Casey Wilson As A Therapist: A Case Study

The person I interviewed is Raegan. Raegan is a patient advocate in a nursing home. Raegan received her Bachelor’s Degree in psychology at Western Michigan University. She received a Graduate Certificate in patient advocacy from the University of Toledo. Raegan has been a patient advocate for 5 years. She became a patient advocate because she likes helping patients with their direct care needs, and enjoys helping patients navigate through the complex health care system. As a patient advocate, she helps patients in numerous ways. Raegan ensures that patients see the correct doctors, coordinates care between doctors, ensures the patient has access to all available treatment options, and that the treatment plans are being followed. She also educates the family on how to

Therapeutic relationship is an essential part of nursing; it is the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses state that nurses are responsible for “establishing, sustaining and concluding professional relationship with individuals/groups.” Throughout this essay the importance of forming a therapeutic relationships will be explained. The process of building a therapeutic relationship begins from prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important

A therapeutic relationship is a key component in the nursing profession. Without therapeutic relationships, the best possible care can never be provided. The foundation in which trust is built upon is created from the nurse’s ability to truly listen and respond appropriately. Listening creates the base in developing a strong, trusting relationship. Sometimes it is simply hearing what a patient says that makes all the difference, empowering them to open up and become more comfortable with the nurse (Hawkins-Walsh, 2000).

Ability to show empathy and understanding for the patients – By working alongside residents from a variety of backgrounds I was able to see from other’s perspective and showed strong empathy for any personal or cultural concerns associated with their care. This skill will allow me to form better and stronger interpersonal relationships with patients and allied health team during training.

Theorist Hildegard Peplau set the foundational elements for newly graduated students to introduce the importance of patient/nurse relationships into their practice (Peplau 1991). Peplau’s book is mainly directed toward psychiatric patients, but improving interpersonal skills with patients from all disciplines will create a caring, informative environments for individualized care plans (D’Antionio, Beeber, Sills, & Naegle, 2014). Also,

Recently I have been able to work along side my mother while using the value of caring . I am able to use the value of caring with her when I help my mom care for my grandma. My grandma has paraphrenia, which is where she experiences paranoid delusions. While my grandma deals with her delusions each day it is still important for her to receive respect. Even though she has paraphrenia she can complete many household chores and still enjoys doing activities she liked in the past. Understanding what my grandma goes through with delusions each day can be a challenge, but I have learned how to work with her delusions. By working with her delusions and helping her get through them I am able to understand her and support her. If her delusions are positive I enjoy listening to the happy thoughts and supporting her. By helping care for my grandma with my mother I have been able to become even closer with my grandma. I would not have been able to become closer with my grandma if my mother did not instill the value of caring in me. I hope to someday carry over this skill of caring by listening and understanding a client when I am a nurse. Even though a client’s delusions, pain, or thoughts cannot be seen they can be heard. A nurse must listen carefully to what the client says because if the client does not feel like the nurse cares, they may fear sharing certain information with the nurse. If a nurse listens and shows

Angelina, you mentioned some excellent advice. I agree Jack T. will greatly benefit from a therapy treatment that will give him a chance to speak about his issues and stress or instead of reacting to, his problem. The counselor can help Jack T. in several ways: monitor his own negative feelings so that he will know how to become aware of and avoid adverse emotional triggers before it starts, help Jack to understand that his living situation does not have to produce negative outcomes. Help Jack know that a negative upbringing does not determine his future. Ultimately, the counselor should be able to help him realize that when it is all said and done he is responsible for his own thoughts and

The clinical problem I am most interested in addressing during the course of my program is the effective application of therapeutic treatments for Posttraumatic Stress Disorder (PTSD) on the military population. When you look at this issue from a military perspective, it becomes clear that our understanding and treatment of the issue is still in its infancy.

