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In the realm of nursing care, a strength-based approach plays a pivotal role in enhancing the well-being of clients. This approach aligns with the principles of domain 2, management of nursing care, competency 2.3 of the Nursing Council of New Zealand. It is imperative to emphasize that throughout the client assessment process, confidentiality and anonymity were strictly maintained, in accordance with The Health and Impairment Rights Act (Ministry of Justice, 2004).
Let us delve into a case study to illustrate the application of this strength-based approach.
Mr. Y, an elderly gentleman currently residing in a care facility, presents a complex medical history. He has been diagnosed with hypertension, meningitis, epilepsy, type 2 diabetes, and Korsakoff's dementia—a condition resulting from prolonged alcohol dependence (Ambrose, 2001). Despite his medical challenges, Mr. Y possesses a delightful personality and an affable disposition. However, he tends to be reserved and rarely initiates conversations; he typically engages in dialogue when prompted by others. His daily activities are largely independent, though he requires supervision due to a tendency to wander, primarily in the afternoons.
Mr. Y's overall physical health remains stable, with no notable nutritional issues, bladder or bowel problems, or sleep disturbances. Nevertheless, he occasionally exhibits anxiety and agitation, often expressing a desire to be with his family—a source of support he no longer has, as his sibling, his sole support, has relocated abroad.
A strength-based approach seeks to shift the focus from a client's limitations to their inherent strengths. It reframes the perspective to emphasize potentials over problems, alternatives over constraints, and health over illness (Rapp & Goscha, 2006).
In Mr. Y's case, a comprehensive strengths assessment reveals several remarkable attributes.
Mr. Y possesses a melodious voice and remarkable guitar-playing skills. During his youth, he was an active member of a music club and remains an avid music enthusiast. This musical talent is a source of joy for him and can serve as a therapeutic outlet.
Despite his cognitive challenges, Mr. Y exhibits a remarkable long-term memory. He can recognize friends from his teenage years and vividly reminisces about his childhood. This cognitive strength provides a valuable connection to his past and a source of comfort.
Mr. Y's friendly disposition transcends cultural boundaries. He readily engages with individuals from diverse backgrounds, making him an easy-going and approachable person.
He demonstrates a willingness to participate in various activities, such as playing bingo, card games, or pool. However, he benefits from invitations or encouragement to join these activities.
Mr. Y is always eager to assist with tasks such as barbecuing or shopping when his condition allows. This sense of contribution is a testament to his active nature.
One of Mr. Y's most significant strengths is his ability to maintain physical independence. His active engagement in daily activities contributes to his physical and mental well-being, slowing down the progression of his health challenges (Faulkner & Taylor, 2005).
Mr. Y holds strong connections to his cultural beliefs and values. Cultural safety is paramount in his care, and respecting his cultural norms and traditions is essential (Ramsden, 2002).
These strengths paint a picture of a person with a rich tapestry of abilities and experiences. It is crucial to leverage these strengths in his care plan to promote his overall well-being.
Effective nursing care begins with the establishment of a therapeutic nurse-client relationship, as emphasized in competency 3.1 of the Nursing Council of New Zealand. Building this rapport requires skillful management of interpersonal relationships, which is particularly critical in psychiatric-mental health nursing (Arnold & Boggs, 2007). With Mr. Y, this rapport was carefully cultivated and maintained.
The foundation of a strong nurse-client relationship often lies in the therapeutic use of 'self.' This entails self-awareness, professional detachment, and an understanding of personal emotions, beliefs, and values. By sharing personal experiences in a respectful manner, the client can feel more at ease and engaged in a genuine conversation, rather than feeling interrogated (Fourie, 2005). This approach proved effective in gaining Mr. Y's trust and encouraging him to open up.
Effective communication, a key component of competency 3.3, was integral to the nurse-client relationship. Open-ended questions, active listening skills, and appropriate body language fostered meaningful interactions (Raydon, 2005). Mr. Y was made to feel heard and respected, leading to a more person-centered approach (Dr. Thomas Kitwood's approach) that acknowledges the client's ideas and aspirations (Warchol, 2006).
Recognizing and respecting Mr. Y's cultural beliefs and values was essential in providing culturally safe care (Daly, Speedy, & Jackson, 2009). Greeting him in his mother tongue and actively engaging in discussions about his cultural norms helped create a culturally competent and safe environment (Ramsden, 2002).
Mr. Y's care plan should revolve around a strengths-based approach, focusing on his remarkable attributes to promote his well-being and independence. Several key interventions can be incorporated into his care.
Leveraging Mr. Y's musical talent can provide therapeutic benefits. Providing him with opportunities to sing and play the guitar, perhaps for fellow residents, can uplift his mood and serve as a means of reminiscing and self-expression (Perkins, 2004).
Given Mr. Y's history as a sporty individual, integrating physical exercise into his care plan is advisable. Engaging him in indoor games like pool and bowling, and encouraging regular walks in the afternoon, can help him stay active and reduce anxiety (Faulkner & Taylor, 2005; Kopelman, Thomson, Marshall & Guirenni, 2009).
Addressing the root cause of Mr. Y's health issues, alcohol dependence, is paramount. Ensuring abstinence from alcohol is essential to slow the progression of his dementia and achieve his goal of maintaining independence (Kopelman et al., 2009).
To combat feelings of isolation and anxiety, encouraging Mr. Y to participate in diversional therapies and group activities is crucial. Group singing competitions, communal TV watching, group games, and sharing life experiences with peers can foster new friendships and reduce loneliness (Routasalo et al., 2009).
In conclusion, a strength-based approach to client care, when executed within the framework of a therapeutic nurse-client relationship, can significantly enhance the well-being of individuals like Mr. Y who face complex health challenges. By recognizing and leveraging his strengths, such as musical talent, cultural connections, and sociability, it is possible to empower Mr. Y to thrive and maintain his independence to the greatest extent possible. This approach not only fosters hope but also promotes a more optimistic view of his situation, ultimately contributing to his overall health and happiness.
A Strength-Based Approach to Client Care. (2016, Apr 25). Retrieved from https://studymoose.com/strength-based-approach-towards-client-care-essay
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