Vital Signs: HR 86, RR 22, BP 126/82, Temp 98.9, O2 sat-100%
Personal History:Perinatal: Not assessed.
Childhood: No known learning disabilities.
Adolescence: Reports good academic functioning. Report some difficulty making friends. identifies as bisexual. Prefers individual activities such as reading and watching TV rather than spending time with peers.
Trauma/Abuse History: Denies bullying or other trauma.
Jasmine has agreed to be transferred to an ED.
This is an unfolding case study which we will be utilizing for this discussion
Questions:
- What strategies can the ED nurses use to build a therapeutic nurse-client relationship? (Elaborate on at least 3 important points)
- BOX 5.3 Values Clarification Exercise: Identify your values first and then rank your top five values.
- How would you use therapeutic use of self to establish a relationship with Jasmine?
- Choose Peplau’s preconceptions to anticipate barriers Jasmine may encounter in the ED?
- Before Jasmine leaves she states, “Thank you for everything. I feel like we became friends.” How will you define the relationship to Jasmine?
- Add a question: After you have analyzed the content from the discussion board, please add a question to the end of your initial post regarding the reading material for the week.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.
Expert Solution Preview
Introduction:
This case study focuses on a patient named Jasmine who is being transferred to an ED. As a medical professor, it is essential to evaluate the given information and provide appropriate answers to the questions asked. This discussion will focus on the strategies that ED nurses can use to build a therapeutic nurse-client relationship, values clarification exercise, the use of therapeutic self to establish a relationship with Jasmine, Peplau’s preconceptions to anticipate barriers Jazzmine may encounter in the ED, defining the relationships to Jasmine, and adding a question to the end of the initial post regarding the week’s reading material.
1. What strategies can the ED nurses use to build a therapeutic nurse-client relationship?
To build a therapeutic nurse-client relationship, ED nurses can use several strategies. Firstly, they can establish an environment of trust and respect by actively listening to the patient’s concerns and showing empathy. Secondly, they can create an atmosphere of openness by ensuring confidentiality and respecting the patient’s autonomy. Thirdly, they can provide information and education about their health condition, treatment options, and expected outcomes to empower the patient to make informed decisions. These are crucial strategies as it helps to establish a therapeutic relationship, which not only enhances patient satisfaction but can also improve patient outcomes.
2. BOX 5.3 Values Clarification Exercise: Identify your values first and then rank your top five values.
Values clarification exercise is essential for both the medical professionals and the patient. By identifying and ranking the top five values, doctors can better understand the patient’s perspectives and provide more personalized care. Similarly, patients can reflect on their values and decide on treatment options that align with their values. The values clarification exercise can lead to better communication, greater understanding, and improved trust, all of which are essential for building a therapeutic relationship.
3. How would you use therapeutic use of self to establish a relationship with Jasmine?
Therapeutic use of self is a crucial component of establishing a relationship with a patient. To use therapeutic self with Jasmine, I would show genuine interest, active listening, empathy, and provide support to her. I would put myself in her shoes and understand her feelings and thoughts. This approach would help to establish a connection with the patient, which would drive the therapeutic relationship forward.
4. Choose Peplau’s preconceptions to anticipate barriers Jasmine may encounter in the ED?
Being in an Emergency Department (ED) can be challenging for patients. Peplau’s preconceptions can help anticipate the barriers Jasmine may encounter in the ED. Some of the preconceptions are the stranger, anxiety, and power. For example, when Jasmine comes into the ED, she may encounter a stranger (nurse and medical staff), which can be intimidating and cause anxiety. Additionally, the power preconception may make her feel uncomfortable and that she does not have control over her treatment. Anticipating these barriers can help the medical staff to provide appropriate care and improve the therapeutic relationship with Jasmine.
5. Before Jasmine leaves she states, “Thank you for everything. I feel like we became friends.” How will you define the relationship to Jasmine?
As a medical professional, it is essential to maintain professional boundaries while building a therapeutic relationship with the patient. In response to her comment, I would treat her statement as a reflection of her positive experience with the medical staff. I would acknowledge her feelings and express gratitude for trusting us with her care. I would emphasize that our relationship is a professional one, and we will continue to provide her with the best care possible.
6. Add a question: After you have analyzed the content from the discussion board, please add a question to the end of your initial post regarding the reading material for the week.
How can healthcare organizations promote values-based practice, and what are the benefits of doing so?