Proposed Plan To Improve Gaps Assessment Answer

Critique With Example of Effective and Ineffective Therapeutic Communication

The movie brings about the therapeutic communication with the final days of life for Dr. Vivian and even though the life she has lived in isolation and the communication taking place with her conscious and the books she reads. There are various examples in the film wherein the effectiveness along with ineffectiveness in the arena of therapeutic communication is well brought out. The diagnosing doctor, Dr. Harvey Kelekian does bring up the communication too which is critical part of the film (Abdolrahimi, M. et al., 2017, p. 34; Chavan, S.S et al., 2014, p. 930; Martin, C.T. and Chanda, N., 2016, p. 212; Paul, C.L. et al., 2017, p. 23; Gyoneva, S. and Ransohoff, R.M., 2015, p. 475). The participation of Dr. Bearing in the clinical study post discussing the case with her diagnosing doctor is significant. Considering the emotions that Dr. Bearing goes through, the providers play a significant part in the film.

The reflection and flashback of Dr. Bearing does also bring about the expectations that are held in the society with respect to primary care providers. The manner in which the perception for the diagnosing takes place has an eventful dilemma. The patient focused nurse Susie along with primary care providers brings about the series of discussions and the conversations taking place (Abdolrahimi, M. et al., 2017, p. 34; Chavan, S.S et al., 2014, p. 930; Campbell, S.H. et al., 2017; de Araújo Ferreira et al., 2014, p. 335; Martin, C.T. and Chanda, N., 2016, p. 212; Paul, C.L. et al., 2017, p. 23; Gyoneva, S. and Ransohoff, R.M., 2015, p. 475). The character in the film, Professor Bearing plays a significant part. 

The ineffective therapeutic communication is exhibited with the scenes when her monologue that takes place with the camera presents another crucial component associated with the therapeutic communication. The wellbeing of the individual patients is brought up in the film wherein the analytical skills can be well determined (Abdolrahimi, M. et al., 2017, p. 34; Chavan, S.S et al., 2014, p. 930; Campbell, S.H. et al., 2017; de Araújo Ferreira et al., 2014, p. 335; Martin, C.T. and Chanda, N., 2016, p. 212; Paul, C.L. et al., 2017, p. 23; Gyoneva, S. and Ransohoff, R.M., 2015, p. 475; Rahmawati, D. et al., 2017, p. 440; Zarea, K. et al., 2014, p. 159).
Most of the medical staff as they appear in the film perceiving Dr. Bearing as the experiment and none but only one seeing her as a human. The person who considers Dr. Bearing being a human too is the nurse. The nurse representing the care profession understands the apathy and provisions a shoulder to Dr. Bearing. The true compassion and care shown by the nurse is crucial. 

The role of her being impacted with the effects of undergoing treatment for Stage IV metastatic ovarian cancer also brings about the opportunity of the experimental treatment which the professor agrees to. The mechanical communication in the film which is well observed by Dr. Vivian Bearing is interesting to note. She is being inquired as to “How she is feeling” and the meaning of the communication is lost as Dr. Bearing realizes that there is no empathy n even being asked about the state of her health. 
The therapeutic communication was brought about in a significant manner in the film wherein the process of face to face communication with the interactions taking place in an advanced nursing environment is significant (Abdolrahimi, M. et al., 2017, p. 34; Chavan, S.S et al., 2014, p. 930; Campbell, S.H. et al., 2017; de Araújo Ferreira et al., 2014, p. 335; Martin, C.T. and Chanda, N., 2016, p. 212; Paul, C.L. et al., 2017, p. 23; Gyoneva, S. and Ransohoff, R.M., 2015, p. 475). The physical and emotional wellbeing of the patient tend to be significant as part of the therapeutic communication. 

