Question

know the different phases and what happens in each phase of the nurse client relationship?

Answer 1

A nurse application of knowledge understanding human behaviour and communication and commitment to ethical behaviour help create professional relationships.

The goals of therapeutic relationship include focus on a patient include

acheiving optimal growth related to personal identity

Ability to form relationship

Ability to satisfy needs and acheive personal golas

PHASES OF THE HELPING RELATIONSHIP

Pre-interaction phase

Before meeting a patient

• Review patient history including personal and medical history
• Talk to care-givers and family memebers to gain more information regarding patient
• Anticipate health concerns or problems that arise
• Identify a location and setting that fosters comfortable and private interaction
• Plan enough time for the intial interaction

Orientation Phase

• When the nurse and the patient meet and get to know each other
• Set the tone of the relationship by adopting a warm, empathetic and caring manner
• Recognize initial relationship is often superficial, uncertain and tentative
• Expect the patient to test ypur competence and commitment
• Closely observe the patient and expect to be closely observed by the patient
• Begin to make inferences and judgements about patient messages and behaviour
• Assess the patient's health stataus
• Prioritize patient goals and identify his/her problems
• Clarify patient's and your roles
• Form contracts with patients and clarify who will do what
• Let the patient know when to expect the relationship to be terminated

Working Phase

• When the nurse and patient work together to solve problems and acheive goals
• Encourage and help the patient express feelings about his or her health
• Encourage and help the patient for self-exploration
• Provide information needed to change behaviour
• Encourage and help patients to set goal
• Take action to meet the goals
• Use therapeutic communication skills to facillitate successful interaction
• Use appropriate self-disclosure and confrontation

Termination Phase

• During the ending of relationship
• Remind the patient that termination is near
• Evaluate goal acheivement with the patient
• Reminisce about the relationship with the patient
• Separate from patient by relinquishing responsbility for his or her care
• Acheive a smooth transition for the patient to other caregivers as needed