THERAPEUTIC AND HOLISTIC RELATIONSHIP WITH THE PATIENT

Mental fitness is a state of being psychologically upright. Preferably, it means that no mental disorder exists in a person. Thus, a person with mental health possesses the capability of living a normal life and to the fullest. There exist a number of mental disorders that tend to be prevalent in most societies. These disorders hinder the affected person from the full and independent participation in their life (Frederic, 1998). Furthermore, they lack the sufficient ability to realize their potential. They are also incapable of tackling the numerous stresses presented in life. Some common types of mental disorders include the Bipolar disorder, anxiety disorders, depression and a rare case called Schizophrenia (Eve, 2002).

People suffering from mental illnesses tend to encounter a lot of seclusion and rejection from the rest of society. In the recent years, the statistics of people suffering from mental illnesses hiked. This hike is owed to the rising demands that are presented in one’s life. Various problems lead to mental illnesses. Most of these problems are psychological or social in origin. Social problems like poverty, marginalization or any kind of oppression could lead to this illness. People undergoing such problems experience a substantial risk of becoming mentally ill. Secondly, some emergency- induced social mishaps also cause these illnesses. Some of these problems arise from the separation of a family that may happen due to a divorce. In addition, it occurs when community structures are destructed or when one faces a series of gender- based violence. Moreover, excessive alcohol abuse, grief and some post- traumatic stress disorders lead to mental illnesses. These among other causes like lose of close family members to death cause mental illnesses (Sue, 1992)

A mental disorder known as Schizophrenia will be discussed in this essay. This is a rare type of mental disorder. It is described as a mental failure or thought processes that are linked with a poor response of emotions. Paranoia, delusions, auditory hallucination and disorganized thinking characterize it. The on- set of this illness may be in the early adulthood of the patient. During the process of its treatment, the doctor requires the patient has detailed behavioral characteristics and responsiveness (James, 2009)

I managed to get an assignment of handling a Schizophrenia patient. This exercise occurred in one of the mental hospitals in the city. On arrival at the mental hospital, a number of astonishing things occurred. There were several patients being escorted by their nurses to the creative room. This refers to a room in which the patients take part in various kinds of creative arts. The patient am supposed to deal with is twenty- seven year old Brian Gomez. The real name has been concealed for confidential reasons. Brian is not an active member in the art room. Mostly, he simply plays with his nails and on different occasions, scratches his head while making quick glances at his fellows. Then he suddenly faces down and seems drifted away from the activities taking place around him. When one of the nurses directs me to him, I underestimate his condition and simply indulge in a general conversation with him. Brian does not seem to respond well to what I say. I can only see him mumbling some words whose meanings I cannot make out.

To that effect, I try lifting up his face gently with my hands and the once so calm Brian turns wild. First, I get an extremely painful slap on my hands. What follows is an over expression of emotions and an outburst of unending speech. He even becomes violent with the other patients and overturns the tables that come in his way. Some of the nurses run after him while I seek refuge among the other remaining nurses in the room. This situation scared me, and I even kept a distance with the other patients in the room. Later, when everything calmed down, one nurse led me out. The assignment failed since I did not get the chance to have a reasonable chat with the patient.

Some of the difficulties I faced included the inability to connect with Brian. This happened since I gave a wrong first impression towards him. Several considerations had to be made before the start of the conversation. In addition, when Brian remained quiet, I saw this as rudeness. That, therefore, agitated me to take the initiative of making him talk to me. Failure to respect a mental patient and his condition could lead to massive destruction. I never took my time to study and evaluate him. A Schizophrenia patient exhibits an extreme emotional response when they are agitated (Jeffrey, 2011).

Furthermore, a patient tends to display a lack of decline in speech on such occasions. Next, I did not show him the care and gentleness that he required. This is crucial since it has an immense link with the cause of this illness. Previously, it was noted that this disorder might be caused by former social distress and trauma. Therefore, since I failed to consider the history of Brian’s illness, the process failed (David, 2008).

Thus, it is crucial that this mental disorder should be given a more professional approach. Hence, while in the process of connecting with the patient, rightful measures and procedures are taken. The professional gets the opportunity to create a serene environment for bonding. The patient then feels accepted and comfortable with the presence of the doctor. Apart from that, several other skills are required in order to build a good therapeutic relationship while providing holistic care in a mental setting (Richard, 1998).

The basic role of a nurse includes creating a good relationship with the patient. In the presence of a good relationship, treatment and recovery processes are hastened. This kind of client- nurse relationship involves interactions of feelings, thoughts and actions. First, a nurse assesses or examines the patient to verify their problem. This process may require the involvement of family members since the patient may not be able to explain. The first stages of creating a bond with a patient are key. This is because, at this stage the nurse is supposed to get the patient to accept their situation as a part of their life. A mental patient tends to mingle more with those who accept and respect them (Carl, 1976).

Therefore, the nurse should show much respect and acceptance towards the client. Considerations need to be made in the demands of the patient. For instance, a patient that constantly urinates on himself should not be secluded. When this happens, the patient tends to lose the little confidence that he or she has. Eventually, the healing process is slowed down. A nurse always focuses on the patient’s needs and requirements (Paul, 2001).

