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Mental health College - Essay Example

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The purpose of this assignment is to research the problem of alcoholism and to apply the knowledge gained to the case-study of Mr. JG (hereafter JG). The essay will deal with a number of aspects of the treatment of alcoholism:
A therapeutic relationship has been described as an intervention tool that is used to assist the patient in reaching treatment goals: an evolving process that occurs between the nurse and the patient, with the primary focus always being the patient and his needs (Boyd 2005, p.175)…
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Mental health College

Download file to see previous pages... For example, the gender and past life experiences of the nurse may make empathy, which is vital to develop for the therapeutic relationship to be successful, really succeed.
For example JG was physically and mentally abusive towards his wife. Many nurses may have difficulty empathizing with this aspect of JG's behavior. Empathy does not of course imply support, but rather the ability to genuinely put oneself within the situation of the patient. Thus understanding of the why and how of the abuse would be essential to helping JG work through the reasons for the abuse and help to avoid it in the future. If the nurse is not able to cross the boundary between distaste and/or condemnation of JG's behavior into empathy then he/she might not be able to help JG. As Stein (2005, p.51) puts it, self-awareness on the part of the nurse clears the way for an honest and non-judgmental nurse-patient relationship.
To be succinct, within the therapeutic relationship, self-awareness on the part of the nurse leads to self-awareness on the part of the patient. And self-awareness, especially within the substance abuse patient, is essential for improvement and eventual cure.
The initial contact is the ideal time for a sponta...
To be succinct, within the therapeutic relationship, self-awareness on the part of the nurse leads to self-awareness on the part of the patient. And self-awareness, especially within the substance abuse patient, is essential for improvement and eventual cure.
The initial contact is the ideal time for a spontaneous start to the therapeutic relationship. Ironically, many nurses miss this time, preferring to wait for a more "appropriate" moment to establish the genuine nurse-patient relationship (McAllister 2004, p. 575). Thus the initial contact should not be taken up with bureaucratic and polite procedures, but rather should be a starting point for conversation, facilitating awareness and insight into issues, allowing solutions to be identified (McAllister 2004). Thus genuine rapport between the nurse and the patient, both as professional/client and as people needs to be created. If it does not occur in this opening meeting then the chance of a genuinely productive therapeutic relationship may be lost. As McAllister suggests, the initial contact is the time where roles are defined, rapport is established and expectations are created.
Part of this initial meeting, as well as the ongoing relationship, requires effective communication between the nurse and the patient. Communication can be verbal or non-verbal, with or without empathetic linkages. Verbal communication includes the crux and implication of what is said together with how it is said. The nurse needs to be aware of the educational level of the patient and thus the expectation of comprehension within that patient. Thus as JG has a rather low education level, the nurse should expect to ...Download file to see next pagesRead More
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