therapeutic communication
...omments but rather continued by asking a question that did not have much relation to the prior question. This was due to my goal of solving the client’s problem for her rather than making her realize that a problem is present. By doing this I did not get the chance to form a therapeutic relationship with the client. The client could of felt as though I (the nurse) did not really care for her situation. I also hesitated when asking the questions. This can make clients uncomfortable during an interaction. When the client left, she probably would not of even tried the breathing exercises that she suggested to me since she could have thought that I did not care about the situation she was in due to my lack of therapeutic communication. The client might of perceived this interactions being a waste of time since she did not get her sedatives and the nurse did not seem to care about her situation. This can be shown when the interaction was over she did not show any appreciation towards the nurse. The length of the tape also can show this. I was rushing through questions not realizing that perhaps a certain comment that she made could have been the underlying key to solving her need of sedatives. Influencing factors The internal factor that influenced this interaction was the fact that I wanted a solution for this problem but, in order to solve this client’s problem, the way that I conducted the interaction was not the affective way for a therapeutic relationship to take place. The external factor that influenced this interaction was the fact that I was professional. I was sitting up straight, I maintained eyed contact and occasionally acknowledged my client by nodding my head. This portrayed the professionalism of nursing. I understand that there were many qualities of therapeutic communication that could have been displayed through external factors such as leaning towards them to provide a good distance between the client and I. I acknowledge my lack of therapeutic relationship in this videotape since I did not portray many of the qualities of therapeutic communication such as sharing observations, asking relevant questions, providing information, clarifying (Potter & Perry, 2001). If these would of been present in the interaction, the client would have probably felt more aware of the harm that sedatives can do and would of found an alternative of taking sedatives. Dealing with the Situation Therapeutic communication provides support, information, feedback, hope, a means for patient expression and a means for being heard and understood (Beebe, S. Beebe, S. Redmond, M., 1999). In this interaction, I do not think that I provided all of these factors. I certainly could of dealt better with the situation. I could of asked more relevant open-ended questions that could had made the...