Therapeutic realationship ppt

Therapeutic relationship is define the relationship between the nurse and patient

1. THERAPEUTIC RELATIONSHIPS

2. INTRODUCTION A relationship is defined as a state of being related or a state of affinity between two individuals. The nurse and client interact with each other in the health care system with the goal of assisting the client to use personal resources to meet his or her unique needs . In a therapeutic relationship the nurse and client work together towards the goal of assisting the client to regain the inner resources to meet life challenges and facilitate growth. The interaction is purposefully established, maintained and carried out with the anticipated outcome of helping the client gain new coping and adaptation skills.  

3. DEFINITION Therapeutic relationship is defined as an interactive relationship with a patient and family that is caring , clear, boundaried , positive and professional.

4. TYPES OF RELATIONSHIP Social relationships.  Intimate relationships.  Therapeutic relationships

5. CONTINUED…. Social Relationships A social relationship can be defined as a relationship that is primarily initiated with the purpose of friendship, socialization, enjoyment or accomplishing a task. Mutual needs are met during social interaction. For example, participants share ideas, feelings and experiences.

6. CONTINUED… Intimate Relationships An intimate relationship occurs between two individuals who have an emotional commitment to each other. Those in an intimate relationship usually react naturally with each other. Often the relationship is a partnership wherein each member cares about the other's need for growth and satisfaction.

7. CONTINUED…. Therapeutic Relationships The therapeutic relationship between nurse and client differs from both a social and an intimate relationship in that the nurse maximizes inner communication skills, understanding of human behavior and personal strengths, in order to enhance the client's growth. The focus of the relationship is on the client's ideas, experiences and feelings.  

8. GOALS OF THERAPEUTIC RELATIONSHIP Facilitating communication of distressing thoughts and feelings. Assisting the client with problem solving . Helping clients examine self-defeating behaviors and test alternatives. Promoting self-care and independence

9. COMPONENTS OF THERAPEUTIC RELATIONSHIP   Rapport Rapport is a relationship or communication especially when useful and harmonious. It is the crux of a therapeutic relationship between the nurse and the patient . It is: a willingness to become involved with another person growth towards mutual acceptance and understanding of individuality the end result of one's care and concern for another.

10. CONTINUED… The nurse establishes rapport through demonstration of understanding, warmth and nonjudgmental attitude. A skilled nurse will be able to establish rapport that will alleviate the patient's problems. When rapport develops, the patient Feels comfortable with the nurse and find sit easier to self-disclose. The nurse also feels comfortable and recognizes that an interpersonal bond or alliance is developing.

11. CONTINUED… Empathy Empathy is an ability to feel with the patient while retaining the ability to critically analyze the situation. It is the ability to put oneself in another person's circumstances and feelings. The nurse need not necessarily have to experience it, but has to be able to imagine the feelings associated with the experience. In empathy process the nurse receives information from the patient with an open, nonjudgmental acceptance, and communicates this understanding of the experience and feelings so that the patient feels understood. This serves as a basis for the relationship.

12. CONTINUED…. Sympathy is often confused with empathy. In sympathy, the nurse actually feels what the patient feels but in the process objectivity is lost, and the nurse becomes focused on relief of personal distress rather than on assisting the patient to resolve the problem. With empathy while understanding the patient's thoughts and feelings, the nurse is able to maintain sufficient objectivity to allow the patient to achieve problem resolution with minimal assistance.

13. CONTINUED….. Warmth Warmth is the ability to help the client feel cared for and comfortable. It shows acceptance of the client as a unique individual. It involves a non-possessive caring for the client as a person and a willingness to share the client's joys and Sorrow.

14. CONTINUED… Genuineness Genuineness involves being one's own self . This implies that the nurse is aware of her thoughts, feelings, values and their relevance in the immediate interaction with a client. The nurse's response to the client is sincere and reflects her internal response. It is also important that the nurse's verbal and non-verbal communication correspondence with each other.

15. ETHICS AND RESPONSIBILTIES OF NURSE –PARIENT RELATIONSHIPS Ethics has been defined as a branch of philosophy that refers To the study of values that conform to the moral standards of a profession. The American nurses association has identified four primary principles to guide ethical decisions. Governing the relationship between the nurse and the patients, these principles include the patient’s right to autonomy(making the decisions for oneself), the patient’s right to beneficence (doing good by the nurse), the patient’s right to veracity (honest) and truth by the nurse, regarding the patient’s condition and treatment. Nurses respect for the patient’s dignity, autonomy, cultural beliefs, and privacy is particular concern in psychiatric mental health nursing practice.

16. CONTINUED…. The nurse serves as an advocate for the patient and is obliged to demonstrate non-judgmental and non discriminatory attitudes and behaviors that are sensitive to patient diversity. An essential are sensitive to patient diversity. An essential aspect of the patient’s response is the right to exercise personal choice about participation in proposed treatments. The responsible use of the nurse’s authority respects the patient’s freedom to choose among existing alternatives and facilitates awareness of resources available to assist with decision making.

17. CONTINUED…. Nurses working with psychiatric mental health patients are prepared to recognize the special nature of the provider – patient relationship and take steps to assure therapeutic relationships are conducted in a manner that adheres to the mandates stipulated in the ANA code for Nurses (ANA 1985). Unethical behavior(e.g. omission of informed consent, breach of confidentiality, undue coercion, boundary infringement ) and illegal acts can increase the patient’s vulnerability and demand special vigilance on the part of the psychiatric-mental health nurse.

18. CONCLUSION In conclusion an effective therapeutic relationship is accomplished by good verbal and non verbal communication. Respecting individuality, beliefs, values, this promotes good recovery and openness between nurse and patient.

19. RECAPTUALIZATION Therapeutic relationships Types of relationship Component of therapeutic relationship Ethics and responsibility of therapeutic relationship

20. ASSIGNMENT Write an assignment on components of nurse- patient relationship, and types of relationship.

21. BIBLIOGRAPHY K P Neeraja “ Essentials of mental health and Psychiatric Nursing” Published by Jaypee . R Shreevani “ A guide to mental health & Psychiatric Nursing” Published by Jaypee .  

22. THANK YOU