Importance of Therapeutic Relationship in Nursing Practice

Running Head: BACHELOR NURSING ASSIGNMENT
BACHELOR NURSING ASSIGNMENT
Name of the student:
Name of the university:
Author note:

1BACHELOR NURSING ASSIGNMENT
Introduction
Therapeutic relationship is the fundamental in the nursing practice, especially to the
registered nurse. Therapeutic relationship helps in providing the patient centered care plan.
Establishing, upholding and settling the therapeutic relationship for the registered nurse is
important while discussing the past health history of the patient through interview (Brownie,
Scott and Rossiter 2016). Based on the information obtained from the interview with the help
of therapeutic relationship, patient centered plan is evaluated. To establish a therapeutic
relationship with the patient, effective communication both verbal and nonverbal type is
required. Verbal communication such as doing interpersonal and intrapersonal
communication and nonverbal communication such as maintain eye contact, voice tone, calm
body language should be done by the registered nurse (Lindquist, Tracy and Snyder 2018).
According to standard 2 of the Enrolled Nurses Standards for Practice, therapeutic
relationship is maintained with the patient and other professional boundaries (NMBA 2019).
The essay focuses on the case study of Amy Walters, who is 68-year-old woman who
is suffering from acute pyelonephritis. She is physically fit and independent women. She has
also undergone plastic surgery and bilateral breast expansion, which has a small wound that
continuously oozes. She is on fluid diet which is provide by the hospital. Her heart rate, pulse
rate, respiratory rate all came down to normal only except her back pain for which oxycodone
was suggested by the doctors. Back pain settle after that but there is moderate pain in her left
flank for again oxycodone was prescribed by the doctors. After considering the effect of
oxycodone, she was nervous and worried as by taking oxycodone, condition can get worse. In
addition, she is also worried for her family.

2BACHELOR NURSING ASSIGNMENT
Importance of the therapeutic relationship in relation to the role of registered nurse
The therapeutic relationship of the registered nurse is fundamental to the nursing
practice. It is defined as the relationship of the nurse with their patients based on respect and
mutual trust, being subtle to others and self and nurturing of faith and hope.by maintaining
the therapeutic relationship, a registered nurse through their knowledge and skills
acknowledge patients emotional, physical and spiritual needs. Maintaining therapeutic
relationship is necessary for registered nurse as it helps in focusing on the personal issue of
the patient (Phillips et al. 2018).
Therapeutic relationship helps in designing person centered nursing care plan based
on the physical and emotional needs of the patient. It is different from social relationship and
mainly based on the communications skill of the patient (Brownie, Scott and Rossiter 2016).
It is mainly focused on the issue and complication of the patient explained during the
interview and based on that needs of the patients are identified. Alternate approach for
problem solving is assessed and along with that new skills of coping are developed. After that
behavioral change is assessed and encouraged by providing patient center care (McCormack
and McCance 2016).
Patient centered care is provided to the patient by the help of maintaining therapeutic
relationship. Patient centered care refers to the designing of the care plan based on the need,
preferences and values of the patient. It varies from individual to individual but receives great
appreciation because of their effectiveness (Rasheed 2015).
Here in this case Amy Walters, who is a 68 year old is physically active women and
typically fit. She is suffering from urinary tract infection. After the blood and urine test it is
confirmed that she has pyelonephritis. With the help of therapeutic relationship a person
cantered care plan is designed in case of Amy Walters. To provide the patient centered care a