Patient-Therapist Relationship Analysis

Both experience and new qualified practitioner are aware of the many models and theories in the counselling profession. Critical reflection, supervision, observation and client feedback all support and develop better Practitioner in the counselling field.

The social worker was called by Dr. Sundaram nurse to come speak with a patient. The social worker met first with Dr. Sundaram who explained that the patient is severely depressed, very tearful and has self diagnosis herself with Bipolar. The social worker met with the patient in the exam room. The patient is a 39 year old African American woman. She lives with her fiancé (wedding date: 9/12/2015) and her three sons ages 16 and (2) 15 year olds as well as her fiancé’s three children ages 9,7, and 6 years old. The patient is unemployed and although she wishes to attend school to become a nurse she is unable to do so because of her severely depressed mood and constant crying and agitation and mood swings. Throughout the interview the patient

The whole reason for a therapeutic relationship is to facilitate a successful patient outcome. Each person is unique and has different needs.

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).

The department’s intervention plan was to remove the child from the home and place her in a safer environment. My client’s response to this intervention at first was very angry and resentful towards the department. Father especially angry with the department and did not understand why he couldn’t keep his daughter since mother had the drug issue. I realized how difficult it would be to build rapport with them after removing their child. I ensured them that I was there to help; I was very empathic and showed them that I cared about their case. I worked with the parents and helped them to

A sixteen year old teenager refuses to leave home and the therapist must review the situation from a MRI therapeutic approach. First, the MRI approach would not focus on the problem or how it developed but rather what efforts have the parent made to reach a resolution. MRI stems from the premise that families use practical attempts at resolving their situation but the attempts are ill-advised. MRI’s main focus is aimed at dilemma driven solutions; there is no advantage in long term change or what capacity the problem serves within the family.

On 7/11/2015, CM did a visual and had client come to the social service office. CM completed Bi-Weekly ILP Review. In the meeting client appears to be wear out, and tired. She was constantly throbbing her forehead, like if she was having headache. CM inquires what the problem is. Client replies “she doesn’t like the shelter food and sometimes she doesn’t eat” CM advised the client to eat and nourished her body. CM also observed that client is depressed but she continues to refuse medical referral to see a psychiatrist and medical doctor. Client continues to mention her son who is in foster care, and the physical altercation she sustained many months ago here at this shelter. CM mentioned to the client she was a transferred from another shelter due to physical altercation, CM continues to relate to the client she

In this essay, I am going to give a structured reflective account on the development of a therapeutic relationship with a client on one of my clinical placements as part of my training as a student nurse. I will be using a reflective model which explores the processes involved in developing and maintaining such relationships bearing in mind theoretical knowledge and how it applies to this clinical experience. Jasper (2003) describes reflective practice as one of the ways that professionals learn from experience in order to understand and develop their practice. As a trainee health care professional, I have learnt the importance of reflection in

The patient will continue to meet with the clinical social worker once a week to help her navigate around the stressors in her life

“Contracting by its very nature is a partnership and a way to facilitate change as a process rather than dictating I know what is best for you. A core value of social work is self-determination, and the client is the primary partner. Contracts specify the goals to be accomplished and the means to accomplish them, clarify the roles of the participants, and establish the conditions under which assistance is provided” (Cummins et al., 2012, p.225-226).

During my clinical week, I used evidence-based practice to establish a therapeutic relationship with a preschooler, MB, and I used the following techniques. Introduced myself to MB by using his name, listening to his store, and offering books to read. I also let MB play with my stethoscope to auscultate his heart and lungs sound by. Thus, by using the above therapeutic approaches I built positive relationships with MB.

The therapist and client relationship is important in effective therapy. The therapeutic relationship must be built upon before any technique and theory will be effective. Communicating real empathy and showing a genuine interest in the client will begin a solid therapeutic foundation. However, the therapist must “have the ability to stay outside the system while maintaining some emotional attachment to its members” (Patterson, Williams, Edwards, Chamow, & Grauf-Grounds, 2009, p. 107). This paper reviews and critiques an interview I recorded of a couple that pertains to clutter building up around the house. The goal of this activity was to seek out information using various questioning techniques and basic interviewing skills, and

The set up was similar to my clinical routine. On entering the room, my teammates and I greeted her and asked her how she was doing. She was alert and oriented. She sounded exhausted. She was having generalized pain. I asked her if she was feeling short of breath she said “no.” She was already on 3L of oxygen through nasal cannula with an oxygen saturation of 93%. Her skin was warm to touch and her pulse bounding. She had crackles throughout her lung field. During my clinicals, I learned to link my patient’s assessment findings to her labs and orders. I also practiced using the SBAR to contact the physician. I attended an interdisciplinary round at the oncology unit where the team was planning palliative care for a patient. I noticed that the team was more directed towards pain management and therapeutic interventions. The team also made sure to include the family and the patient in the care. During the simulation, we contacted the doctor for an order of morphine.

Solidarity is generally considered as a communicative approach to improve personal relationships. Individuals may express their feelings, attitude, opinions or belief which are rather indicative of an orientation towards solidarity (Koester, 2006). The core intention of individuals expressing solidarity is mutuality. The individuals convey their solidarity in different ways, which include expressing approval, showing interest, sympathy or claiming common grounds (Koester, 2006). In health care context, solidarity approaches in conversations were used the health professionals to attain various aims. For instance, it is used as a simple way for a medical professional to find out more about the

Medical social workers collaborate with other human service workers to help severely ill patients, suffering from physical and psychological issues. Throughout the many challenges of patients, medical social workers and other professionals meet the common and severe needs of people with physical and mental illnesses. Andrews, Darnell, McBride, & Gehlert (2013) state “Social workers are familiar with the complex and overlapping systems that must be negotiated to ensure that the social, psychological and economic needs of individuals and groups are addressed in a way that underscores optimal health” (p. 67). Once the patient discuss their core issues with the medical social worker and other medical staff members at the hospital, physicians, nurses, and medical social workers can give patients ' positive feedback the concerns their health and well-being. Medical social workers interact with each other for the patient’s safety.