Therapeutic Intervention: Enhancing Patient Health
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This article discusses therapeutic intervention and its role in enhancing patient health. It includes a case study of a diabetic patient and explores the use of therapeutic communication. The article also discusses the rationale behind therapeutic intervention and the skills required to provide effective interventions.
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Running Head: TI
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Therapeutic intervention
student
6/13/2019
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Therapeutic intervention
student
6/13/2019
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Table of Contents
Introduction.................................................................................................................................................2
Case study...............................................................................................................................................2
Therapeutic intervention..........................................................................................................................3
Rationale..............................................................................................................................................3
Developed skills......................................................................................................................................5
Conclusion...................................................................................................................................................7
References...................................................................................................................................................8
1
Table of Contents
Introduction.................................................................................................................................................2
Case study...............................................................................................................................................2
Therapeutic intervention..........................................................................................................................3
Rationale..............................................................................................................................................3
Developed skills......................................................................................................................................5
Conclusion...................................................................................................................................................7
References...................................................................................................................................................8
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2
Introduction
Therapeutic intervention is the effort made by the people or groups to enhance the health
of the patient who either needs immediate help but refusing it or in other words unable to initiate
or accept the help. The therapeutic intervention can be physical, psychological, social and
spiritual (Perry, Potter, & Ostendorf, 2015). It is also defined as the medicine or therapy applied
to treat the disorder or pain through the involvement and intercession of the proactive therapeutic
practice, that is the person who is suffering from an addicted behaviour, may be benefited with
the therapeutic intervention. Therapeutic intervention (TI) can be provided in the form of
different methods and facilities. TI is provided according to the type of disease a patient has, the
severity of the health condition and their own preferences (Marie, & Jaroslav, 2016). In this
particular assessment report, the application of therapeutic intervention to a specific medical case
will be discussed. The rationale of the therapeutic intervention and how the skills can be
developing in applying this intervention will also be mentioned in this report.
Case study
A 65 years old Aboriginal patient suffering from diabetes type 1 has been admitted to the
hospital. He has been receiving treatment for the last 4 years. He developed other negative health
condition in the past few days such as breathing issues, excessive urination and sleeplessness,
and vision issues, obesity, depression, and stress. He has been prescribed with Metformin to
control his blood sugar levels. His wife reported that he spends most of his time at home and
hardly talk to other people. He also thinks that the treatment being provided to him is working
for him properly and his health condition cannot be treated. The patient lives with his wife,
however, he has two daughters and one son but they are living in other cities and used to visit
2
Introduction
Therapeutic intervention is the effort made by the people or groups to enhance the health
of the patient who either needs immediate help but refusing it or in other words unable to initiate
or accept the help. The therapeutic intervention can be physical, psychological, social and
spiritual (Perry, Potter, & Ostendorf, 2015). It is also defined as the medicine or therapy applied
to treat the disorder or pain through the involvement and intercession of the proactive therapeutic
practice, that is the person who is suffering from an addicted behaviour, may be benefited with
the therapeutic intervention. Therapeutic intervention (TI) can be provided in the form of
different methods and facilities. TI is provided according to the type of disease a patient has, the
severity of the health condition and their own preferences (Marie, & Jaroslav, 2016). In this
particular assessment report, the application of therapeutic intervention to a specific medical case
will be discussed. The rationale of the therapeutic intervention and how the skills can be
developing in applying this intervention will also be mentioned in this report.
Case study
A 65 years old Aboriginal patient suffering from diabetes type 1 has been admitted to the
hospital. He has been receiving treatment for the last 4 years. He developed other negative health
condition in the past few days such as breathing issues, excessive urination and sleeplessness,
and vision issues, obesity, depression, and stress. He has been prescribed with Metformin to
control his blood sugar levels. His wife reported that he spends most of his time at home and
hardly talk to other people. He also thinks that the treatment being provided to him is working
for him properly and his health condition cannot be treated. The patient lives with his wife,
however, he has two daughters and one son but they are living in other cities and used to visit
TI
3
them in once in a year. He is worried about his wife as she has to manage all the household stuff
on her own. The vital signs of the patient indicate that he has the blood pressure of 120/70 mm
Hg, respiration rate 17 to 24 breathes per minutes, pulse 70 to 120 and body temperature 99. 5 °
C.
