This essay will discuss about the signs and symptoms of psychosis illustrated in the given medical scenario with the client who is manifesting the symptoms of psychosis during the interview in the acute clinical health setting, which emphasize the importance of building a therapeutic relationship between the nurse and the mental health patient and relevant treatment plans for the psychiatric disorders. 1. Discuss the key interpersonal skills you will use to engage with Andrew. (400 words) In interacting with a patient who is mentally-ill, the nurse must establish a therapeutic partnership by utilising interpersonal skills in building a rapport with Andrew. The therapeutic nurse-patient relationship only can be achieved when the …show more content…
Lastly, ‘therapeutic silence’ would allow the patient to consider their thoughts and give them a time to rearrange their thinking. The nurse would utilise the silence to assist the patient in processing on changes in their health and to reduce the patient’s emotional lability by responding therapeutically (Kemerer, 2016). In addition, the nurse encourages keeping simple, succinct, assertive verbal communication and the voice tone need to be empathetic yet clear and simple with careful consideration on reflection of the patient’s emotional status to promote comfort. By paying genuine attention to patients’ circumstances, moreover, showing empathy and respect would aid to establish a positive relationship between nurses and the client based on trust (Bridges et al., 2013). To become an effective nurse it is essential to have abilities to empathise with the patients and is closely linked with the intentional approaches which targeted at alleviating the patient’s predicament. Empathy plays a critical role in interacting with mentally-ill patient as nurses endeavour to understand the patient’s affliction and facilitate the opportunity for further analysis for establishing reasonable and prudent nursing practice (Evans et al., 2016). 2. The doctor stated that Andrew has symptoms of a psychosis. Using correct clinical terms and the clinical cues in the scenario, discuss three important signs and symptoms that support the doctor’s opinion. (400 words) Psychosis
In this paper one will give a description of the data established upon a case study. One will outline the major symptoms of the disorder discussed in the case. The disorder discussed in this case is Paranoid Schizophrenia. One will give a description of the client background. One will also describe any factors in the client background that may predispose him or her to the disorder. One will describe symptoms that he or she may have observed that supports the diagnosis of the individual. One will describe the inconsistency of the disorder found in the case and explain any information observed about the
Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.
The framework for creating a therapeutic relationship is built on the nurse’s ability to show empathy towards the client. Empathy is being able to put oneself in the patient’s shoes, to feel the same things they feel
In nursing practice, communication is essential, and good communication skills are paramount in the development of a therapeutic nurse/patient relationship. This aim of this essay is to discuss the importance of communication in nursing, demonstrating how effective communication facilitates a therapeutic
This assignment is much like a Case Study and is intended to be a comprehensive learning experience that synthesizes essential psychiatric and medical/surgical nursing theory. Your finished product will demonstrate mastery of principles needed for nurses working with mentally impaired patients.
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,
Therapeutic communication is the basis to maintain a proper nurse patient relationship. Furthermore, understanding that therapeutic communication which is so vital, patient’s literacy level is also crucial in the communication process. Boykins D., 2014 states that “individuals that experience health literacy problems receive less preventative care and have poor understanding of health problems and care”. A nurse assesses each patients’ literacy level upon their first interaction, she also uses therapeutic communication to build a strong nurse patient relationship. Therapeutic communication can be verbal and nonverbal, both equally important to help build a bridge for communication. An example of nonverbal therapeutic communication would be silence; in some cultures, silence is a norm and a way of thinking. With a precise assessment and proper
The building of a positive relationship is described as showing warmth, respect and empathy however to provide effective communication between nurse and patient the nurse needs to be aware of and identify the patient’s physical, social and psychological barriers. A nurse can use these tools to build trust, mutual respect and confidence with the patient as these are needed for
Therapeutic communication aims to accentuate understanding of the client’s situations to health professionals, to achieve a greater outcome of health. It focuses on the clients need not the nurses. Pontes (2008) notes that health professionals verbally communicate with clarity and brevity
A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.
Effective communication in the healthcare setting improves recovery rates and reduces pain and complication rates. (Wilkinson et al, 2003). Many complaints to the NHS are attributed to poor communication. Effective communication is reliant on the nurse working in partnership with the patient. It is essential that the nurse establishes a rapport and most of this will be achieved through the use of facial expressions. In my practice, it is important that develop a therapeutic relationship with the patients so that they can be able to put their trust in me. The therapeutic relationship is solely to meet the needs of the patient. In this relationship, there is a rapport established from a sense of mutual understanding and trust. To build a good nurse-patient relationship, I would have to show qualities of empathy, caring, sincerity and trustworthiness. During practice, if I am approaching a patient and the patient looks anxious, I should approach with empathy.
This report aims to discuss the communication observed between the Nurse and Patient portrayed in the video. There are two scenarios in which the Nurse addresses the patient’s concerns. The patient’s response is influenced by the Nurse’s approach. In a health care setting, a personal, empathic yet professional approach is most effective in communication from Nurse to Patient. Furthermore this report assesses the therapeutic techniques used by the Nurse to effectively interact with the patient.
The therapeutic nurse-patient relationship is known as a close and consistent connection approaching during patients’
Going through the theories and the practicalities involved in nursing care interventions without having a good knowledge of using therapeutic communication with patients will amount to nothing. According to Ellis, Gates and Kenworthy (2003, p.214) says that good communication is vital to effective nursing and it is a good skill for a mental health nursing to be able to build up a therapeutic rapport with patients. In my fifth face to face communication with Mr K, he opened to us why he refused to be prick in his fingers for blood sugar and also about his diagnosis. He said that his older brother was labelled as having schizophrenia and blood was taken from him monthly by the doctors and he still remains in the mental health institution till date. Throughout our conversation, I listened attentively. I
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,