Therapeutic Communication: Case Study of Mary with Obese Condition and Health Problems

Therapeutic
Communication

INTRODUCTION
This project is about therapeutic communication that refers to a practice including face-
to-face procedure of interaction by focussing on physical and emotional wellness of the patient.
It includes to make a healthy conversation with patient to make them comfortable and provide
information them about relevant issue or treatment process to be done for their well-being (Orsu
and Koyyada, 2020). In context of this assignment, it is based on the case study of Mary with age
of 48 years suffering from obese condition and being treated for asthma & hypertension. This
report will focus on different types of stress of patient and models helping for the situation. It
will also include description of appropriate frameworks to be used in given situation. The critical
reflection of lessons learned from using selected approach is given below.
MAIN BODY
Describe the case scenario that is above. Consider the different types of stresses/worries that
Mary might facing. Explain how you would build a therapeutic relationship with her.
According to the given case study, a patient with age of 48 named Mary who married
with George and is mother of three teenager children. She was employed as a teacher in primary
school and she has an obese condition and remain under treatment of asthma as well as the
problem of hypertension. However, the patient not prefer to carry out physical exercise on
regular basis as she is a symptomatic of hip bursitis. It has been analysed that the existence of
hip bursitis is not due to any kind of intake medication or physiotherapy. Patient was diagnosed
with the symptoms of perimenopause with frequent hot flushes since last 6 months. It is observed
that care profession offer the treatment of hormone therapy which is refused by patient because
of her internal feeling of uncertainty as her mother diet from breast cancer before 2 years. Mary
faced stress or worries in relation to her situation which are explained here.
Stress can be described as a feeling when an individual is struggling for overcome with
challenges like financial crisis, work, relationships, health problems, environment and other
situations (Zhang and et. al., 2019). It includes the different factors behind stressed condition of a
person which is required to be cope up with otherwise it will create psychological problems. In
context of Mary, she is suffering from number of health problems which are responsible for
stress developing condition of tress for her.

Acute stress: This refers to most often occurred stress type among people which can be
consider as an immediate reaction to new event, challenge or demand. It is responsible for
triggering fight to flight response which occurs due to near miss auto mobile accident, an
argument with family or costly mistake at work sink in. However, it has be analysed that acute
stress is not necessarily negative all the time because it enhance ability of a person to avoid
problematic incidents in future (Moein, 2017). In context of Mary, this stress occur when she
know about her condition of hip bursitis for a while which facilitate her to consult with physician
to get treatment of the same.
Episodic acute stress: In this context, it includes the condition when acute stress take
place in frequent manner in gap of few hours or days which is known as episodic acute stress.
Basically, this condition occurs for people who always seems to be having crisis and facing
problem continuously from a long duration of time. A person with episodic acute stress are
observed to be short tempered often, feel irritate quickly and remain anxious. However, it has
been evaluated that this kind of stress impact negatively health of an individual. It is difficult of
suffered people to overcome with their lifestyle or change it because they have already accepted
that stress as a part of their life. In respect of given case, Mary may indicate such symptoms due
to having stress because of existing health problem like asthma, hypertension, obesity and hip
bursitis.
Chronic stress: The unsolved acute stress is responsible for enhancing the situation
among period of time which results into chronic stress. It includes chronic stress condition which
remain constant in life of a person and does not go away. However, this condition mostly occurs
due to several factors such as a dysfunctional family, an unhappy marriage, a bad job and
poverty (Cheng and Huang, 2019). In case of Mary, she was refused to undergo through
hormone therapy for treating the problem of hip bursitis then it is required to clear her doubts. It
is necessary to make patient understand about different reason behind her mother and importance
of hormone therapy for well-being of patient.
Considering the given case study, it has been evaluated that hormone therapy is much
effective for Mary in order to treat her problem of hip bursitis but her refusing create a challenge
for care professionals to conduct the process. It consist the conduct an effective communication
with patient in order to make them understand about benefits of selected clinical process.
However, it is very important to convince individual about treatment and deliver it as soon as