Communication Strategies for Therapeutic Relationships

Communication Strategies for Therapeutic Relationships This reflective essay aims to refresh critique and develop existing knowledge and understanding of communication techniques and how these transferable skills and approaches can build therapeutic relationships with a patient that lies within the scope of professional boundaries. This essay identifies in a role play video clip the different approaches to building therapeutic relationships and traces the barriers that prevent the nurses from engaging in such a relationship. In addition to the above, it offers an analysis of both vignettes critically reflecting on their therapeutic skills and approaches. It will draw in on my own personal experience from clinical practice and the skills developed with the assistance of Bortons reflective model. It is indispensable that nurses caring for children, adolescents, adults and their families develop and maintain effective communication techniques as it makes it central to the provision of compassionate, trusting and collaborative therapeutic relationships. Reflecting and critiquing can be viewed as an in-depth examination reviewing an experience so each stage can be described, explored, assessed and be accordingly used to inform and change future practice. Evaluating the main communication skills and approaches to building therapeutic relationships identified in the video, it is clear to distinguish between who is a good nurse and who is not. The nurses in the video should serve as client advocates and as part of an interdisciplinary team whose members may have different ideas about priorities of care. The techniques used by the first nurse were poor and her approach created a stressful relationship between nurse and patient. In the beginning, the nurse doesnt offer any form of re cognition which is easy to criticize as acknowledging the patient and indicating awareness of change would have shown that the nurse saw Mrs. Miller as an individual. Giving information such as Hello, My name is can build trust which is key in later on forming a therapeutic relationship and building a better rapport. Mrs. Miller was really uncomfortable as she was left unattended too all night. The nurse exhibited non- accepting gestures such as rolling her eyes and not maintaining eye contact. Non-accepting gestures can create barriers between nurse and patient as it can imply to them that the nurse does not have a genuine interest in their requests and make them feel like the nurse is rejecting not only their communication but also themselves. If she had expressed an accepting gesture towards Mrs. Miller it would have conveyed that the nurse recognised and empathised with her whilst simultaneously following the train of thought. Examples of this include head nodding, eye contact, and non-judgemental facial expressions. A critical component in therapeutic nursing is active listening. The nurse does not fulfill this useful technique as she and the patient seem to continuously talk over each other. When actively listening, a nurse can hear and understand what the patient is saying, which more impo rtantly allows for the proper interpretation and translation of what the patients expressing. Silence can enable this as it allows for the patient to focus on the issues that are of most importance and it encourages the person to put thoughts and feeling into words only if the nurse is listening passively and attentively. A client and nurse relationship can be characterised as a partnership where both work together to improve the patient health status and fulfil purposeful objectives where they agree about the nature of the problem, develop and implement a plan designed to reach the objectives which in this case is a comfort and pain relief. Reflecting on the dos and donts in the video, the nurse shouldnt have procrastinated the patients reasonable request. As a nurse, she didnt offer herself to help or seem interested in what the person thought. A positive outcome in developing their relationship could have occurred if she had offered her full attention, interest, and desire to understand, without demanding anything from Mrs. Miller, leaving the offer unconditional. When Mrs. Miller expressed I didnt sleep all night and I kept buzzing the buzzer and the nurse would not come in, the nurse didnt refrain from showing a negative response as she immediately crossed her arms and said, Well youre not the on ly patient I have today. This is a very defensive and judgemental gesture. Research shows that being defensive prevents the patient from expressing their true concerns and it is a failure in considering the patients feelings whilst also making them feel as if they need to defend a position, all while the nurse is just protecting herself from weakness. A therapeutic connection between the nurse and Mrs. Miller in the first vignette did not form as the development of their relationship for the nurse proved a challenge and it seemed she does not have the skills to cope with difficult reactions from her patients. Each experience linking nurse and patient whether short or extended is an opportunity for healing. Evaluating the second episode for different therapeutic techniques and communication barriers, it was straightforward to highlight the experiences and interactions that enhanced the development of this nurse and Mrs. Millers relationship. In the beginning of the vignette, the nurse acknowledged the patient by giving recognition i.e. Mrs. Miller, you were resting. I didnt want to disturb you. You can see that respect for this nurse is crucial to the care and quality of a patients experience, where each component of the person is recognised