Therapeutic intervention
The patient in the case study suffering from diabetes type 2 and developed other health
condition like breathing problems, depression, and increased weight. It has been recognized that
the patient suffering from diabetes often develop psychological issues the treatment of this health
condition is lengthy. His blood pressure was high and the respiration rates were also abnormal.
He has developed negative thought about the treatment and thinks that it will not work for him
anymore. To provide the patient a complete support nursing therapeutic interventions are
necessary (Miller, et al., 2015). As an experienced registered nurse I knew my role and
responsibility for the diabetic patient. I have built a therapeutic relationship with the patient in
order to get his cooperation in the treatment process. To develop a therapeutic relationship with
the patient, therapeutic communication has been used to assess the patient easily.
Rationale
As the patient lost his belief in the medications being proved to him and other
psychological issues, therapeutic communication worked as an effective intervention.
Therapeutic communication defined as the process in which the registered nurse consciously
helps the patient to have a better understanding of the verbal or non-verbal interactions (Weber,
& Farrell, 2016). This particular intervention involves the application of the particular
approaches that motivates the patient to express their actual feeling and opinions and that
conveys the obedience and respect (Fan, & Taylor, 2016).
3
them in once in a year. He is worried about his wife as she has to manage all the household stuff
on her own. The vital signs of the patient indicate that he has the blood pressure of 120/70 mm
Hg, respiration rate 17 to 24 breathes per minutes, pulse 70 to 120 and body temperature 99. 5 °
C.
Therapeutic intervention
The patient in the case study suffering from diabetes type 2 and developed other health
condition like breathing problems, depression, and increased weight. It has been recognized that
the patient suffering from diabetes often develop psychological issues the treatment of this health
condition is lengthy. His blood pressure was high and the respiration rates were also abnormal.
He has developed negative thought about the treatment and thinks that it will not work for him
anymore. To provide the patient a complete support nursing therapeutic interventions are
necessary (Miller, et al., 2015). As an experienced registered nurse I knew my role and
responsibility for the diabetic patient. I have built a therapeutic relationship with the patient in
order to get his cooperation in the treatment process. To develop a therapeutic relationship with
the patient, therapeutic communication has been used to assess the patient easily.
Rationale
As the patient lost his belief in the medications being proved to him and other
psychological issues, therapeutic communication worked as an effective intervention.
Therapeutic communication defined as the process in which the registered nurse consciously
helps the patient to have a better understanding of the verbal or non-verbal interactions (Weber,
& Farrell, 2016). This particular intervention involves the application of the particular
approaches that motivates the patient to express their actual feeling and opinions and that
conveys the obedience and respect (Fan, & Taylor, 2016).
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TI
4
Therapeutic communication includes the interpersonal communication between the
patient and nurse. This intervention is envisioned to assist the patient. The skills essential in
therapeutic interaction are subtle and far various than those needed in the general interpersonal
communication, and mastering of the therapeutic practices helps the nurse comprehend the
patient much better (Brownie, Scott, & Rossiter, 2016). Sound interpersonal communication
abilities for the registered nurses are of countless significance and essential for operational
therapeutic interaction. However therapeutic interaction is targeted at instituting several purposes
for the registered nurse as a psychological health expert. Communication is the key which starts,
expounds and finishes the nurse-patient association. In order to attain an effectual therapeutic
interaction, the nurse must track the instruction of privacy and secrecy protection the patients’
privileges to privacy, permit the diabetic patient to express themselves easily, respect the
diseased person by taking into deliberation the background, age, belief, socioeconomic position
and race in regarding personal space. The registered nurse must be prepared to differentiate
between the patient’s requirements and objectives; he might require setting the restrictions in
case he senses that they might be violated. Specialized communication is precisely significant for
the association between the healthcare professional and the patient (Birks, Chapman, & Davis,
2015).
