationship helps to bridge the gap between ailments of the patient and the diagnosis and care of the provider. The need for this relationship and its propensity to create the catalyst for patients need to be fulfilled is second only to the medical knowledge of the provider and the patient 's willingness to get better. As we have moved from a biomedical perspective to a biopsychosocial perspective the relationship between provider and patient has changed from physician centered modes of communication to more of a patient centered style of communication. And with the change of view we find that a strong and cohesive bond between patient and provider is the key to the advancement and overall quality of care for the patient. According to The Impact of Patient-Centered Care on Outcomes a patient centered approach to care has a correlation to a better healthcare outcome. Focusing on the patient increases compliance of the patient.

Family as context is the first approach that focuses on the patient while the family is in background. The family

Moreover, the family understands the specifics about the individual's condition and their daily routines. This can help health care professionals to decide if the person is following the proper steps in their therapy. Once this takes place, is the point that health care professionals can make adjustments to reflect changing realities. Those patients, who have their families involved, will be able to receive better care by ensuring that nothing is overlooked. This is the point that physicians will have a more complete picture surrounding their underlying levels of health. (Saleeba, 2009)