and valued. Almost immediately the nurse sits down offering herself and giving her presence, interest, and desire to understand. The nurse actively listens to Mrs. Miller and indicates an accepting response without inserting her own values or judgements. Listening is a difficult skill as it requires you to eliminate any external noise and focus your at tention on all the verbal and non-verbal messages. Mrs. Miller states how she has a biopsy procedure to get done and the nurse effectively plays the role of a functioning resource person by making the information available to her which increased her knowledge of the biopsy procedure and prepared her for what to expect, i.e. They will put you to sleep with anaesthesia. This seemed to enhance the wholeness and wellbeing of Mrs. Miller and facilitate in building trust between nurse and patient. Feeling as if she has someone to confide in, Mrs. Miller described an experience she had with a nurse on the night shift as rude and awful and when she would come in, she would just stick her head in and leave. The nurse passively listens, a skill which involves being present non-verbally, maintaining eye contact whilst head nodding and then she actively listens by reflecting and directing questions back to Mrs. Miller by restating what she had said so you felt like you werent cared for?. This a pproach conveys to Mrs. Miller that the nurse has listened and understood what the clients basic message was whilst also allowing for her to get a clearer idea of what she has said. After Mrs. Miller revealed her ordeal in the hospital during the night, the nurse showed compassion towards her by placing her hand on hers and expressed her sincerest apologies, I am so sorry that happened to you. A critical component of therapeutic nursing and communication is the act of touch. The laying on of hands and touch can demonstrate care and empathy but it is also central to the idea of healing. The nurses use of various therapeutic and communication approaches to help Mrs. Miller express her ideas and feelings in a way that demonstrates respect and acceptance enabled the development of a therapeutic relationship between nurse and patient, which was solely influenced in a positive way by their interactions. It is easy to say that from the video even brief encounters like this one can be therapeutic. Patients can act out when stressed about upcoming procedures or if they are in pain but it requires a mature and patient nurse to transfer their skills and knowledge with the therapeutic use of ones self to respond in healing ways in less than ideal situations. My clinical nursing practice experience in Parklands care home provided me with the opportunity to work with real patients, experience a nursing home environment which I may now pursue once I have earned my degree and it offered me the chance to learn how to work with fellow nurses and other members of the healthcare team, but most importantly it presented me with numerous moments to deliver individualised and holistic care by the use of therapeutic touch. Below there will be subheadings based on Bortons 1970s Reflective framework, where I have critically reviewed on how I developed the use of therapeutic touch in my placement. What? : What I have learned is that there is a required need for other alternatives to pharmacological therapy among older adults with dementia due to their harmful side effects. The therapeutic use of touch offers a non-pharmacological treatment which can decrease behavioural symptoms such as restlessness. What surprised me was how the use of touch can provide a healing effect and make the residents feel my caring nature and what I hoped for at Parklands was for the residents to believe that I took into consideration all of their needs. So what? : So, the important message I have gained an understanding in during my experience is that touch is a nursing intervention and so, what I have learned is that residents were more responsive to a good listener, touch and a reassuring word as it communicated to them that I cared, especially as the therapeutic use of touch affectionately transmits warmth. So, what I need to know more about is that with touch there has to be acceptability and that may vary from person to person as I have to take into consideration their culture and background. Experience in completing more clinical practices will develop my self-awareness. Before I used to believe touch was an invasion of privacy and could be interpreted wrongly as sexual to the resident. So, the ideas of what I had previously thought about touch have changed as it can facilitate comfort and healing. Now what? : Now what I can do with my new perception is connect with my patients by offering myself with a simple application of touch which portrays a genuine interest. Experience will be beneficial as I will be enhancing my self-awareness and knowledge base around the use of therapeutic touch and this will give me confidence when interacting with members of a multidisciplinary team and patients themselves. Reviewing both vignettes showed how each experience we have with our patients can be healing and helpful but also harmful and unfeeling. Mastering the skills required for developing a therapeutic relationship is a lifelong process assisted by reflection which can be viewed as an impersonal scrutiny and valued judgement of your work or anothers using an objective approach which is to highlight you or your colleagues strengths and weaknesses. When engaging a therapeutic relationship and effectively using the different approaches and techniques such as touch, active listening, and recognition you can help your patient achieve harmony, peace of mind, body, and spirit.

