Posted at 10.30.2018
Finally there will be id of the relevant skills and knowledge that was gained as a result of the series of this encounter. I will identify CASH model, for even more knowledge and skills in my own training. I am going to adhere to confidentiality issue good Medical and Midwifery Code of professional do (The Code, 2008) therefore pseudonyms will be utilized throughout in the commentary.
"Recovery is a deeply personal, unique procedure for changing one's attitudes, values, emotions, goals, skills and/or roles. It is a means of living a satisfying, hopeful, and adding life even with limitations brought on by the illness". (Boardman, 2010)
"The voyage of restoration may have fluctuations but a period of illness will not indicate that recovery halts it could in fact participate the longer-term process of development and development"(Repper & Perkins, 2003)
Sainsbury Centre for Mental Health (2008) states that the rules of recovery is about building a important and gratifying life as described by the person whether or not there exists reoccurring symptoms or problems, restoration is a motion from pathology ailments and symptoms of health durability and wellbeing. Rethink (2008) also suggested four important component of restoration as finding, keeping expectation i. e. believing in one's home, optimistic about the future, re-establishing of your positive identity, creating a meaningful life, taking responsibility and control.
Fredrick, a 41 season old gentleman of African origin who challenges with drug habit, came into contact with the medicine and alcohol services for treatment informally. Fredrick was surviving in a hostel and was well known to the service. At the initial interview Fredrick mentioned that his childhood was bad and his parents separated when he was still just a little child. His grandmother was in charge of his upbringing. Fredrick dropped to provide information regarding his parents. He further affirmed that his medicine addiction started out when he segregated from his spouse, the mom of his three children. He became anxious when he became unemployed and was struggling to get back to work. Fredrick said he has a prison record for shop lifting, he said he have this to preserve his drug addiction.
At the examination, the nurse asked Fredrick why he was just getting into treatment now, what has he been doing for days gone by two months and exactly what does he want from the services? because he was informal.
I experienced that the question was intense due to the way the nurse was requesting him. Positive support and rewards such as reward from others have been advised as improving self-esteem (Logan 1985).
Huberman and O'Brien (1999) discovered that positive encouragement was one of the factors that resulted in improvements in the work of therapists and in the progress of patients in mental health. Positive encouragement can be utilized here to compensate Fredrick for coming in that was what the nurse must have asked him, how he has been coping and what has kept him going for the last two months, this is his strength and which may use to plan and work collaboratively with him. Shepherd (2007) suggests that we should encourage self-management of mental health issues by giving information, reinforcing existing coping strategies. Perkins, (2007) also mentioned that clients may be prompted to jot down their symptoms and coping strategies, by focusing on small steps for change, increase their sense of do it yourself control over distressing occurrences (Scips 5. 4. 3).
The nurse talked about with Fredrick various options that was advised by NICE, (2005) recommendations (SCiP 5. 3. 1) valuing the necessity for evidenced centered practice such as abstinence based treatment, those that can help him to stop taking drugs, injury reduction; the ones that reduce the risk involved in using drugs and maintenance treatment, that is taking opioid swap. The nurse reflected on the issue of pharmacology treatment for cleansing. NICE, (2007a) and the D. O. H 2007 recommendations advise that methadone or Buprenorphine should be offered as the first choice of treatment. The nurse also mirrored on the key component of recovery-oriented practice, provide by Borg and Kristiansen (2004). The nurse talked about what he hope to attain through treatment and offering him information and various options (SCiP5. 4. 2) providing good important choice and collaboration, the nurse was also able to give Fredrick information which allows him to make up to date choice and also control his risk appropriately, treat him with respect regardless of his problem. The NMC of professional carry out (2002) explains that you must respect the patients as an individual. Which means that you look at the diverse elements that make up a patient. This provides the basis of holism. Siviter (2004) outlines that holism and all natural care look at the patient all together person, with distinctive and specific needs and condition. Holism ensures the nurse to see more than just the problem the patients are in good care. It encourages them to check out what sort of patients feel, what is paramount to them and their own families, their living condition and their values. It targets their spiritual, emotional, physiological, internal and cultural needs. This ensures the health care given meets all patients needs in a respectful and dignified way.
Fredrick was prescribed Methadone since that was his choice he was titrated for three days, and he comes in for observation for possible side-effect or withdrawals symptoms daily. The nurse offered him information and leaflets on the medication (SCiP 5. 4. 2). The nurse also shown on the main element ingredient of recovery-oriented practice, provided by Borg and Kristiansen (2004).
I felt this was a good example of empowering him to adopt responsibility of his treatment. Tunmore and Thomas states that service plan can be used as a therapeutic tool, and also as a means of participating clients and family in health care.
My skills has increased utilizing the tenets of recovery as mentioned by various writers and the chief nursing officer's review of mental health placing beliefs into practice, improving effects for service users and working as an optimistic modern professional.
I also learned that recovery will not necessarily mean treatment but it is when someone can leave a normal life despite a sickness or disability. I am going to continue to revise myself with available information in order to provide an individual centre health care and improve my skills and practice.
My dealing with the nurse and Fredrick, I could apply recovery methodology in according to the Chief Nursing Officer review (D. O. H. . 2007), using best centered available research by NICE and the D. O. H medication and substance misuse and I was able to establish and preserve a trusting, significant, therapeutic and collaborative relationship with the nurse and Fredrick by concerning him in planning his treatment, these according to (NIHME 2005) needs to be the key to all relationships. I had been also in a position to give Fredrick information which permits him to make enlightened choice and also manage his risk correctly like. I have having the ability to treat him with esteem no matter his problem and my interventions have been evidenced established.
I was not too confident in dealing with Fredrick since I used to be still training therefore i have to work under supervision of the nurse and I also lacked the knowledge of Motivational interviewing (MI) such as not cohering the client into taking decision but after dialogue with the psychologist, reading studies, I now feel assured in using MI in my own practice as i qualify.
It will include reading literatures and journals how to create a therapeutic relationship. To read more on motivational interviews techniques and relapse elimination management, enhance my skills and practice.
In finish this representation has reviewed my therapeutic encounter with a client I caused who is medication dependant. It outlined how I could build a therapeutic relationship by collaboration with Fredrick to address his medication use using the best structured evidence recognized by NICE rules and UK professional medical guidelines for medication misuse, the NTA model to stabilize and keep maintaining him. The reflection also discussed the way the professionals (nurses) could actually permit and support recovery from drug use and able to live a meaningful life. These were achieved by using the tenets of recovery as mentioned by various writers and the chief nursing officer's overview of mental health putting ideals into practice, bettering results for service users and working as a confident modern professional. Restoration does not necessarily mean cure but it is when someone can leave a normal life despite an illness or impairment.