The purpose of this assignment, I will critically discuss and analyse the use of the ABC-E model, when assessing and engaging with a new client. The ABC-E model of emotion is known by a bio-psychosocial model of mental health care which enables a client to understand there autonomic, behavioural and cognitive symptoms in their environment to get a much deeper insight, into how the client may be feeling. Nursing assessments are a key component to mental health nursing care. It is a decision-making process based on the collection of information that gives an overall estimation of the consumer and their circumstances (Barker 2004). Throughout this assignment I will look at the ABC-E model of emotion, Cognitive Behavioural Therapy and The Tidal …show more content…
The key to establishing a trusting relationship is the integration, usage, and mastery of therapeutic communication skills (Belcher & Jones, 2009).Due to the high importance of effective communication in mental health nursing, it is essential in therapeutic interventions. (Peplau, 1952) states that effective interpersonal skills are central to a mental health nurse’s ability to form a sound therapeutic alliance and to the role of mental health nurses. Excellent interpersonal aptitudes are what every mental health nurse needs to communicate effectively with clients. Active listening is more than just hearing what the client has to say, nurse must be actively engaging with the client, physically, emotionally and mentally. Effective listening is therefore a cognitive, behavioural and an affective process (Arnold and Underman Boggs, …show more content…
The Tidal Model embraces specific assumptions about people, their experience of problems of human living and their capacity for change (Barker and Buchanan-Barker, 2005). The Tidal Model focus is on the client and not on the disorder the client as such, its aim as a therapeutic one. (Barker 1997) states rather than engaging with the disorder or illness, the Tidal Model focuses on contacting the person. The Tidal Modal focuses on the person’s life story, to try encounter the real reason of their distress, to find the real meaning to what is affecting the person. The Tidal modal has a more personal touch due to focusing on what needs to be done to resolve the problem affecting the client. Recognising that the tidal model is a process of clients expressing their story, gives the client more control of their recovery. The Tidal model is made up of 10 commitments that reflect the core values of the tidal model which “represent the key attraction for nurses who are more interested in helping people make their own changes, rather than trying to manage or control patient symptoms” (Barker and Buchanan-Barker, 2004). The ABC-E model involves slowly engaging with a client by allowing the client to express their own taught, active listening is a main component in ABC-E assessment for a therapeutic
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The evaluation is the final part of my three mandatory written pieces of my graded unit. The final evaluation stage of the graded unit requires me to reflect on how the activity went, whilst highlighting my strengths, areas that require future development and identify my weaknesses, this, in turn, will enable me to adapt my practice to ensure I am continuously supporting patients to the standards set within The Nursing Midwifery Council (NMC). Looking back on the activity, I am proud of myself for being able to plan and follow the activity through to complication. When completing the book with Mr X I found it to be an enjoyable activity that not only offered benefits to Mr X but also to myself, it allowed me to understand the importance of building a therapeutic relationship with a patient. Building a successful therapeutic relationship required me to have good communication and interpersonal skills, (Radcliffe and Ford, 2015), that allowed me to build a relationship with Mr X based on mutual trust and respect.
The client would then be engaged in analysis and interpretation to explore the meaning of client’s experience as the therapist journey together to explore any underlying issues the client may have. Likewise, the interpretation is then used to develop insights. By developing insights, Mei Lin would be able to reconstruct her behaviour and functioning, coming to term with what had happened in the past, and eliminate maladaptive
As a third year nursing student, I have crossed many clients’ life paths, either within a hospital setting or within a community setting. All of whom have a different life story to tell, different perspectives on life, and different ways to deal with situations whatever it may be. I certainly have experienced my share of challenges throughout my clinical experiences, some of which were very positive experiences. When reflecting on past clinical experiences, I feel as though I was able to apply Egan & Schroeder (2009) The Skilled Helper Model, which is designed to help clients manage problems, and through dialogue was able to discover blind spots, and apply unused opportunities.
