Therapeautic Interventions

Powerful Essays
Discuss the challenges of a student nurse in establishing therapeutic engagement with service users; using clinical examples and theoretical frameworks to illustrate points of discussion.

Introduction

Throughout this essay I will refer to myself as the Student nurse. The clinical

example that shall be used, will be based from experiences within a

community mental health setting for adults, where a care programme

approach was applied. It will describe the settings and the importance

of therapeutic engagement of the service user and the student- nurse.

The intention of this essay will be to describe the main features of the

therapeutic relationship in terms of the experience between the student-nurse

and the service user. The essay will present a progressive picture of

therapeutic interaction, in the varying stages of the service user’s illness.

There will be shared thoughts and feelings about working with clients with

mental health problems.

It will relate the theoretical framework to the actual hands on experience

in a community setting, drawing out the main advantages and disadvanges in

relation to practice. The student-nurse will discuss the different stages

throughout their developing relationship with the service user. They will also

share their thoughts and feelings about their experience and aspects of the

service users Illness. There will also be theoretical nursing model applied to

the care of the service user. These models include Carl Roger’s

person centred counselling(1902-1987), Hildegard Palau’s developmental

stages of the Nurse-client relationship (1909 -1999), and also Phil Barker’s

tidal model.

Hildagard Peplau (1998) defines the therapeutic relationship as the

foundation of nursing practice in addition to people who are experiencing

threats to their mental health. The therapeutic nurse-patient relationship

evolves from. She



References: Barker,P. (2003) psychiatric and mental health nursing:The craft of caring, Arnold,London. Barker,P. (1992) clinical supervision in psychiatric nursing. Butterworth,London Barker,P Barker,P . (2001) The Tidal Model: developing an empowering, person-centered approach to recovery within psychiatric and mental health nursing Journal of Psychiatric and Mental Health Nursing vol.8, pp. 233-240 . Barker, P (2007) The ten commitments, last accessed on 22/02/2006, url http://www.tidal-model.co.uk/New%2010%20Commitments.htm Department of Health (1999) National Service Framework for Mental Health. London, Stationery Office. Forchuk, C. (1991) Palau’s theory Concepts and their relations. Nursing Science vol4,No2., pp. 54-60 Forcuk, C (1992) The orientation phase, how long does it take does it take ?perspectives in psyhaitric care , vol 28 No4, pp Gordon W., Morton T. and Brooks G. (2005) The Tidal Model and the Reform of Nursing Practice, Journal of Psychiatric and Mental Health Nursing 12, 703–712 Mc Hale,L Mc Mahon, L. (1998) Intuition is not Enough. Matching Learning with Practice in therapeutic. pp. 185 – 186 Routledge. London: Mearns,D Nelson,H. (1997) cognitive behaviour therapy with shizophrenia ,a practice manual,stanly thornes publishers,London National Assocation for mental health,(1992) being informed and giving consent-a check list for users of mental health services,Mind London. O’Toole, AW.SR,Welts. (1994) HE Peplau-selected works:Interpersonel theory in nursing. Macmillian ,London Peplau, H.E Peplau, H. (1994) Psychiatric mental health nursing , mentalhealth nurse,vol 1,pp.3-7 Ritter,S Stein-Parbury, J. (1993). Patient and person: Developing interpersonal skills in nursing. Melbourne: Churchill Livingstone. Turkington,D. Kingdon,D. (1996) using a normalising rationale in the treatment of schizophrenia patients,cognitive behavioural interventions with psychotic disorders,Routledge,London. Thomas,B Hardy,S Cutting,P. (2004) Stuart and sundeen’s mental health nursing principles and practice Mosby,London United Kingdom Central Council (UKCC),(1999) code of professional conduct, UKCC,London. Weller.Wells (2003) Bailliere’s nurses dictionary. miles limited. London 3,165 Total amount of words

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