In How To Nurse, Varcoe and Doane remind us that the word “relational” is far more complex than just the meaning of the “touchy-feely, emotional side of nursing” (Varcoe & Doane, 2015, p. 3). Relational practice describes a “complex interplay of human life, the world, and nursing practice” (Varcoe & Doane, 2015, p. 3). Incorporating relational practice into the profession of nursing is essential. In this paper, I will discuss a conversation I have had with my mother in regards to her feelings towards my grandmother’s smoking addiction. I will describe our communication style, provide examples of how I incorporated relational practice skills, comment on what worked and what didn’t, and suggest approaches that may have been more effective. Growing up, I can remember my mother’s ongoing disappointment and frustration with my grandmother’s smoking addiction. She continuously begged her mother to quit smoking, but unfortunately, her words never had much of an impact other than my grandmother trying not to smoke around her or moving outside the house to smoke. With my grandmother aging, her smoking has not decreased and with other compounding health issues, my mom is not just frustrated but also extremely saddened by the state of my …show more content…
With this, feelings of sympathy as well as joy arise in me when I noticed those arise in my mother. A certain point she discussed remembering a time when my grandma received a prescription from her family physician, which aided in her trying to quit smoking. This was a time that I noticed us being in sync, where we both had feelings of optimism and hope.
Relational capacities (initiative, authenticity, responsiveness; mutuality and synchrony; honouring complexity and ambiguity; intentionality;
Therapeutic nurse-patient relationship is defined as: “an interpersonal process that occurs between nurse and patient. It is a purposed communication with the main goal of promoting the values, interests, and health outcomes of the patients (Pazargadi & Moghadam, 2015). Developing a therapeutic relationship is a vital skill that is necessary in making the patient feel comfortable and safe. The nurse must acknowledge that the words that are exchanged between the nurse and the patient will form ideas and feelings (Porr, Drummond & Olson, 2012). Therapeutic relationships allow the nurse and patient to establish clear and appropriate boundaries and maintain confidentiality. The purpose of this paper is to reflect on a nurse-patient therapeutic relationship and explore relational behaviors displayed within the interaction.
Most, if not all, people know that smoking is harmful to health. However, many people continue to practice the bad health behavior. Dr. Shelley Taylor, author of Health Psychology, states that smoking increases the risk for respiratory diseases including emphysema and also causes about 1 in 5 deaths per year, mainly due to lung cancer. This was the case for my grandfather, Isamu “Sam” Hanano. He began smoking at the age of 25. My mother remembers that he would smoke up to 3 packs of cigarettes in one day but quit cold turkey when he found out that he would be a grandfather. At that time, he was 59 years old which meant he smoked for 34 years before he quit. Even though it was great that he was able to quit without relapsing, the amount that
Nurse-patient relationships are cited as therapeutic relationship at times and is known to be vital for nurses to provide the best possible care to the patients. Appreciating the diverse phases of therapeutic communication is essential.
Relational practice in nursing is critical for developing strong interpersonal relationships that are therapeutic and essential for patient health and well-being. This paper discusses advanced care plans and relevant concepts from Nursing class 260 that contribute to relational practice, which include: Maslow’s hierarchy of needs, health promotion, ethics, collaboration, lifespan, power, culture, communication and interdisciplinary supports. This paper is constructed from a discussion with an individual about their values and beliefs that would influence an advanced care plan, and how the relational concepts can be applied to the conversation and past clinical experiences.
