• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

The importance of therapeutic relationships in the delivery of care.

Extracts from this document...


The Importance of Therapeutic Relationships in the Delivery of Care A therapeutic relationship in the delivery of care could be viewed as the single most important factor when looking at the delivery of care and it's effectiveness. What is a therapeutic relationship and why is it important? It is a helpful and equal relationship between you and your client, Dougherty (2000) supports the theme that central to the therapeutic relationship is the patient, reliant on others to help them during a time of ill health. Hobbs (1994) describes the key characteristics of a therapeutic relationship as divided between patient and carer. The carer demonstrating respect, empathy, tolerance, self-awareness, good communication, always receptive and having confidence in her ability, maintaining a safe environment in which to work and care for her patient. The patient displaying trust and confidence in the carer, co-operation, an understanding of his treatment/illness, and the motivation to get well. In the majority of cases it is unlikely that a carer will care for one patient only, therefore each patient will have their own therapeutic relationship with the carer. As we are all unique individuals each relationship will be different, recognition of this by the carer, and adaptation to suit each patient's holistic requirements is essential, thus contributing to individualised care for each patient. Nursing is a caring profession, does this indicate that when caring for a person a therapeutic relationship exists automatically, or is it developed? Mallett (2000) suggests that health-care professionals have a special relationship with their patients, upon entering this relationship we assume certain special duties towards our patient, additional to those in an ordinary social relationship. It would for example be totally unacceptable to allow a stranger, or someone we know on a social basis to assist us with our toilet requirements, or see us in our nightclothes. It is the special features of this relationship, the therapeutic relationship, quite different from our normal everyday social relationships, which allow the intimacy and trust by which we permit a nurse to assist us. ...read more.


Do pillows need adjusting? Is the ventilation and lighting adequate? Two important elements of comfort are hygiene and sanitary requirements. We should encourage independence by patients looking after their own hygiene whenever possible, but when we carry out hygiene for them there are many things we should consider. We should ensure privacy, dignity, safety and self-esteem are always maintained, when we have finished leave the patient comfortable with all essential items, buzzer, spectacles, tissues etc. within easy reach. One of my first tasks on placement was to assist with a bed bath, I was horrified when the carer removed the nightdress and top sheet, leaving the elderly patient naked, cold and feeling vulnerable. We should place ourselves in a reverse situation and treat our patients with the respect and dignity we would expect. The same principles apply when dealing with sanitary requirements, from a patient perspective the most private bodily functions are being discussed and attended to by others, causing embarrassment and loss of dignity. A sensitive carer gives reassurance, is careful with body language, ensures the privacy, comfort and safety of the patient at all times. She makes sure the brakes are on when using the commode, the bed is properly screened, tissue and buzzer are within easy reach, and most importantly the patient is not left on the commode or bedpan longer than is necessary Within a therapeutic relationship we need to be self-aware and also reflective practitioners. Being self-aware means not forcing yourself or your values onto others, we need to be conscious of our own character including our beliefs, strengths and limitations. Bulman et al (2000) instills the thought that to be self-aware is to know yourself, and this is the foundation upon which reflective practice is built. When reflecting we look back at ourselves in a certain situation and think how the situation has affected us, and how we may have affected the situation. ...read more.


