Case study Vara Essay

S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%

In my opinion the beginning of the counselling session is one of the most important stage of the process, the client will be very nervous and will not fully trust the process they are about to embark on, their unknown journey they will be nervous. The Client may hold back what they are feeling until they have gained the trust of the counsellor, and know they are safe and in a confidential environment.

This essay will explore the counselling relationship along with the benefits and limitations as well as discussing other factors that have an important impact in relation to the outcome of counselling. Counselling is an interpersonal relationship between the client and qualified therapist, the relationship involves communicating with the client and using skills to explore the client's feelings. The counselling/ therapeutic relationship can be used in all types of counselling such as psychodynamic, humanistic, behavioural, person centred and cognitive therapy. As mental health disorders increase so does the need to deliver effective counselling, which means that the therapeutic relationship is more crucial than ever. (Miller, Hubble, Duncan and Wampold 2010; Norcross and Lambert 2011).

The applicants are morally correct as long as their action promotes their long term interest. If their action produces or will produce for them a greater outcome of good, versus evil in the long hall than any other alternative, than that action is the right one to act on, and the individual should take that to be a moral act. An Assessment of Morality by Ethicsinbusiness.net

As a member of management Clive Jenkins is responsible for boosting employee morale to ensure that company goals are met

IgG – funtions in neutralizing, opsonation, compliment activation, antibody dependent cell-mediated cytocity, neonatal immunity, and feedback inhibition of B-cells and found in the blood.

For this part of the assignment I am using examples from a 50 minute session recorded within the learning environment. I play the role of the counsellor, and another student plays the role of the client. In order for me to answer the learning outcomes, I have watched the DVD recording.

A counselling relationship is likened to being on a journey - a beginning, middle and end (Smallwood, 2013). During the beginning phase the client develops sufficient trust in the counsellor and the relationship ‘to explore the previously feared edges of his awareness’ (Mearns and Thorne, 1988, p.126).

Feeling that the counsellor accurately understands you, what you are saying or trying to say and what you are feeling or experiencing

Scenario: John is a 4 year-old boy who was admitted for chemotherapy following diagnosis of acute lymphoblastic leukemia (ALL).  He had a white blood cell count of 250,000.  Clinical presentation included loss of appetite, easily bruised, gum bleeding, and fatigue.  Physical examination revealed marked splenomegaly, pale skin color, temperature of 102°F, and upper abdomen tenderness along with nonspecific arthralgia.

The counselling process is based on the exchange of emotions between the client and the counsellor which aims to form an alliance (Hough, 1998). It involves the counsellor using skills in which they possess in order to communicate effectively with clients (Hough, 1998). This reflective essay clearly articulates my application of counselling skills used in this practice session and suggestions for improvement. It will provide a summary of the session, identification of a range of skills used and a brief explanation of the reasons for using the skill. It will also provide an evaluation of my application of the skills chosen, including verbatim examples, suggestions for improvement, also including verbatim examples to demonstrate what could

Functional magnetic resonance imaging (fMRI) technology would be best reveal the location and extent of damage to Tim’s brain produced by his

Counselling is a process of assisting individuals go through worries and difficulties, (Geldard and Geldard 2012). Consequently, many people strive for counselling help when they cannot handle issues or sometimes when they require expert support to provide

I reassured her that what happens in our sessions will be kept confidential, with very few exceptions. I gave her a brief overview of my theoretical orientation (see below), then reassured her that I will review the counseling process in more detail in our first session, including an explanation of how confidentiality works. I told her that I would like to meet initially with Jerry and both parents, then with Jerry alone. After these sessions, I may ask to meet with other family members, in various configurations, but I will discuss this with them first. Before termination, I would again meet with both parents and Jerry together. She seemed reassured for the moment. We concluded our phone call by setting up an initial session.

I made it clear since the very first session I had with my clients that there was going to come a day when we would have to terminate. Therefore, my clients have been aware that this day was coming. Furthermore, I constantly reminded them when we meet that termination is nearing and I also ask them how they feel. I know that my clients feel proud of themselves; they feel that I have helped them significantly. However, when I asked my clients if they would like to have another counselor take over once I am gone, they quickly responded by saying no. I believe that the rapport aspect was tough for my clients, and as result they would prefer not to start the process all over again. More importantly, I have noticed that one of my clients, which