Quote from l.a.m.b
can someone tell me how to chart "therapeutically"? asides from using
"encouraged pt to verbalize feelings" what else can i use? i have looked at many charting books but i havent seen anything that helps and the pysch book we are using isnt helpful.
I wanted to give a little more concrete info. Basically when you chart for a patient, any patient, it is therapeutic. I am wondering if you are talking about what you can do therapeutically with a client who has mental illness. Basically, your therepeutic interventions.
The above example, "encouraged pt to verbalize feelings" is rather broad... maybe it would help you if you recall what you did to get that patient or client to encourage talking. Did you use reflection, exploring, restating, distraction, maybe you used silence to give the client time to pause and to think about how they are feeling. And if the client just isn't willing to particpate, you still sat with them... that is, offered therapeutic use of self.
1. Encourage client to verbalize feelings by reflecting statements that the client made
2. Utilized therapeutic communication, such as reframing and paraphrasing, and use of self for 20 minutes
3. Help client to reflect on recent events and then asked what are some solutions that may help in the future
4. Encouraged client to use adaptive coping mechanisms and problem solving strategies
5. Offered client several things he could in the day room to pass the time and increase socializing
Even playing a game can be therapeutic... for example, client was experiencing mild to moderate anxiety, distracted client by playing a game of checkers in the day room.
Sometimes our interventions are very subtle, compared to other nursing interventions and specialties. But they are interventions none the less.
Hope that helps