AS- HEALTH AND SOCIAL/ TUCKMAN VS THOMPSON

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Control Vs problem orientation

This type of person is very dominating and likes to feel on top, if controlling people get questioned/ confronted then they generally tend to feel out of place; they try not to let people know that they have lost control so they divert the question or reply in a rude manor. This person is very understanding, and empathetic if they are put on the spot they generally look at all the different things that are effecting causing it and try to resolve it in a problem solving approach.

In a care home a lady asks a nurse that is passing buy for a cup of tea, the nurse is very busy. In a problem solving approach the nurse will say “I am very busy at the moment but I will see what I can do, you may not get it straight away but you will get it” A controlling person would generally be put on the spot by this kind of question and reply in a rude manor in order to feel in charge and in control of the situation “no, not until 5 o’clock”.

Thompson’s theory helps care workers to put themselves in the patients shoes, how is what they are doing/ saying effecting the patient. It will help you to realise if you are a controlling person and if you are how you do go about changing it to make the patient feel more secure. It helps care workers to think things trough more clearly and quickly, and it enhances there empathetic skills and helps care workers to feel more confident in these kind of situations.

In various different situations you cannot take the problem solving approach you have to take the control approach. For example if a patient was constantly asking you for a glass of water or a cup of tea when they are able to make it themselves it would be important to take the control approach and say no or they will take advantage of you. Control would be at the bottom of the scale and problem solving would be at the top of the scale due to its positive effects; good communication would be understanding when it is appropriate to use the control approach and when it isn’t.  why? Bad communication would happen if you was permanently at one end of the scale. The reason for this is because people who really need attention don’t get it or people who don’t need the attention get it.

 

Certainty vs. provisionalism

Certainty is about what will defiantly happen, for example Mrs Richards is definitely having her appendix taken out on Wednesday, (following the rule book, always happens). Provisionalism is temporary you don’t actually know what’s going to happen, Mrs Richards is having her appendix removed but it may burst causing her a very painful infection. (Opinions mixed in with facts)

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        This stage in Thompson’s theory improves health care workers knowledge and makes them more aware of the dependant variables. The health care worker needs to be very good at speaking and listening to receive all the correct information like whether or not they are allergic to anaesthetic or if they actually want to have it removed.

Good communication such as negotiation and helping people to make the right choices will help things run more smoothly, it will help the patient to feel more comfortable about the operation and will make it less likely for ...

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