Active listening is the one component of therapeutic communications which has been
used for the diabetic person. As it is reported that the patient is mentally unwell and developed
negative thought, he must be provided with emotional support. While discussing with the patient
the peaceful environment has been maintained. I have made direct eye contact with him and
responded to his worries and anxieties for his health. Depression and stress are the two risk
factors in diabetes that can worsen the situation, and active listening allows the patient to feel
4
Therapeutic communication includes the interpersonal communication between the
patient and nurse. This intervention is envisioned to assist the patient. The skills essential in
therapeutic interaction are subtle and far various than those needed in the general interpersonal
communication, and mastering of the therapeutic practices helps the nurse comprehend the
patient much better (Brownie, Scott, & Rossiter, 2016). Sound interpersonal communication
abilities for the registered nurses are of countless significance and essential for operational
therapeutic interaction. However therapeutic interaction is targeted at instituting several purposes
for the registered nurse as a psychological health expert. Communication is the key which starts,
expounds and finishes the nurse-patient association. In order to attain an effectual therapeutic
interaction, the nurse must track the instruction of privacy and secrecy protection the patients’
privileges to privacy, permit the diabetic patient to express themselves easily, respect the
diseased person by taking into deliberation the background, age, belief, socioeconomic position
and race in regarding personal space. The registered nurse must be prepared to differentiate
between the patient’s requirements and objectives; he might require setting the restrictions in
case he senses that they might be violated. Specialized communication is precisely significant for
the association between the healthcare professional and the patient (Birks, Chapman, & Davis,
2015).
Active listening is the one component of therapeutic communications which has been
used for the diabetic person. As it is reported that the patient is mentally unwell and developed
negative thought, he must be provided with emotional support. While discussing with the patient
the peaceful environment has been maintained. I have made direct eye contact with him and
responded to his worries and anxieties for his health. Depression and stress are the two risk
factors in diabetes that can worsen the situation, and active listening allows the patient to feel
TI
5
that the listener is actually concerned about him (Haley, Heo, Wright, Barone, Rettiganti, &
Anders, 2017). This enhances the belief and trust of the patient in the healthcare system. With
the help of effective therapeutic communication, the patient is educated and taught about the
importance of the medicine being provided to him so that he follows the drug therapy for
betterment. As providing respect to the patient most important to every health care provider, I
have dealt with the diabetic patient respectfully and empathetically. The patient’s family
members are educated about the essential lifestyle adaptation that plays a key role in improving
the wellbeing of the patient. I have also the touch method to provide additional emotional
support to the patient. This developed a feeling in the patient that I understand his situation and
will help him to recover from this adverse situation. Being honest and sharing feeling is the core
component of therapeutic communication which helps in assessment and sends a strong message
to the patient and their family that the health care providers are determined to provide best
available treatment services for the patient (Campbell, Aredes, & Dhari, 2017).
Developed skills
Throughout my nursing career, I have provided my services to diabetic people. Therefore
I am well equipped with the skills required to provide complete intervention to the diabetic
patient. However, I was not very effective in providing interventions to the elder people. To
apply the effective therapeutic communication I had to learn more about the techniques to
develop a therapeutic relationship with them. I was not very effective to encourage the older
individuals to continue with the recommended treatment process. I have developed this skill in
order to help the patient to endure the treatment method. The patient has been encouraged to
implement some recommended excises such as normal walking, yoga and deep breathing. To
communicate with the patient effectively one should have the understanding or knowledge of the
5
that the listener is actually concerned about him (Haley, Heo, Wright, Barone, Rettiganti, &
Anders, 2017). This enhances the belief and trust of the patient in the healthcare system. With
the help of effective therapeutic communication, the patient is educated and taught about the
importance of the medicine being provided to him so that he follows the drug therapy for
betterment. As providing respect to the patient most important to every health care provider, I
have dealt with the diabetic patient respectfully and empathetically. The patient’s family
members are educated about the essential lifestyle adaptation that plays a key role in improving
the wellbeing of the patient. I have also the touch method to provide additional emotional
support to the patient. This developed a feeling in the patient that I understand his situation and
will help him to recover from this adverse situation. Being honest and sharing feeling is the core
component of therapeutic communication which helps in assessment and sends a strong message
to the patient and their family that the health care providers are determined to provide best
available treatment services for the patient (Campbell, Aredes, & Dhari, 2017).