Literature Review

With the nurses deploying the therapeutic communication in order to support the condition the film brings about the role of the nurse who plays a crucial role in the treatment for Dr. Vivian Bearing. Even though she is facing death, the reflection of her life is being showcased in a manner that brings about the effectiveness and the involvement of her being part of the experiment (Abdolrahimi, M. et al., 2017, p. 34; Chavan, S.S et al., 2014, p. 930; Campbell, S.H. et al., 2017; de Araújo Ferreira et al., 2014, p. 335; Martin, C.T. and Chanda, N., 2016, p. 212; Paul, C.L. et al., 2017, p. 23; Gyoneva, S. and Ransohoff, R.M., 2015, p. 475). The aggressive experiment being aggressively administered by Dr. Kelen puts the case of well managed therapeutic communication with the patient. The considerable human cost is well exhibited through the reaction of Dr. Vivian Bearing and the manner she is being attended to with the involvement of physicians and registered nurses. Correctional nurses are bound to maintain the needed interaction with the patients. The interaction advancing to the higher levels becomes challenging too.  The nurse’s sole purpose associated with the film is linked to the healing, preserving dignity along with respect for the patient is crucial. The nursing theorist does signify the same with the story represented in the film by Jean Watson. The theoretical concept brings about the manner in which the nurse in the film utilizes the nursing theories (Abdolrahimi, M. et al., 2017, p. 34; Chavan, S.S et al., 2014, p. 930; Campbell, S.H. et al., 2017; de Araújo Ferreira et al., 2014, p. 335; Martin, C.T. and Chanda, N., 2016, p. 212; Paul, C.L. et al., 2017, p. 23; Gyoneva, S. and Ransohoff, R.M., 2015, p. 475; Rahmawati, D. et al., 2017, p. 440; Zarea, K. et al., 2014, p. 159). 

The support and the information that is being given to the patients is crucial. Working amongst the correlational colleagues can very well lead to the shift that takes place with respect to the custodian relationship. The same does tend to dilute the relationship that exists between the nurses and the patients (Abdolrahimi, M. et al., 2017, p. 34; Chavan, S.S et al., 2014, p. 930; Campbell, S.H. et al., 2017; de Araújo Ferreira et al., 2014, p. 335; Martin, C.T. and Chanda, N., 2016, p. 212; Paul, C.L. et al., 2017, p. 23; Gyoneva, S. and Ransohoff, R.M., 2015, p. 475; Rahmawati, D. et al., 2017, p. 440; Zarea, K. et al., 2014, p. 159). The therapeutic communication strategy being well deployed by the nurses yields effective results with respect to the health outcomes. The communication techniques tend to be significant too. 

Reflection in Identifying Gaps in Knowledge and Skills

There are various scenarios that the film conveys. There are well identified gaps pertaining to the knowledge and skills. The techniques in provisioning information to the patients holds crucial. The actions of the nurses are a determinant of the various factors that impact the process. The nursing goals being closely aligned to the therapeutic nature is significant as the assimilation with respect to the environment presents a critical case (Abdolrahimi, M. et al., 2017, p. 34; Chavan, S.S et al., 2014, p. 930; Campbell, S.H. et al., 2017; de Araújo Ferreira et al., 2014, p. 335; Martin, C.T. and Chanda, N., 2016, p. 212; Paul, C.L. et al., 2017, p. 23; Gyoneva, S. and Ransohoff, R.M., 2015, p. 475; Rahmawati, D. et al., 2017, p. 440; Zarea, K. et al., 2014, p. 159). Considering the association that therapeutic communication has with the promotion of the same. It is significant that the emotions are considered too in the medical profession. I do feel that in the case as represented in this movie, the exhibition of compassion by the nurse was appropriate but while other professionals considering Dr. Bearing could have also shown empathy and compassion. 