Company structure Essay

1. Explain the reasons why the organisational structure in any business is important 2. Some people prefer to work for a large company. Others prefer to work for a small company. Which would you prefer? Use specific reasons and details to support your choice. Management and culture diversity 3. Differences between countries become less evident each year. Nowadays, all over the world people share the same fashions, advertising, brands, eating habits and TV channels. Do the advantages outweigh the disadvantages of this? In some countries, young people are encouraged to work or travel for a year between finishing high school and starting university studies. Discuss the advantages and disadvantages for young people who decide to do this. 4. As mass communication and transport continue to grow, societies are becoming more and more alike leading to a phenomenon known as globalization. Some people fear that globalization will inevitably lead to the total loss of cultural identity. To what extent do you agree or disagree with this statement? When international media (including movies, fashion shows, advertisements and other TV programmes) convey the same messages to the global audience, people argue that the expansion of international media has negative impacts on cultural diversity. What is your opinion? 5. Some people think using cultural heritage to develop international tourism is wrong. Others think that is the only way to protect cultural heritage. Discuss both views and give your own opinion. Marketing 6. Today, the high sales of popular consumer goods reflect the power of advertising and not the real needs of the society in which they are sold. To what extent do you agree or disagree? 7. Advertising is all around us; it is an unavoidable part of everyone’s life. Some people say that advertising is a positive part of our lives while others say it is a negative one. What is your opinion? Give reasons for your answer and include any relevant examples from your own knowledge or experience. 8. Do you think that ‘word of mouth’ is the best method of advertising? 9. What makes an effective advertisement? 10. In what ways can producers or retailers try to persuade customers to try new products? Pricing 11. In your opinion, are prices the only factor that makes people buy products? Give explanation. 12. Increasing the price of petrol is the best way to solve growing traffic and pollution problems. To what extend do you agree or disagree? What other measures do you think might be effective? The costs of medical health care are increasing all the time. Governments are finding it difficult to balance the health care budget. Should citizens be totally responsible for their own health costs and take out private health insurance, or is it better to have a comprehensive health care system which provides free health services for all? Discuss. 13. It is said that â€Å"you have what you pay for†. Do you agree/ disagree with this statement? 14. Offering high prices is always good. Do you agree or disagree? 15. Offering ‘off sales’ is always good. Do you agree or disagree? 16. More and more people are becoming overweight. Some people say that increasing the price of unhealthy or high-fat foods will solve this problem. To what extent do you agree or disagree? Arbitration The only way to solve a serious crisis between two nations is by going to war. What is your opinion? 17. Discuss the advantages and disadvantages of arbitration 18. The advantages of arbitration outweigh disadvantages. Do you agree? Discuss International Trade 19. Some people pay money for the things they want or need. Other people trade products or goods for what they need. Compare the advantages of these two ways of obtaining things. Which way do you prefer? Explain why Improvements in health, education and trade are essential for the development of poorer nations. However, the governments of richer nations should take more responsibility for helping the poorer nations in such areas. â€Å"Free trade cannot be said to be beneficial to all sections of a trading nation. As such, it is necessary for it to be accompanied by an income redistribution policy.† Discuss 20. â€Å"While a country as a whole will gain from trading with other nations, this does not mean that all sections of the community within the country will benefit.† Discuss. 21. â€Å"Free trade is good for some but bad for others† Discuss this statement 22. â€Å"Everyone benefits from free trade!† Discuss â€Å"While protectionism is bad, the World Trade Organisation preference for the use of tariffs over quotas as a protectionist device is extremely sensible.† Discuss. What are the key principles underlying the operation of the WTO? To what extent do these principles make economic sense? 23. What are the advantages and disadvantages of international trade? 24. What are the advantages of international trade to businesses? 25. Globalization makes rich countries richer and poor countries poorer. Do you agree? Banking 26. For hundreds of years, the monetary system of most countries has been based on the exchange of metal coins and printed pieces of paper. However, because of recent developments in technology, the international community should consider replacing the entire system of coins and paper with a system of electronic accounts of credits and debits.’ Discuss the extent to which you agree/ disagree with the expression above. Support your point of view with reasons/ examples from your own experience, observations or reading. 27. Many people are using credit cards or loans to run up personal debts that they may be unable to repay. It should therefore be made difficult for individuals to borrow large amount of money. What is your opinion on this? 28. What are the advantages and disadvantages of using credit cards? Many people who work in the banking and finance industries earn very much more than nurses, teachers and other people who work for their local communities. Some people think this is unfair. To what extent do you agree or disagree? Give reasons for your answers and include any relevant examples from your knowledge or experience. 29. How do banks facilitate the workings of modern life? 30. What are roles of banks in international trade? Financing international trade 31. Documentary credit is often used to finance international trade. Why is it chosen so widely? Are there any risks or disadvantages for the exporter and the importer when they decide to use documentary credit? 32. Someday paper money and coins will be replaced by credit cards and online methods of monetary exchange. Do you agree or disagree? 33. Discuss the advantages and disadvantages associated with using credit card. 34. Why is letter of credit the commonest method of payment in international trade? 35. What are the advantages and disadvantages of letter of credit? 36. What are the advantages and disadvantages of open account method of payment? Financial Statements Financial education should be a mandatory component of the school program. To what extent do you agree or disagree with this statement? 36. Write an essay on the importance of financial statements of a company. Suggested points: + How many types of financial statements are there? + What purpose are they used for? + What are the features of each type? M&A 37. Discuss the Advantages and Disadvantages of Company Mergers and Acquisitions. 38. What are the reasons for the failure of many Mergers and Acquisitions? 39. Why are there high rates of failure of Mergers and Acquisitons? Exchange rates â€Å"Forecasting exchange rates is essentially a waste of effort.† Discuss Topics for essay writing 1. What are the advantages and disadvantages of international trade? 2. What are the advantages of international trade to businesses? 3. Globalization makes rich countries richer and poor countries poorer. Do you agree? 4. Why is letter of credit the commonest method of payment in international trade? 5. What are the advantages and disadvantages of letter of credit? 6. What are the advantages and disadvantages of open account method of payment? 7. How do banks facilitate the workings of modern life? 8. What are roles of banks in international trade? 2. What makes an effective advertisement? 3. In what ways can producers or retailers try to persuade customers to try new products? 4. Explain the method of Mark-up price or the Cost-plus pricing 11. Explain what the Product mix pricing strategy is and give an example to illustrate your point.