Developed skills
Throughout my nursing career, I have provided my services to diabetic people. Therefore
I am well equipped with the skills required to provide complete intervention to the diabetic
patient. However, I was not very effective in providing interventions to the elder people. To
apply the effective therapeutic communication I had to learn more about the techniques to
develop a therapeutic relationship with them. I was not very effective to encourage the older
individuals to continue with the recommended treatment process. I have developed this skill in
order to help the patient to endure the treatment method. The patient has been encouraged to
implement some recommended excises such as normal walking, yoga and deep breathing. To
communicate with the patient effectively one should have the understanding or knowledge of the
TI
6
culture and beliefs of the patient so that the ethical issues can be avoided while providing health
care interventions to the patient (Low, Fletcher, Goodenough, Jeon, Etherton-Beer, MacAndrew,
& Beattie, 2015). I was not very aware of many cultures and populations such as aboriginal
Torres Strait Islander people, and other indigenous people. A mentioned in the case study the
diabetic patient belonged to the Aboriginal and Torres Strait Islander community, therefore I had
to gain the knowledge about the culture.
Another skill that I have developed while using therapeutic communication is seeking
clarification. Comparable to the active listening, asking the patients for an explanation when he
or she says something puzzling or vague is significant (Haley et al., 2017). Speaking something
like “I’m not assured I comprehend, Can you clarify it to me?” benefits nurses to make sure they
comprehend what is really being believed or said and can assist patients to practice their notions
additional thoroughly. Focusing on the patient is the essential skill that I developed for the
diseased person. Concentrating with the patient is a therapeutic interaction technique applied by
registered nurses and other associates of the wellbeing care team, that assists the patient’s
capabilities to emphasis on and pay consideration to the matters, which must replicate the client's
urgencies (Strain, Agarwal, & Paldánius, 2017). At times, certain clients might apply the nurse's
existence to speak about the things not even linked to their wellbeing care and their actual health
care difficulties. For instance, they might want to discuss their prolonged family and their
activities at a similar time that the registered nurse has to teach the patient related to their design
of care. Concentrating on the patient at hand reduces the threat of possessing these types of
distractions to damage the therapeutic communication progression (Kang, & Gu, 2015). For
instance, the nurse might say, "Sir, your family is actually exciting and fruitful. Thank you for
6
culture and beliefs of the patient so that the ethical issues can be avoided while providing health
care interventions to the patient (Low, Fletcher, Goodenough, Jeon, Etherton-Beer, MacAndrew,
& Beattie, 2015). I was not very aware of many cultures and populations such as aboriginal
Torres Strait Islander people, and other indigenous people. A mentioned in the case study the
diabetic patient belonged to the Aboriginal and Torres Strait Islander community, therefore I had
to gain the knowledge about the culture.