Shaquana and I created strategic plans all addressing the clients’ issues. The model selected, The Biopsychosocial Model, according to the biopsychosocial model approach definition, this model systematically considers biological, psychological, and social factors and their complex interactions in understating health, illness, and health care delivery (The Biopsychosocial Approach). The case study explores the client situation in hopes of effectively intervening, providing support, motivation and positive outcomes. The discharge plan supports the client while transitioning into a positive and sustainable
Phase One (Sessions 1 through 3) • The session 1 and 2 consists of the assessment of the client’s clinical problems and background information. Questions relate to her clinical problems, including (a) the nature of her problems (depression and difficulty with making decisions), (b) reason of seeking psychotherapy, and (c) previous attempts to deal with the problems. For the background information, the client’s histories are assessed in the areas of intimate/family relationship, educational/vocational activities, past history of psychological treatment, and physical condition. Session 3 primarily consists on the further functional assessment around her coping skills (e.g., avoidance) in the areas of interpersonal relationships. Phase Two
During my initial interaction with the client, in order to build a therapeutic alliance, client’s concern is explored. By facilitating an atmosphere of trust and offering a sense of hope encourages the engagement which forms the basis of a good therapeutic alliance. Strengths and empowerment are emphasized during the session by use of various communication skills such as probing, active listening by use of appropriate posture, eye contact and facial expression, paraphrasing, reflective feeling, and positive reinforcements. I was also able to demonstrate openness and maintained an empathic response, which was useful in establishing rapport with
This assessment will discuss the format and process of completing a person centred, holistic initial assessment and care plan for the fictional character ‘Rosie’. Person centred care is crucial to consider when assessing and treating a patient as you are making your care individual to the patient, ensuring that the patient’s needs, preferences and values are taken into consideration throughout their experience (NHS,2017). More so, treating the patient in a holistic manner, which may be demonstrated through considering behavioural, cognitive, social and spiritual factors, is also an example of good practice. Before completing the assessment, it was vital that the nurse considered preparing themselves, the patient and the environment of which
Just like you, Gersten’s suggestion to review the client’s existing records during the integration phase of the assessment exercise to avoid the priming effect in order to have a more objective assessment of a client, is also one of my “aha” moments. This confirmed my personal belief to get to know someone personally first and not listen to other people when I am meeting a person or when a new co-worker starts at work, for example. The readings reiterated the importance of the counsellor’s ability to respond sensitively to patients needs, maintain open and clear communication, and communicate empathy and openness, as these are factors in establishing a therapeutic relationship with a client.
Introduction Summary In chapter one, the introduction, Sharf (2016) begins by stating, “theory can be briefly described as a group of logically organized laws or relationships that constitute explanation in a discipline” (2). He follows by explaining the aspects that must be considered when a theory is developed, these consist of precision and clarity, comprehensiveness, testability, and usefulness. Theories in psychotherapy and counseling differ from those of physics because, “human behavior is far too complex to have clearly articulated theories” (Sharf, 2016, pg. 3).Due to the creativeness and drive to help clients reach the healing process, therapists have come up with upwards of a thousand, or more, theories of psychotherapy.
Critical Analysis of a Psychodynamic Role-Play The following is a critical analysis of a recorded counseling session taking a psychodynamic therapy (PDT) approach with the client, Jasmin, who struggles to control her anger and experiences outbursts that negatively impact her interpersonal relationships. Jasmin seeks the professional support of Dr. Todd, who uses PDT techniques to help her work through her problem. PDT is based on psychoanalytic concepts developed by Freud, Jung and Adler, who believed that the root of one's problems lies within the unconscious. PDT aims to empower clients with tools to better understand themselves, manage themselves independently and ultimately lead to a more fulfilling life.
I was able to successfully assess the situation, get the necessary information from the client for the assessment and identify the clients and her family’s needs. I did this by asking direct yes or no questions for required information and asking open ended questions to explore the situation and the client’s feelings. By asking a good set of questions I was able to effectively identify support systems, create an ecomap, explore the history of the presenting problem, and create an intervention plan based on the goals and needs of the
Verbally Verbal communication has always been a struggle for me; I must admit that I am better at expressing my thoughts and ideas when I write them down on paper. Before attending college, I typically did not think before I spoke and I did not sugar coat my words, which now I realize how this has affected some of my relationships with people and how I had unintentionally hurt people in the past. I find myself still learning and recognizing that this is an area that I anticipate will become more natural to me as I become a more competent nurse. Since this part of communication has been a struggle to me, therapeutic communication was also a struggle when it came to speaking to patients, staff, and taking nursing exams. Through every nursing
Instead of focusing on the causes of distress or symptoms in the past, it looks for ways to improve one’s state of mind now. Trust between the client and the therapist is as important in cognitive and behavioural therapy as it is in any other form of psychological therapy (Waddington, 2002). There is a clear emphasis on the client and the therapist working together to form a ‘therapeutic alliance’. CBT has several defining elements and are an essential part of a client’s recovery process. The client must be involved in the therapeutic process not as an observer or as an occasional visitor, but as a core and key participant.
Through this initial assessment, the nurse can obtain information that is crucial in providing the client with effective holistic care. Nursing assessment framework tools are used to help the nurse obtain accurate information about the patient’s wants and needs. This initial assessment based on subjective and objective data, helps to determine the patient’s actual problems and potential problems (Weber & Kelley, 2013). An assessment is carried out to obtain objective data and a physical baseline of the patient on admission.
The components of empathy themselves are extensive in the explanation of how health care givers are able to implement empathy into their daily practices. If these components are met, a healthy therapeutic relationship can be established between patients and the doctor and/or nurse. Doctors and nurses are set out to follow a core set of shared aims or purposes in forming an empathetic, therapeutic relationship between themselves and their patient. Including: 1. “initiating supportive, interpersonal communication in order to understand the perceptions and needs of the patient, 2.