Focusing on communication skills, this assignment will reflect on how I began to build a therapeutic relationship with my chosen service user. My clinical placement area centres on adults living with physical disabilities, with the establishment providing both residential and nursing care. Due to the type of facility, the individuals prefer to be referred to as residents as opposed to patients or service users, so I will use this term from here on in when referring to individuals living within my practice area. Confidentiality is crucially important as highlighted by the Nursing and Midwifery Code of Conduct which states “as a nurse, you owe a duty of confidentiality to all those who are receiving care” (NMC 2015, page 6, point 5). This safeguards

Therapeutic use of self involves using one’s personality, body language, active listening that is used to create and maintain a therapeutic relationship with others (Lowe et al., 2007). Establishing trust is also an important aspect of therapeutic use of self, to address the needs and goals of the client, which helps our scope of practice to remain client-centered. Using therapeutic use of self is beneficial for occupational therapists (OT), as it facilitates interaction with the client. It also encourages and allows the therapist to obtain necessary information, and to alleviate fear or anxiety that may take place during treatment session. During Level I Fieldwork at a SNF, I was able to apply these principles during a treatment session for a client diagnosed with dementia that was agitated and non-compliant with the activity. To divert her attention to the activity, and to get her to understand that I was

In The Gift of Therapy by Irvin D. Yalom, the therapeutic relationship between patient and professional, is laid out in vast detailed in order to highlight the role of this practice and what it entails. Yalom holds credentials at _____, through his years of experience in the therapeutic field this book illustrates, to a fresh mind, a world of new opportunities. These opportunities are laid out through detailed descriptions of in office experiences as well as helpful tools for a variety of obstacles that may arise in a therapeutic relationship. Therefore, through The Gift of Therapy, Yalom introduces the therapeutic field in a realistic light in order to emphasize the hardships and successes of this profession.

During Dontae’s initial week at MTR I observed Dontae’s interactions with others and assessed his coping skills. I introjected myself into what he was doing to ensure that he adjusted well to MTR staff and residents. I began to formulate some thoughts as to what was happening for Dontae but tried to keep an open mind about him as a person. Moreover during the course of my work with Dontae I began by making sure that I aligned myself with Dontae and made sure that he understood that I was here to help him rather than hurt him. I made sure that Dontae felt like I cared about him and that he understood that his all-around wellbeing is a priority for me. My purpose for aligning myself with Dontae and creating a working

Observing a patient’s facial expression and body posture allows a person to see what they are saying nonverbally. This can give an indication of how the topic of the conversation is perceived and how comfortable the person is. By observing how the patient interacts with the Reverend, I am able to see how comfortable they are with his presence and the conversation. He wears a clerical collar which immediately alerts the patient of his reason for being there. Even if you enter a patient’s room with a specific objective, such as finding out their spiritual needs, it is important to pay attention to the direction that the patient leads the conversation. If the patient emphasizes how important their family is to them during the conversation then this can lead to us discussing the support they are receiving through their illness and what we can do to add to that support. These skills can be easily translated into my future professional endeavors. I plan on becoming a physician and these skills will strengthen my bedside manner and help me ensure that holistic care is being provided. When I interact with patients, these skills will help me identify needs that the patient may not be communicating verbally. If I notice that they have not had many visitors, I can talk with them about the support they are receiving through their illness and find out if there is anyone they would like for

–“you know that you are doing the right things when you see your patients smiling, and trying harder to get well soon” because she said that it’s hard to treat people that are depressed because they can’t move, or they can be normal as they were before they need therapy, so the PT’s needs to give the courage to they patients to keep doing the therapy, to move forward, to get well soon. She said that you need to give moral, physical and mental support to your patients.

Throughout my current involvement at the nursing home, I have already realized the numerous amounts of therapeutic communication I have shared with a patient. Whether assisting someone to eat their breakfast, walking them to their bedroom or just engaging in a conversation, I have established a professional rapport between them and myself. It is crucial for a nurse to build rapport with a patient. When a patient begins to open up and is willing to share their concerns, nurses must be able to provide the correct care to comfort their needs (Jasmine, 37). By making the patient feel as though they can trust us,