One of my first memories in the United States was taking a Drug Abuse Resistance Education (D.A.R.E) class. I was in sixth grade and a top student, as talking about drugs and alcohol and the way they affect us was fascinating to me. This is why, the following year, I volunteered to become a peer educator in Teens Against Tobacco Use (T.A.T.U). For a couple of years, I gave presentations to young students which included facts, demonstrations, and games, to spread the knowledge that tobacco is harmful and that staying away from smoking prolongs life expectancy and increases the quality of life. It should come as no surprise, then, that I consider myself a big proponent of staying tobacco-free and encouraging others to quit smoking as a great way to promote health. I remember watching my mom and sister as they took part in their nightly ritual of smoking a few cigarettes to unwind. “Did you know that a main component of cigarettes is used as rocket fuel?” I would ask them, as I opened the window and they stared back at me blankly. “We know, we know” was the answer every time. I knew that convincing them to quit was no easy task, but I was committed. Day after day, I proudly stated a new fact about the evils of smoking. Finally one day, they quit. At first, they attributed it to the cost. Since we had just immigrated to the United States, the cost of cigarettes was simply not something they could afford. I didn’t believe it. I proudly
Of the roughly 42 million adults in the US that use tobacco, nearly 69% of smokers want to quit and more than 42% of those wishing to quit will make the attempt through various methods(1). These methods range from the "cold turkey" method, nicotine replacement therapy, behavioural therapy and even medicine. Each method has it's unique strengths and weaknesses as well as varying success rates. There are many reasons to quit and many ways in which to do so, either with methods that involve slowly weaning off of nicotine, like gums and patches from replacement therapy, to nicotine-free methods which require support from various sources.
As I approached my 50th birthday and realized that I'm now a middle-aged man who had been smoking for 20 years, I knew I had to find something that would help me kick the addiction once and for all. I read several articles and books on how to quit smoking, but nothing I read seemed to keep me from going back to cigarettes.
A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.
I believe this story about her and her family helps what I’m trying to inform my audience about the danger of second-hand smoking. Background Information: Cigarette smoke is well understood as a cause of lung cancer and is linked to many other types of cancer in children and adults. Many people are still exposed to secondhand smoke, particularly children who live with parents who smoke even though they try to be careful where they light up. Every year in the U.S., passive smoking causes about 34,000 deaths from heart disease and 7,300 deaths from lung cancer.
Researchers and doctors all over the world constantly discuss smoking problems. There is an incredible amount of information offered to people who fight the desire to light a cigarette, on a daily basis. But, as any drug, smoking is difficult to be forgotten, even with all the issues it brings.
Breaking the addiction to smoking is never an easy task. There are so many excuses for not quitting while conversely there are just as many justifications to quit. However, whereas some may quit successfully boasting of awe-inspiring feats of willpower others may find that they remain stuck in a continual fluctuation struggling to break the addiction with a self imposed evil that seems almost inescapable.
With many decades worth of health data now available, it has never been clearer that smoking is one of the most dangerous habits a person can engage in. It is no wonder, then, that so many smokers are committed to quitting and improving their health.
Nicotine dependence remains a significant public health concern (Rep., 2011). Cigarette smoking is the leading preventable cause of mortality in the United States, accounting for approximately 1 out of every 5 deaths. On average, smokers die 13 to 14 years earlier than nonsmokers. Additionally the estimates for average annual smoking-attributable productivity losses are $96.8 billion and the total economic burden of smoking is approximately $193 billion per year (USDoHaH, 2000). Despite the availability of therapeutic options for smoking cessation, relapse rates remain high (Piasecki, 2006; Pollak et al., 2007). Therefore, there is a need for new, effective, strategies to assist cigarette smokers achieve abstinence.
Jane’s was diagnosed with COPD in her 30’s; she has been living with this disease for a long time. Jane started smoking cigarettes in her 20’s; she smoked for a little over 30 years. Recently Jane has made the decision to stop smoking, cold turkey. She does not want any nicotine patches or any help to stop smoking. She is an extremely determined person and likes to do things on her own. Her Daughter Nichole smokes cigarettes, she tries to only smoke outside, but during several visit the apartment smelled like someone was smoking inside. The fact that Jane is trying to quite, while her daughter continues to smoke in front of her makes it challenging for Jane.
According the Centers for Disease Control and Prevention (2015), cigarette smoking is the leading cause of preventable disease and death in the United States, accounting for more than 480,000 deaths every year, or 1 of every five deaths. In 2015, about 15 of every 100 U.S. adults age 18 years or older currently smoke cigarettes. However, this is a decline from nearly 21 of every 100 adults back in 2005. One reason for the decline is due to smoking cessation programs developed within our communities. These programs are helping smokers to quit their habit, and improve their health and lifestyle. Let us look at what it takes to make a smoke cessation successful within ones’ community.