Another skill that I have developed while using therapeutic communication is seeking
clarification. Comparable to the active listening, asking the patients for an explanation when he
or she says something puzzling or vague is significant (Haley et al., 2017). Speaking something
like “I’m not assured I comprehend, Can you clarify it to me?” benefits nurses to make sure they
comprehend what is really being believed or said and can assist patients to practice their notions
additional thoroughly. Focusing on the patient is the essential skill that I developed for the
diseased person. Concentrating with the patient is a therapeutic interaction technique applied by
registered nurses and other associates of the wellbeing care team, that assists the patient’s
capabilities to emphasis on and pay consideration to the matters, which must replicate the client's
urgencies (Strain, Agarwal, & Paldánius, 2017). At times, certain clients might apply the nurse's
existence to speak about the things not even linked to their wellbeing care and their actual health
care difficulties. For instance, they might want to discuss their prolonged family and their
activities at a similar time that the registered nurse has to teach the patient related to their design
of care. Concentrating on the patient at hand reduces the threat of possessing these types of
distractions to damage the therapeutic communication progression (Kang, & Gu, 2015). For
instance, the nurse might say, "Sir, your family is actually exciting and fruitful. Thank you for
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TI
7
discussing this info with me. Now, let's deliberate your diabetes and the medicine insulin that
you are required to take after you leave this hospital (Low et al., 2015).
Conclusion
Therapeutic intervention is actually an effort of the health care professional to improve
the wellbeing of the patient who is in immediate need of health care services. It is delivered by
health professionals like nurses and physicians. The patient in the case study has diabetes issues
and developed depression and stress due to the long treatment procedure and deprived health
condition. Diabetes is the health issues which occur as the result of insulin resistance in the
body. To provide the complete support to the patient communication has been used ad he is no
more interested in the treatment being provided to him. By applying this intervention a
therapeutic relationship can be built with the patient which ultimately help in easy assessment,
enabling the patient to believe in the treatment procedure and focusing on his lifestyle changes.
Some of the essential skills that have been used to provide high-quality care to the patient are
active listening, maintaining a peaceful environment, and showing respect and empathy. Some of
the skills that I have learned while delivering this intervention are encouraging the patient,
having knowledge of different cultures, asking the patient to explanations, and patient-centred
approach.
7
discussing this info with me. Now, let's deliberate your diabetes and the medicine insulin that
you are required to take after you leave this hospital (Low et al., 2015).
Conclusion
Therapeutic intervention is actually an effort of the health care professional to improve
the wellbeing of the patient who is in immediate need of health care services. It is delivered by
health professionals like nurses and physicians. The patient in the case study has diabetes issues
and developed depression and stress due to the long treatment procedure and deprived health
condition. Diabetes is the health issues which occur as the result of insulin resistance in the
body. To provide the complete support to the patient communication has been used ad he is no
more interested in the treatment being provided to him. By applying this intervention a
therapeutic relationship can be built with the patient which ultimately help in easy assessment,
enabling the patient to believe in the treatment procedure and focusing on his lifestyle changes.
Some of the essential skills that have been used to provide high-quality care to the patient are
active listening, maintaining a peaceful environment, and showing respect and empathy. Some of
the skills that I have learned while delivering this intervention are encouraging the patient,
having knowledge of different cultures, asking the patient to explanations, and patient-centred
approach.
TI
8
References
Birks, M., Chapman, Y. B., & Davis, J. (2015). Professional and therapeutic communication.
Oxford University Press.
Brownie, S., Scott, R., & Rossiter, R. (2016). Therapeutic communication and relationships in
chronic and complex care. Nursing Standard, 31(6), 54.
Campbell, S. H., Aredes, N. D. A., & Dhari, R. K. (2017). Teaching and Evaluating Therapeutic
Communication in Simulated Scenarios. Simulation Scenarios for Nursing Educators:
Making it Real.
Fan, C. W., & Taylor, R. R. (2016). Assessing therapeutic communication during rehabilitation:
The Clinical Assessment of Modes. American Journal of Occupational Therapy, 70(4),
7004280010p1-7004280010p10.
Haley, B., Heo, S., Wright, P., Barone, C., Rettiganti, M. R., & Anders, M. (2017). Relationships
among active listening, self-awareness, empathy, and patient-centered care in associate
and baccalaureate degree nursing students. NursingPlus Open, 3, 11-16.
Kang, H. Y., & Gu, M. O. (2015). Development and effects of a motivational interviewing self-
management program for elderly patients with diabetes mellitus. Journal of Korean
Academy of Nursing, 45(4), 533-543.
