NURS1000 Foundations Of Nursing Practice

1.Establishing a person centred, therapeutic relationship is essential in the provision of nursing care. Identify the purpose and benefits of the therapeutic relationship for both the nurse and the patient.

2.Taking into account Jason’s situation, what would you identify as potential barriers to communication with Jason in this setting?

4.a) Define and explain what is meant by the term ‘empathy’.

b.Describe how you would respond to Jason in an empathetic manner. Include in your answer a description of your non-verbal actions AND a verbal response. When discussing the verbal response include a suggested verbal response as a quote, in quotation marks.

5.Eleven functional health patterns are considered as part of Gordon’s functional health assessment (1982).

a.Outline the purpose of this model of data collection

1.Indeed, establishing a person-centered, therapeutic relationship is vital. A therapeutic interpersonal relationship is perceived by the patient to embrace caring and supportive non-judgmental conduct, entrenched in a safe atmosphere during a stressful time ( Lusk and Fater, 2013) At this stressful moment, Jason needs the type of relationship that presents genuine interest, friendliness, empathy, warmth and wishes to enable care and support.

The therapeutic interpersonal relationship between Jason and health care professional will improve his satisfaction, quality of life, adherence to treatment, depression, and levels of anxiety. Ideally, Jason needs to be taught how to handle all kinds of stress to facilitate better life in future and avoid accidents (Zegwaard et al., 2017). Besides, should understand the biographies involving their patients as well as their relatives. In this case, the nurse should pay attention towards the life stories of Jason and his experiences to enable fruitful nursing care. The nurse in charge of Jason should get to understand him and his ambitions for the future. It could be challenging hence requires the skill of listening and constructive talk.

2.Considering that Jason lives with his family, potential barriers towards communication would be experienced. This is because Jason has no control over who around him hence lack privacy. The communication might also not be successful because Jason could be having anxiety and fear to be judged. He is also weak emotionally despite the support from parents and the health professionals. The relationship between him and Ashley has had a big impact towards his health and gives him more fears in life (Tilsen and McNamee, 2015). As a result, he may not be in a position to explain his feelings because he fears to be judged by the nurse or his family. Other potential barriers to communication, in this case, could be lack of skills and strategies from the health professional thus coping with reactions, emotions and questions would be difficult. Therefore, the professional should understand Jason could be going through mental crisis leading to unusual behavior. He or she needs to carefully understand the situation of Jason and the cause that may have led to disorientation, lack of touch with reality, functional disability and extremely distraught (Tilsen and McNamee, 2015). By enabling effective communication, the nurse will be able to handle his state and improve it within a short period.

3.As a nurse, one should always focus on the well-being of the patient. Therefore, he or she should embrace good communication techniques to encourage honest and open talk. In Jason’s situation, I would use eye contact as a non-verbal communication. This is whereby; a person looks at the other party in the eye while talking to them in a respectable way ( Burgoon et al..2016).By doing this, the patient will know is listening to him keenly and interested in what he is saying. Eye contact conveys confidence and sincerity hence can encourage honest and open communication. Not using eye contact technique can sometimes demonstrate lack of interest, shifty and nervousness. In case the patient starts having negative views about the nurse, it can be hard to reverse them. Therefore, it is always necessary to focus and maintain eye contact.

Indirect questioning can also be a good verbal communication technique. The approach is preferred in most cases to enhance open communication. However, direct questioning could lead to misunderstandings hence discouraging participation (Boggs, 2015).Therefore, to obtain essential information; a nurse can use indirect questioning or roundabout approach. For instance, one can frame a question and make it a statement and wait for the answer in a while. Also, through this approach, a nurse should make the patient understand that he or she understands his answers.

4.Empathy means having an ability to understand another person’s feelings. Empathy involves viewing things from another individuals perspective to enable understand and relate to her feelings (Davis, 2018).In fact, it is simpler to empathize with a person especially if you have been in the same situation.

Responding to Jason in an empathetic manner would require listening skills. Listening is a vital skill in communication. However, listening requires concentration and mobilization of every sense for the discernment of non-verbal and verbal messages radiated by Jason. Listening is a non-verbal communication strategy that would be useful in Jason’s situation. In fact, he needs someone to listen to his craps about his relationship with Ashley and then advise him. Therefore, I would listen to him in a sincere manner and let him share his feelings. This way, Jason will be able to communicate openly thus making it easy to improve his situation in any way possible (Cuff et al., 2016).  On the other side, speaking to him as verbal technique will be necessary. Speaking to him also means asking him indirect and friendly questions hence may be able to gather important information. Gathering important information will help understand the situation better thus can help find a viable solution. A viable solution could be encouraging him to stop irresponsible drinking over the weekend, as well as understand the skills of problem-solving.

Jason’s parents leave the room for a moment, when they do, he turns to you and says;

‘I feel so crap, I think I have really blown it this time, my parents are really angry with me and Ashley will probably never talk to me again’

Response

“What! Am really sorry Jason, please share with me more am ready to help you overcome the situation. However, I like the fact that you realized your mistakes but don’t beat up yourself, a man is to error and everything has a solution”.