Proposed Plan To Improve Gaps

The medical provider along with the patient should carry on with trying to establish the emotional connection. The conflict between the character and the medical professionals is significant. The therapeutic communication grows with the insight gives a clue about the significant relation with alignment to the nursing goals for nurses. The duties pertaining to the nurse patient relationship have been brought out in the film with greater emphasis on the actions taken by the nurses (Abdolrahimi, M. et al., 2017, p. 34; Chavan, S.S et al., 2014, p. 930; Campbell, S.H. et al., 2017; de Araújo Ferreira et al., 2014, p. 335; Martin, C.T. and Chanda, N., 2016, p. 212; Paul, C.L. et al., 2017, p. 23; Gyoneva, S. and Ransohoff, R.M., 2015, p. 475; Rahmawati, D. et al., 2017, p. 440; Zarea, K. et al., 2014, p. 159). The nurses do need to guard with respect to the assimilation pertaining to the nursing environment. The assimilation takes place with respect to the changing environment pertaining to the nursing arena.  

Conclusion

The movie does introduce the woman Dr. Vivian Bearing who has a background of being an English professor. With the diagnosis done for her and the humiliation she goes through, the film is a portrayal of therapeutic communication. The manner in which the compassion. The medical setting in the care is significant. The critique with the examples sought in the direction of therapeutic and communication which took place in the various parts of the film conveys the effectiveness along with the ineffectiveness. There are several examples in the movie wherein the effectiveness along with ineffectiveness in the arena of therapeutic communication is well brought out. The ineffective therapeutic communication with the scenes wherein the monologue with the camera presents another crucial component associated with the therapeutic communication. The physical and emotional wellbeing of the patient tend to be crucial as part of the diagnosis. The aggressive experiment which is being aggressively administered by Dr. Kelen puts the case of the therapeutic communication with the patient. The techniques in the information being provided to the patients holds significance. The actions of the nurses are a determinant of the various factors that impact the process.

References

Abdolrahimi, M., Ghiyasvandian, S., Zakerimoghadam, M. and Ebadi, A., 2017. Antecedents and consequences of therapeutic communication in Iranian nursing students: A qualitative research. Nursing Research and Practice, 2017.

Campbell, S.H., Aredes, N.D.A. and Dhari, R.K., 2017. Teaching and Evaluating Therapeutic Communication in Simulated Scenarios. Simulation Scenarios for Nursing Educators: Making it Real.

Chavan, S.S., Pavlov, V.A. and Tracey, K.J., 2017. Mechanisms and therapeutic relevance of neuro-immune communication. Immunity, 46(6), pp.927-942.

de Araújo Ferreira, J., Silva, J.M.B., Soares, C.C.D., Silva, J.B., Meneses, R.M.V. and Enders, B.C., 2014. Therapeutic communication in the context of male healthcare. Revista de Pesquisa: Cuidado é Fundamental Online, 6(1), pp.333-343.

Gyoneva, S. and Ransohoff, R.M., 2015. Inflammatory reaction after traumatic brain injury: therapeutic potential of targeting cell–cell communication by chemokines. Trends in pharmacological sciences, 36(7), pp.471-480.

Jackson, N.A., 2017. Negotiating Co-created Meaning: Music and the Creative Arts in the Therapeutic Communication Process.

Martin, C.T. and Chanda, N., 2016. Mental health clinical simulation: Therapeutic communication. Clinical Simulation in Nursing, 12(6), pp.209-214.

Paul, C.L., Cox, M.E., Small, H.J., Boyes, A.W., O'Brien, L., Rose, S.K., Baker, A.L., Henskens, F.A., Kirkwood, H.N. and Roach, D.M., 2017. Techniques for Improving Communication of Emotional Content in Text-Only Web-Based Therapeutic Communications: Systematic Review. JMIR mental health, 4(4).

Rahmawati, D., Verity, F., Mulyana, D., Roselina, E. and Anindhita, W., 2017. A Therapeutic Communication Study of Families with Children Suffering From Cancer. Mimbar: Jurnal Sosial dan Pembangunan, 33(2), pp.437-444.

Williams, K.N. and Meeks, K., 2014. Therapeutic Communication with Older Adults, Families and Caregivers.

Zarea, K., Maghsoudi, S., Dashtebozorgi, B., Hghighizadeh, M.H. and Javadi, M., 2014. The impact of Peplau's therapeutic communication model on anxiety and depression in patients candidate for coronary artery bypass. Clinical practice and epidemiology in mental health: CP & EMH, 10, p.159.