Through reflection, discussion with my mentor and reading literature I realised that building relationships are perhaps more about understanding personal drives,(Walker et al 2005), of which coping strategies are a part, but ultimately understanding patients, comes from the ability to communicate effectively; most importantly listening and observing to pick up cues (Castledine 2004) Bulman and Schutz (2004) stated that Gibbs (1988) encourages the reflector to make sense of the situation analysis critical thought, linking theory to practice. I will do this by exploring communication, in particular non verbal cues and looking at the evidence underpinning it. McCabe and Timmins (2006) stated that facial expressions are an intrinsic way to express emotions and eye contact is one way to show interest. Additionally McMahon and Pearson (2002) stated that anxious patients can be unsuccessful in making themselves understood by the nature of their emotional state. This according to Lyth (2000) makes observations by nurses difficult to achieve.
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(Thompson 2011). In practice there is a very fine balance between good anti oppressive interventions and not reacting to concerns. There is a risk that social work practitioners are so anti oppressive that they only intervene when a crisis has emerged which may often be too late to promote early intervention. (Thompson 2011). This is balanced with the standards of proficiency for social workers in particular “Understand the need to promote the best interests of service users…” and “Understand the need to protect, safeguard and promote the wellbeing of …vulnerable adults” (HCPC 2012 2.2
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