My Home, My City Essay

My hometown, â€Å"The Windy City† as some may call it, is the third largest city in the United States. Where I call home some of the world’s biggest names do to, from Barack Obama, to organized crime boss Al Capone, down to one of the NBA’s best, Derrick Rose. The United Center is the home of the 2013 Stanley Cup Champions, the Blackhawks. For the sports fans of my city, we know that the last time the Blackhawks won the championship, the Bears went to Super Bowl XLI. The United Center is also home to the Bulls. Every year, every season, my city holds a host of specials events for the city, and sometimes people come from every part of the world just for that special event. In the middle of August, there is a free Air and Water Show held on the lakefront of North Avenue Beach. This is a time, when different types of planes from the Army, National Guard, and sometimes even Wars fly around the city and show off their tricks. 201 East Randolph Street, is the corner w here Millennium Park sits just off Michigan Ave. Millennium Park is filled with architecture, landscape design, and art that allows you to actually touch and feel the piece of work. During the year, held in this park, are cultural programs, concerts, tours, and family activities. It is the â€Å"Town Square† of my city, and a place where tourist come to see for themselves! Throughout the summer for a week, the downtown streets are blocked off for â€Å"The Taste†. â€Å"The Taste† is an outdoor festival with the diversity of the city’s dining community. The variety of food served is also enjoyed by music and exciting activities for the whole family. Our forms of public transportation, pertain to the CTA known as the â€Å"L†. The â€Å"L† is a train system that runs from the south, north, east, and west side of my city, and if you want to go a further distance, you would take the Metra. My city is an overall great city, but it’s not the safest.

Malcolm X And The Black Panthers - 1352 Words

Malcolm X and the Black Panthers both the profoundly affected the goals of the civil right movement. Malcolm X was born on May 19th, 1925 in Omaha Nebraska. Earl Little, (Malcolm’s father) was an outspoken Baptist minister and an avid supporter of the Black Nationalist leader Marcus Garvey. Malcom graduated at the top of his class however when a teacher told him that his dream of becoming a lawyer was â€Å"no realistic goal for a nigger† (Genius, 2016), these words greatly impacted him and caused him to leave school. Malcom’s journey that caused him to affect the civil right movement were motivated by his unprivileged past, as he had been involved in various crimes and directed by misleading guidance, none the less moulding him into an influential figure. Similarly, in October 1966, in Oakland California, Huey Newton and Bobby Seale founded the Black Panther Party for Self-Defense. The Panthers practiced militant self-defense of minority communities against the U.S government, and fought to establish revolutionary socialism through mass organizing and community based programs. The party was on the first organizations un U.S history to militantly struggle for ethnic minority and work class emancipation. Both of Malcolm X and the Black Panthers had goals to change the way African-Americans were treated throughout America. Malcolm X was a black political speaker, activist and Muslim minister. He had a dark past, which affected and helped him in changing the way many AfricanShow MoreRelatedMartin Luther King, Rosa Parks, Malcolm X, The Black Panthers Essay1327 Words   |  6 PagesMartin Luther King , Rosa Parks, Malcolm X, The Black Panthers All These Names Sound Familiar Because They Were Very Powerful People And Will Never Be Forgotten. In The History Of The United States There Have Been Many Social Changes That Have Happened. The Civil Rights Movement Of The 1960 s Was A Standout Amongst The Most Critical And Imperative For The Balance Surprisingly. After The Nullification of Servitude In 1863, There Had Been A Ceaseless Clash Between The Races Of Individuals WhoRead MoreFighting is not always the right way to go, and you should pick and choose your battles because,600 Words   |  3 Pagesyou, but Malcolm X proved that sometimes it is ok fighting for what you believe is right. He fought for what he believed in, and that was full freedom and equal rights for African Americans. Malcolm X went from humiliation to admiration for fighting for what he believed was right to him. Malcolm X sacrificed his life for the most worthy cause of the 20th Century because he fought for equal rights African Americans, he was a big part of the Civil Rights Movement, and he was Black Panther