5.Gordon’s Functional Health Pattern Model helps in increasing self-efficacy, reducing depressive symptoms, coping with stress as well as giving hope to individuals with depression. The model is a method invented by Marjory Gordon to enable the nurses within the nursing procedure to offer a more inclusive assessment concerning the patient (Laumann et al., 2015).According to Jason’s scenario, the two Gordon’s Functional Health Patterns missing include Coping-stress tolerance and Cognitive-perceptual. First of all, Coping-stress tolerance pattern is missing simply because it seems he was unable to control his emotions when they had an argument with Ashley. Also, he is not good at speaking out things which caused him further harm. When tense, what helps? In Jason’s case, he does not know how to handle anger and takes alcohol to relax. However, stress made him lose control while riding his motorbike causing an accident to himself. This is an important pattern that is missing in Jason’s life and needs to be administered. Also, in this pattern would ask Jason how he would handle problems if big issues came up in his life(Laumann et al., 2015).  Will he still drink and ride or look for solutions? Jason needs to work on problem-solving skills to enable him to face realities in life.

Secondly, the Cognitive-perceptual pattern is missing since he does not have an ability to make important decisions in life.His parents want him to finish school in order to join mechanic school but he still insists the school is not important(Gordon, 2014). Does he have a concentration? No Jason is suffering from lack of concentration when he had an argument with Ashley he lost touch with reality, which led to the accident. He still does not concentrate nor pay attention to his studies because he does know its importance.

6.According to the information given, Jason is at risk of getting Pancreatitis due to his drinking habits. Pancreatitis is a condition where drinking cases stomach irritation and pancreas inflammation. Besides, chronic pancreatitis interferes with digestive systems which may cause extreme abdominal pain as well as continuous diarrhea (Machicado et al.,2017).Also, Jason is said to be very active in sex. As a result, Jason could be at high risk of getting sexually transmitted diseases such as HIV/Aids. Ideally, people who drink and are sexually active are more likely to involve themselves in risky sex. Thirdly, his drinking habit would lead to nerve damage referred as alcoholic neuropathy. This is a health condition that causes numbness, incontinence, and erectile dysfunction.

7.

Among the seven standards practices, so far have managed to engage in the therapeutic and professional relationship with Jason. Besides, I have also comprehensively conducted the assessments. Therapeutic relationship practice is met whereby I could communicate with Jason amicably. As a result, he was able to open up and share his life stories and feelings. Opening up has resulted in viable solutions concerning his situation (Nursing and Midwifery Board of Australia,2016). The practice is based on sincerity, trust, empathy, and trust. However, the whole practice required power to make decisions and act putting into consideration psychological needs of Jason.

Secondly, I comprehensively and systematically conducted the assessment in regards to Jason’s scenario. In practical terms; it means employing the person-centered tactic to enable effective communication with Jason. Besides, the assessment means involving Jason’s medical history, physical examination, and general appearance. To enable reliable information, I used face-face assessment because his parents also needed to be present and required openness.(Wong and Tan, 2017). The process was successful as I could understand wishes of Jason and how he could achieve a better life in terms of career and also relationships.

References

Boggs, K. U. (2015). Bridges and Barriers in Therapeutic Relationships. Interpersonal Relationships-E-Book: Professional Communication Skills for Nurses, 202.

Burgoon, J. K., Guerrero, L. K., & Floyd, K. (2016). Nonverbal communication.Routledge.

Cuff, B. M., Brown, S. J., Taylor, L., &Howat, D. J. (2016). Empathy: a review of the concept. Emotion Review, 8(2), 144-153.

Davis, M. H. (2018). Empathy: A social psychological approach. Routledge.

Gordon, M. (2014). Manual of nursing diagnosis.Jones & Bartlett Publishers.

Laumann, T. O., Gordon, E. M., Adeyemo, B., Snyder, A. Z., Joo, S. J., Chen, M. Y., … &Schlaggar, B. L. (2015). Functional system and areal organization of a highly sampled individual human brain. Neuron, 87(3), 657-670.

Lusk, J. M., &Fater, K. (2013, April).A Concept Analysis of Patient?Centered Care.In Nursing Forum (Vol. 48, No. 2, pp. 89-98).

Machicado, J. D., Amann, S. T., Anderson, M. A., Abberbock, J., Sherman, S., Conwell, D. L., …&Sandhu, B. S. (2017). Quality of life in chronic pancreatitis is determined by constant pain, disability/unemployment, current smoking, and associated co-morbidities. The American journal of Gastroenterology, 112(4), 633.

Nursing and Midwifery Board of Australia (2016).Registered Nurse Standards for Practice. Retrieved 9th April 2018 from

Tilsen, J., & McNamee, S. (2015). Feedback Informed Treatment: Evidence?Based Practice Meets Social Construction. The family Process, 54(1), 124-137.

Wong, S., & Tan, H. (2017). Frames for the Future: Developing Continuing Education & Professional Development Programs for Spiritual Care Practitioners: A Perspective from Victoria, Australia. Journal of Pastoral Care & Counseling, 71(4), 237-256.

Zegwaard, M. I., Aartsen, M. J., Grypdonck, M. H., &Cuijpers, P. (2017). Trust: an essential condition in the application of a caregiver support intervention in nursing practice. BMC Psychiatry, 17(1), 47.