Low, L. F., Fletcher, J., Goodenough, B., Jeon, Y. H., Etherton-Beer, C., MacAndrew, M., &
Beattie, E. (2015). A systematic review of interventions to change staff care practices in
order to improve resident outcomes in nursing homes. PloS one, 10(11), e0140711.
8
References
Birks, M., Chapman, Y. B., & Davis, J. (2015). Professional and therapeutic communication.
Oxford University Press.
Brownie, S., Scott, R., & Rossiter, R. (2016). Therapeutic communication and relationships in
chronic and complex care. Nursing Standard, 31(6), 54.
Campbell, S. H., Aredes, N. D. A., & Dhari, R. K. (2017). Teaching and Evaluating Therapeutic
Communication in Simulated Scenarios. Simulation Scenarios for Nursing Educators:
Making it Real.
Fan, C. W., & Taylor, R. R. (2016). Assessing therapeutic communication during rehabilitation:
The Clinical Assessment of Modes. American Journal of Occupational Therapy, 70(4),
7004280010p1-7004280010p10.
Haley, B., Heo, S., Wright, P., Barone, C., Rettiganti, M. R., & Anders, M. (2017). Relationships
among active listening, self-awareness, empathy, and patient-centered care in associate
and baccalaureate degree nursing students. NursingPlus Open, 3, 11-16.
Kang, H. Y., & Gu, M. O. (2015). Development and effects of a motivational interviewing self-
management program for elderly patients with diabetes mellitus. Journal of Korean
Academy of Nursing, 45(4), 533-543.
Low, L. F., Fletcher, J., Goodenough, B., Jeon, Y. H., Etherton-Beer, C., MacAndrew, M., &
Beattie, E. (2015). A systematic review of interventions to change staff care practices in
order to improve resident outcomes in nursing homes. PloS one, 10(11), e0140711.
TI
9
Marie, T., & Jaroslav, P. (2016). Provision of Nursing Care with or without Therapeutic
Communication Intervention. US-China L. Rev., 13, 75.
Miller, K. M., Foster, N. C., Beck, R. W., Bergenstal, R. M., DuBose, S. N., DiMeglio, L. A., ...
& Tamborlane, W. V. (2015). Current state of type 1 diabetes treatment in the US:
updated data from the T1D Exchange clinic registry. Diabetes Care, 38(6), 971-978.
Perry, A. G., Potter, P. A., & Ostendorf, W. (2015). Nursing Interventions & Clinical Skills-E-
Book. Elsevier Health Sciences.
Strain, W. D., Agarwal, A. S., & Paldánius, P. M. (2017). Individualizing treatment targets for
elderly patients with type 2 diabetes: factors influencing clinical decision making in the
24-week, randomized INTERVAL study. Aging (Albany NY), 9(3), 769.
Weber, K., & Farrell, T. (2016). Developing therapeutic communication skills: Integration of
standardized client simulation in an associate degree nursing program.
9
Marie, T., & Jaroslav, P. (2016). Provision of Nursing Care with or without Therapeutic
Communication Intervention. US-China L. Rev., 13, 75.
Miller, K. M., Foster, N. C., Beck, R. W., Bergenstal, R. M., DuBose, S. N., DiMeglio, L. A., ...
& Tamborlane, W. V. (2015). Current state of type 1 diabetes treatment in the US:
updated data from the T1D Exchange clinic registry. Diabetes Care, 38(6), 971-978.
Perry, A. G., Potter, P. A., & Ostendorf, W. (2015). Nursing Interventions & Clinical Skills-E-
Book. Elsevier Health Sciences.
Strain, W. D., Agarwal, A. S., & Paldánius, P. M. (2017). Individualizing treatment targets for
elderly patients with type 2 diabetes: factors influencing clinical decision making in the
24-week, randomized INTERVAL study. Aging (Albany NY), 9(3), 769.
Weber, K., & Farrell, T. (2016). Developing therapeutic communication skills: Integration of
standardized client simulation in an associate degree nursing program.
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