In adopting these we can assess, plan and implement the best course of action so that the most effective care can be given, holistic care. This is fundamentally at the heart of the therapeutic relationship and why it is so important in the delivery of care. Word count 3,276 Bond, D., Keogh, R., and Walker, D., (1985) Reflection : Turning Experience into Learning, London, Kogan Page. Bond, M., (1986) Stress and Self Awareness : A Guide for Nurses, London, Heinemann. Buckle, J., (1993) When is Holism not Complementary? British Journal of Nursing, Vol.2, No.15, pp744-745. Bulman, C., and Burns, S., (2000) Reflective Practice in Nursing, Oxford, Blackwell Science. Burton, M., and Watson, M., (1998) Counselling People with Cancer, Chichester, John Wiley. Cava, R., (1996) Dealing with Difficult People, London, Piatkus Publishers. Cavanaugh, C., Montgomery, J., Morrison, F.E., Schroeder, R.E. and West, M.P., (1999) Improving Communication among Health Professionals through Health Education : A Pilot Study, Journal of Health Administration Education, Vol. 17, No. 3, pp175-198. Cutcliffe, J., and McKenna, P., (1999) Evidence Based Practice : Demolishing some Myths, Nursing Standard, Vol. 14, No. 16, pp39-42. Fein, E., and Schneider, S., (1995) The Rules, London, Harper Collins. Garnham, P., (2001) Understanding and Dealing with Anger Aggression and Violence, Nursing Standard, Vol. 16, No. 6, pp 37-42, 44-45. Gilling, C., Kenworthy, N., and Snowley, G., (2000) Common Foundation Studies in Nursing, 3rd edition, Edinburgh, Churchill Livingstone. Hobbs, (1994) cited in Royal College of Nursing Clinical Effectiveness Initiative - A Strategic Framework, London, Royal College of Nursing. Logan, W., Roper, N., and Tierney, A.J., (2000) The Roper Logan Tierney Model of Nursing, 5th edition, London, Churchill Livingstone. Nicholls, K., (1993) Psychological Care in Physical Illness, 2nd Edition, London, Chapman Hall. Nightingale, F., (1859) Notes on Nursing : what it is and what it is not. Cited in Peet, R. van der, (1995) The Nightingale Model of Nursing, Edinburgh, Campion Press. Nursing & Midwifery Council, (2002) Code of Conduct, London, NMC. Pearson, A., and Vaughan, B., (1994) Nursing Models for Practice, Oxford Butterworth-Heinemann. Stockwell, F., (1972) The Unpopular Patient, London, Royal College of Nursing. 1 1 ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Healthcare section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Healthcare essays

  1. Marked by a teacher

    The purpose of this essay is to carry out an assessment of a patient ...

    3 star(s)

    Assessment was also used as an instrument for safety, continuity and quality of patient care and it should be done continuously throughout the hospital stay as this will help provide continuity and quality care (Roper et al 2000). Assessment allowed me to make my own judgment in order to provide

  2. Marked by a teacher

    Unit 10 care practice and provision

    3 star(s)

    Residents like Johnny may have the chance to get involved with meetings about how services should be run and what is needed or to be changed, this way it gives Johnny a voice and makes him feel that he is important and that he can give his opinion.

  1. Marked by a teacher

    Social work assessments are an art and a science.

    3 star(s)

    The main reason behind this is that they are physically, emotionally and mentally less resilient than they used to be, which means there failing health affects them because they are not as strong as they used to be and cannot carry out and perform tasks and activities like they used to.

  2. Medicine is the science and art of healing. Medicine is a science because it ...

    A French army surgeon named Ambroise Pare improved surgical techniques to such an extent that he is considered the father of modern surgery. For example, he opposed the common practice of cauterizing (burning) wounds with boiling oil to prevent infection.

  1. The purpose of this study was to determine the prevalence of Prescription drug use ...

    TABLE 8:- CONSULTING DIFFERENT DOCTORS-: Consulting different doctors NUMBER(% IN PARENTHESIS) N=100 Yes 48(48%) No 52(52%) Reasons for consulting different doctors NUMBER(% IN PARENTHESIS) N=100 medicine not effective 32(32%) for 2nd opinion 16(16%) According to the survey conducted by us 48 % of people prefer to consult different doctors for any ailment/disease.

  2. Cultural Safety of Indigenous Clients and Nursing

    It is important in communicating with Aboriginal Australians that the carer is aware of the reason why the client believes they are sick. The fact that the aboriginal Australian is sick and has to attend a hospital exposes the client to their community, in a public way, their belief and acceptance of having breached a taboo.

  1. This essay will focus on inter-professional working in health and social care delivery.

    The National Health Service Community Care Act (1990), which stated local authorities were to deal with social care and health needs would remain within health care. There was then an introduction of multi-professional teams that undertook care management responsibilities, which involved making assessments and managing care packages (Frost et al 2005).

  2. The aim of this assignment is to critically evaluate the biopsychosocial perspectives and influences ...

    These two aspects are indivisible since they each act as a cause or effect of the other CONCLUSION The biopsychosocial model of health was used to explore Jack's health and wellbeing as this gave us an insight into his alcoholism.

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work