The skill of communication should be well used, and the behavioral changes encouraged. It is also fundamental to portray genuine feelings while bonding. This entails being open with the patient and not shying away from some of their problems. The nurse’s body language during a conversation or problem- solving discussion matters a lot. The client tends to gather or lose confidence depending on the nurse’s posture. Thus, the nurse should always be relaxed in posture and mood (Sheila, 2010).

An important skill in bonding with a patient is identifying their strengths and weaknesses. (Allen, 2011). The nurse works on empowering the patient to be independent. In this manner, the patient learns to explore their capabilities and the nurse only assists them only when necessary. A patient may portray certain bad habits that could hinder them from full recovery. As much as such characters might harm the patient, a nurse should not directly point them out to the patient. For instance, a patient may possess a habit of injuring themselves with sharp objects in order to fulfill a certain urge. Another patient may enjoy scribbling on the walls instead of books. In such cases, the nurse is not supposed to label out these actions. Rather, the nurse should find out what makes the patient behave that way and find a solution to it. The nurse should also analyze the thinking and behavior of the patient for this to be possible (Linda, 2004).

Cases of a blurred nurse- patient relationship may occur. This happens when a nurse puts her needs before the patient’s needs. When a nurse becomes too helpful and controlling, the patient might feel misplaced and harassed. A nurse should not be too involved in things that the patient can do for himself or herself. This is to ensure that the patient does not become too dependent on the nurse. In addition, the patient may isolate himself or herself since the nurse fails to take the required interventions. In the whole process of bonding with the patient, the nurse should not overexpose herself to the patient. This could lead to physical attractions that are unnecessary.

A nurse must be fully aware of history as well as the general beliefs and culture of the patient. This is crucial since it prevents cases of misunderstanding. The nurse gets to fit in with the level of reasoning of the patient. Mentally disabled patients may tend to portray violence, especially to their caregivers. In fact, such patients have committed a large number of crimes. In the event of a brutal attack by a patient, a nurse must never reciprocate with violence. Instead, she should forward more empathy to the patient and show care and understanding. Individuality towards a patient should also be practiced. A patient should always understand that his or her life goes beyond their mental illness. This motivates the patient and makes them feel more important and respected.

A nurse should also be supportive to the patient. This is done by always giving answers and suggestions when questions are asked. In addition, a nurse shows concern by communicating in a calm and accommodative voice. The nurse may also provide reassurance to the patient. The extra efforts could be sharing meals and going for walks together. The accessibility of the nurse is fundamental in the whole process of bonding with the patient. Nurse’s presence involves investing of quantity time to the patient. This step has proven useful in the quick recovery of the patient. This time should be used in effecting the therapeutic techniques and not in controlling over the patient.

A nurse’s duty is to work based on equality. She should avoid displaying a sense of power towards the patient. However, there are better ways of applying power in a mental care hospital. A nurse may use power in cases when she is offering knowledge or solving problems. A bond could be blurred when a nurse abuses power by avoiding the patient, refusing to help the patient or being harsh (Ruth, 2011).

In conclusion, every step that is taken in the recovery of a mental patient attributes to their eventual behavioral values. For instance, when a nurse is always available to the patient, this patient gradually becomes genuine and respectful. In addition, active listening and response to the patient develops their understanding in different situations. Thus, more skills need application when it comes to dealing with mental cases so that such attributes may be found. Moreover, the activities carried out in mental care hospitals must be discrete. High level of understanding towards the patient is needed. Hence, a high level of professionalism in required.

References

Sue Nathanson Elkind, 1992, Resolving Impasses in Therapeutic Relationships, 72 Spring Street,

New York.

Jeffrey A. Lieberman, T Scott Stroup, M.D., Diana O. Perkins, M.D., 2011, Essentials of

Schizophrenia, USA: American Psychiatric Pub.

David G. and Douglas, T., 2008, Cognitive Therapy of Schizophrenia, Third ed. USA: Guilford

Press.

Richard McMahon, Alan Pearson, snr, Alan Pearson (SNR), 1998, Nursing As Therapy, 27 Bath

Road Cheltenham, United Kingdom.

Ruth, E., Katie, E. and Debra, N., 2011, Psychiatric and Mental Health Nursing, Second ed.

Australia: Elsevier Health Science.

Frederic J. Leger, 1998, Beyond the Therapeutic Relationship, United States of America.

Eve Lipchic, 2002, Psychodynamic Techniques, 72 Spring Street, New York.

Allen, R., David, Springer and Kathi, T., 2011, Psychosocial Treatment of Schizophrenia,

Canada, John Wiley & Sons.

Sheila, L. 2010, Psychiatric Mental Health Nursing, Fifth ed. Lippincot Williams & Wilkins.

Paul Abels, MSW, PLD, Sonia Abels, MSW, 2001, Understanding Narrative Therapy, United States of America.

Linda A. Krikos, Cindy Ingold, 2004, Women’s Studies,

Teresita Deriada Gonzalez, 2009, Impact of Active Listening and Training at a California State, 789 East Eisenhower Parkway.

Carl Ransom Rogers, Eugene T. Gendlin, 1976, Therapeutic relationship and its impact,

Karen J. Maroda, 2009, Psychodynamic Techniques, 72 Spring Street, New York

James O. Prochoska, John C. Norcross, 2009, Systems of Psychotherapy, Belmont

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