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Treatment Modalities.
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Treatment Modalities.
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Treatment ModalitiesMilieu therapy - correct answer-"therapeutic community" (therapy for nursing care were
giving in the environment; general or you and the patient or the interaction and therapy in the
environment we are a part of--this is a therapeutic community)
-manipulating the environment ensuring all aspects of the hospital experience are all
therapeutic; is a microcosm of real world
-has changed drastically due to shorter hospital stays (finding patients staying shorter makes
therapeutic interventions more spontaneous)
-nurse now required to do spontaneous therapeutic interventions (we have to take
advantage of every single second--look at every communication with patient; every meeting
with a patient is an interaction even such as bringing someone breakfast, we can tell their
mood, show eye contact, chatting, gestures, get the patient to know you are interested in
them; its more concentrated now, may need to group therapy to everyday instead of every 3
days)
ex: can be a situation you are in such as meeting with your patient; you two speaking in the
common room or outpatient setting
-can be anything in the general environment to you speaking somewhere
therapeutic community (interactions) is based on the assumption that - correct answer-each
individual will grow
-in some way/form in a positive manner
every interaction is an opportunity
-to help patient to grow/benefit the patient
-every interaction with nurse-patient, staff patient (through eye contact, patient welcoming
demeanor)
patient owns their own environment and behavior
-have to feel safe in their environment
-everyone has got to have a safe space
-even though the environment is therapeutic, do need places that they can quietly go and
know they own it (no one will intervene in an invasive manner)
-harder for mental health patients (things of comfort can be taken, ex: clothing taken from
suicidal patients)
-own their behavior: they have to understand they are responsible for their actions
peer pressure useful in positive & negative behaviors and can be controlled with feedback
from others
-used in or apparent in group therapy
-peer interaction helps control everyone
-learn and grow from others experiences/feedback
, therapeutic community is promoted by the basis premise that - correct answer-everything
that occurs in the MiIieu is part of a patient's treatment
-every interaction is part of the patient's treatment (whether it be action, reaction, or lack of
reaction)
-know patient will perceive you/interact with you
basic needs met in an environment (milieu) - correct answer-satisfactory
-in meeting the patient's needs and is safe
self governing
-giving the patient some sort of independence such as interacting with staff or where they
are permitted to be on the unit
-have control over some behaviors
appropriate assignment responsibilities
-won't keep assigning staff to patients they don't work well with (need proper staff for
patients)
family involvement (can go one way or the other; usually encourage this as many will go
home to them after treatment, unless its negative)
-equates potential support to help patient get better (can be motivation or helpful)
-can sometimes be a part of the problem (abuse and neglect/violence); can be negative and
they may not even know it is negative
groups - correct answer-is a collection of people who have a relationship with one another,
are interdependent, and may have common norms
-something in common or common thread that is shared (diagnosis, get something done)
and develop a relationship with each other (better or for worse)
-they have the same goal
functions of a group - correct answer-does not mean that every group does every one of
these
-socialization (ex: parents without partners, like minded people with like challenges get
together)
-support (patient has things challenging them (alcohol abuse, loss) and others off this in a
setting in which would otherwise not happen)
-task completion
-camaraderie (same interests; understand what others have been through)
-informational
-normative empowerment
-governance
components of small group (good group) - correct answer-these deem if the group will be
successful
-structure
-size
-length of session
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