Outcome based practice Outcome based practice refers to the actual impacts, effects and or end results of services / interventions on an individual’s life. Its effectiveness is not measured by numbers/figures or financial strategies it is measured by the positive outcome that is achieved. It isn’t about what is required to be done but what is actually achieved as the result that matters. Outcome based practice is centred on results for people in the following areas: gains in health, mobility and skills, prevention of deterioration, increases in confidence, engagement and feeling they are in control and finally changes in behaviour. It is assessed and planned starting with the end result / goal and then planning how the goal is to be achieved.
It will bring to light various points regarding the clients past or present, and medical history in question and eventually an idea of what the client hopes to achieve by coming here. There are certain medical patients that should not be treated with hypnosis and the clients medical history and medication will firmly determine that. A good ethical therapist will only take on board a client only if they feel they will respond to hypnotherapy in a positive way and the end result is not damaging to the client. To conclude, in hypnosis one is always aware of one’s self, the therapist and the situation and surroundings. In this relaxed state the client has the vital ability to change one’s self through determined focus.
Personal integration in counselling psychotherapy Introduction. Being a good therapist some would say is about being human with another human being and not about applying theory, others may find it hard not to deal with the theory, using it constantly, thinking about theory in relation to each question that could be asked while being with the client. I would suggest that theory needs to be part of me, and I need to be part of the theory. Integrating theory allows it not to be different from me, it allows theory to be part of me. Horton (1999), regarded personal integration as a desire to clarify what is a model of counselling or psychotherapy, then use the conclusion as a way to structure the elements for an analysis of thinking in practice.
For this reason, this document does not contain recipes, but rather tools to allow each individual, team and organisation to take the journey improve in the areas that are important to them. By the end of reading this document, you will have identified unique needs to work on, and designed unique action plans – just as when you are working with patients and clients you will assess their unique needs and deliver unique treatment plans. Why is person centred practice important? It makes sense that… …when you get to know the patient or client well, you can provide care more specific to their needs and therefore better care. …by promoting and facilitating greater patient and client responsibility, patients and clients are more likely to engage in treatment decisions, feel supported to make behavioural changes
Evidence-based Task 3 Toni Annette Roberts Western Governors University Evidence-Based Task 3 This paper will describe an appropriate perioperative process or procedure and why it needs change. This paper will explain who determined the basis for the practice in the nursing area. This paper will explain the rationale for making the decision for the procedure. This paper will explain why the procedure is performed this way. This paper will provide an APA-formatted reference list documenting more than five sources used in the review.
According to Laureate Education (2010) nursing informatics is a major player in continuum of care and it consists of data, information, knowledge, and wisdom. The goal of this paper is to address Parkinson’s disease early onset symptoms, what is its relationship in the four-step continuum process, and how informatics plays a vital role in attaining wisdom on caring for this particular disease process. Disease Early Onset Symptoms In home health, I have seen a significant increase of patients diagnosed with early stages of Parkinson’s disease (PD). A five stage classification scale from Hoehn and Yahr is used to classify PD symptoms based on severity and disease progression. At stage I, the disease progression is usually slow in onset with mild tremors affecting one side of body.
Driscoll, J. & Teh, B. (2001) The potential of reflective practice to develop individual orthopaedic nurse practitioners and their practice. Journal of Orthopaedic Nursing, 5, 95–103. Flynn, J. R. & R. A, Lemay.
MI is now established as an evidence-based practice in the treatment of individuals with substance use disorders. Although there are some technical considerations that may alter the practice of motivational interviewing with older people its basic principles remain the same: eliciting the patient’s concerns, reflecting ambivalence and allowing the patient to develop a plan for change that best suits him or her (Bugelli & Crowther, 2008). Motivational Interviewing focuses on exploring and resolving ambivalence and centers on motivational processes within the individual that facilitate change. Bugelli and Crowther content that the method differs from more “coercive” or externally-driven methods for motivating change as it does not impose change; but rather supports change in a manner congruent with the person's own values and concerns. Miller and Rollnick (2002) emphasize that they are less concerned about the techniques used in MI but put greater emphasis on the spirit that underlies it.
Introduction The Department of Health's review Treatment Choice in Psychological Therapies and Counselling (Department of Health, 2001) formed a key document which reviewed psychological treatments and patient outcomes. It was the most comprehensive review since the work of Roth and Fonagy (1996) and the evidence base for psychological therapies was reviewed within The Psychological Therapies 'Matrix' which intended to aid delivery of the range of therapies, at the same time as aiding services meeting the HEAT Psychological Therapies Access Target (NHS Scotland, 2011). Improving Access to Psychological Therapy (IAPT) echoed the need for evidence based psychotherapy which was accessible to all and Cognitive Behavioural Therapy (CBT) has at
Second the therapist must convey unconditional positive regard for the client, this means that the therapist accepts everything the client say without passing judgment on the client. Clients trust that the therapist will not reject them if they say the wrong thing or if something critical comes out in the course of therapy. The atmosphere is safe for clients to begin exploring their distress. The third condition for the therapeutic progress is empathic understating. The client must feel that the therapist understands him or her.