Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by
A therapist assist each client to set individualized goals, the following goals appertain to all clients. Clients are to live a drug-free lifestyle; improve their social skills build up their self-esteem, become motivated and develop personalized prevention plan (New Horizons Community Mental Health Center, 2014).
Secondly, by developing the perception of the client’s discrepancies between their current situation and their hopes for the future, the client will become more aware of their current behaviors and needs to change (Easton, Swan & Sinha 2000). The goal of the nurse is to guide the client towards an awareness of how their current behaviors differ from their desired behaviors regarding a health change (Easton, Swan & Sinha 2000).
King’s Theory of Goal Attainment was proposed in the 1960s and published in 1981. It was derived from her conceptual system which presented in 1968, and incorporates the concept of self, perception, growth, development, time, interaction, communication, role, and coping. The Theory of Goal Attainment is a practice methodology based on the nurse and patient setting goals together, and the nurse assisting the patient to meet these goals they set for their health (Caceres, 2015). These interactions between the nurse and patient are the process in which the professional relationship develops, mutual goals are set, and actions are planned to achieve these goals. It is an interaction-transaction process and is based on the nursing
Treatment Plan / Goals Upon establishing a therapeutic alliance and building rapport, Adam was insightful in identifying treatment goals for therapy. Stressing the recovery model, Adam and I, were determine to set reachable goals that were attainable during short-term therapy consisting of 12, one hour, weekly sessions.
"The purpose of Goal setting is to operationally define the specific desired outcomes and describe the factors involved in achieving the outcome" (Julia Bowman and Lise. L. Mogensen, 2010, p.100). Goals can be split up into two different types. A Short term goal "is the pathway leading up to the long term goal" (Julia Bowman and Lise. L. Mogensen, 2010, p.100). Long term goals "have been described as the destination of therapy" (Julia Bowman and Lise. L. Mogensen, 2010, p.100). For therapists the long term goal is how far the client wants to improve; if it is being fully independent, being able to do the cleaning, the long term goal would be set to get them to that place. However, if the client is not reaching their goals, this is when grading comes to place. "Grading is the modification of an activity to support the client's performance" (Bridgett,2011, OT A-Z: G is for Grading). Grading is all about adjusting the goal to make it easier or harder for the client. If the client was about to do their goal very quickly you would change their goal to make it harder for them; thus they can work towards a new goal. The occupation performance model looks at what makes the person be able to do or not do the task. With this the therapist will write down what is preventing the client from reaching their
Family therapy for treating OCD has also been found to be effective in helping one deal with their behavior. This is because OCD often raised problems in family life which can affect their social adjustment, therefore making family therapy beneficial, the sufferer and the entire family. Family therapy actively encourages
Nurses improve and save lives every day, which makes them the front line members of the healthcare team. The professional integrity of the nursing profession must always be maintained. The American Nurses Association (ANA) is an organization that seeks to advance and protect the nursing profession. The Standards of Professional Performance set by the ANA, ensure that the highest level of nursing care is given to the public. It is important for a nursing student to uphold these professional standards while in the classroom and clinical setting, in order to provide quality nursing care later in their career.
Motivational Interviewing as a Treatment for Substance Abuse Introduction "Motivational interviewing is an evidenced-based counseling approach that health care providers can use to help patients adhere to treatment recommendations. It emphasizes using a directive, patient-centered style of interaction to promote behavioral change by helping patients explore and resolve ambivalence" (Levensky et al., 2007). Motivational interviewing is a highly individualized therapeutic approach that is client centered and encourages clients to explore the reasons for any maladaptive behavior and then make changes. However, it is also a directed form of therapy, so that the counselor takes a more active role than in some forms of client-centered therapy. However, it is not a confrontational form of therapy; rather than engaging in hostile interactions with clients, the counselor takes an empathic approach and helps the client identify areas of ambivalence and make plans to change those areas. In this way, motivational interviewing can be considered a goal-directed therapy because it is not sufficient for the clients to gain understanding; they are also meant to make changes based on what they find. Furthermore, while the counselor may take a passive role in some therapeutic approaches, the counselor is more active in motivational interviewing. The counselor's job is to encourage the client to make changes.
Collaboration (who on the interprofessional team is involved in planning care for the client(s) served): The team involved in the “planning of care” for this specific event was the event coordinator, the co-event team leader and a group of volunteers for different nursing schools and hospitals throughout the city.
In terms of her areas of focus, the client chose a goal each week for her areas of focus. With each of these goals, we reviewed how she would be accountable and where she would find support. The first area of focus that she chose was to have more stability, but latitude and flexibility in a healthcare field. Her goals related to this were going back to nursing school and saving money. Her action steps included: a second job for the summer, with the goal of
Patient is a 27-year-old Hispanic male who presents to CRU from UPC. Prior to admission to UPC, pt. was waving a machete in the streets and bystanders reported to police and pt. was pick up by police. Pt. denies DTS, but endorses DTO with no specify individual. He stated, "I
Treatment Goals Discussion of treatment goals occurred with the family and themes emerged around interactions and effective communication. The first goal: The client and family will learn how to identifying stressors and learn emotion regulation. The second goal: the family will learn effective communication skills and interactions to develop a secure
Conclusion The Goal Attainment Scale (GAS) is a qualitative quantitative assessment focusing on the client’s goals, setting a number value to each tiered outcome, which is assessed over a time period. Interestingly, the GAS is personalized yet universal. This tool has dual qualities, it was designed to show progress or regression for both the client and therapist as well as and within a program or
The relationship between therapist and client is collaborative and caring. Goals are set by the client with the help of the therapist. The therapy is very goal-orientated and specific. They then work together to assess and then change faulty beliefs that interfere with accomplishing these set goals. The basic goal is to remove biases or distortions that hinder the client from functioning effectively. Changing cognitive schemas can be done in three different ways; reinterpretation, modification, and restructuring.