leader. MalcolmRead MoreDr. Martin Luther King Jr. and the Civil Rights Movement Essay1269 Words   |  6 PagesCivil rights movement had many influential leaders and events. The overall importance of the movement was the profound impact it had on American life. The Civil Rights Movement had many important leaders, like Martin Luther King Jr., The Black Panthers, and Malcolm X, whose actions largely influenced the movement. Of the leaders involved in the Civil Rights Movement, one man stands alone; Dr. Martin Luther King Jr. Martin Luther King is known best for his contributions to the civil rights movement,Read MoreAnalysis Of The Book Police Brutality By Jill Nelson1358 Words   |  6 Pagesof the Panther Party preaches to the minority communities that, â€Å"Black power is giving power to people who have not had power to determine their own destiny† which is movement that formed for self defense against the U.S government. The Black Power Movement established itself in the 1950’s branching off of the nonviolent groups established during the Civil Rights Movement. Two major Black Power groups in history were Malcolm X and Black Panther Party that focused on justice for the black communitiesRead MoreMartin Luther King Jr And The Civil Rights Movement1134 Words   |  5 Pages Panther Power When we think of the Civil Rights Movement, we often think of the most prominent leaders like Martin Luther King Jr, Rosa Parks, and Malcolm X who’ve surely paved the way for the beginning of the movement. However many times we overlook the ones who aren’t talked about in the classrooms during Black History Month, or when we’re discussing the Civil Rights Movement. In response, I dedicate my paper on an African-American Organization to those who promoted the freedom and rights of BlackRead More Some Lead, Some Follow, Others Change the World1114 Words   |  5 Pagesover a black one. Also, an African American facility was certainly not comparable to the superior quality of White’s. Soon, organizations began to form in attempts to stop this unjust treatment. One man in particular stands out the most throughout this movement of change: Dr. Martin Luther King Jr. Martin Luther King Jr.’s form of protesting was the more effective than activist Malcolm X and was the reason for the majority of success during the Civil Rights movement. This is because Malcolm X’s causeRead MoreThe Black Panthers By Huey Newton And Bobby Seale1007 Words   |  5 PagesRodney Stevenson English III Mrs. Briscoe 11 April 2017 Title The Black Panthers is a group or a party of Aafrican Aamericans that was formed to protect blacks from the white law enforcements. The group was established in 1966 by Huey Newton and Bobby Seale. The two leading revolutionary men created the national organization as a way to collectively combat white oppression. Dr Huey Percy Newton Born ( February 17 1942- August 22, 1989), Newton was born in Monroe, Louisiana. He was the youngest ofRead MoreBlack Panthers. The Black Panther Is A Group Or A Party1007 Words   |  5 PagesBlack Panthers The Black Panther is a group or a party of African Americans that was formed to protect blacks from the white law enforcement. Established in 1966 by Huey Newton and Bobby Seale. The two leading revolutionary men created the national organization as a way to collectively combat white oppression. Dr Huey Percy Newton (February 17 1942-August 22, 1989) was born in Monroe, Louisiana. He was the youngest of seven children of Armelia Johnson and Walter Newton, a sharecropper and BaptistRead MoreThe Black Power Movement And The Civil Rights Movement1468 Words   |  6 PagesThe Black Power movement began towards to the of the Civil Rights Era. The Black Power Movement began in the 1950s and 1960s, many African Americans grew tired of the ineffective, peaceful protests so they turned to violence. Although it was not a formal movement and it contributed to a big turning point in history. The goal of the Black Power movement was to gain equal rights with whites. Even though it was violent ma ny people thought it was necessary to the equal rights African Americans deservedRead MoreImpact Of Nonviolence On The Civil Rights Movement912 Words   |  4 Pagessuch as the Black Panthers, an organization that’s purpose was to patrol African Americans and protect their people from police brutality, preached violence (â€Å"The Black Panthers Party for Self-Defense†). The practices of the late Malcolm X, a black muslim who was a leader of his movement believed that if blacks didn’t receive their right to equality, they should just take it, even if it meant with violence. â€Å"The Panthers took the revolutionary philosophy and militant stand of Malcolm X, they were