00:01
Our nursing background teaches us how
to even through the nursing process,
evaluate, evaluate, assess,
evaluate again and see how it's working.
00:14
So we want to make sure that whatever
treatments we are going to be implementing,
we are flexible enough
that during our assessment
if there needs to
be a slight change,
we're able to make that change.
00:32
We want to make sure
that that patient
is at minimal harm to
themselves and to others.
00:40
We want to make sure that they
have all the information they need
to be adherent to medication,
to our rules and regulations,
and to the fact that we are there
to help them towards recovery.
00:57
That means that we never lose
sight of the focus that we have
on our therapeutic
goal with them.
01:06
It's not just our goal,
it is our goal with them
by talking to the patient,
by gaining trust from that patient,
by involving ourselves in a therapeutic
engagement with the patient.
01:22
And what do I mean when I say a
therapeutic engagement for the patient?
One of the most important
things to keep in mind
is therapeutic engagement means
it's always about the patient.
01:37
Oftentimes, it gets a little blurry, those
boundaries might start getting crossed.
01:43
You might think, "I remember when
something like that happened to me."
A therapeutic engagement
is not going to say,
"Oh yeah, I understand exactly
what you're going through,
that happened to
me two years ago."
Because what you've done is
you've taken the spotlight off
of recovery of the patient,
and you started shining
that spotlight on yourself.
02:08
Therapeutic engagement says we are going
to keep the spotlight on the patient.
02:15
We are going to
respect that person,
that individual for
who he or she is
and understand that what they're
experiencing is unique to them.
02:28
And when we listen to
what their story is
and when we repeat back to
to them what their story is.
02:37
And if we are
repeating back to them.
02:40
And they say, "No,
that's not right."
We as nurses have the right to say, "Thank
you so much for helping me get it right."
Can you please help me?
I want to get this right.
I want to hear it from your side.
02:55
Because otherwise,
how can I advocate for you?
I am there as a
patient advocate.
03:03
And if I don't know what the
patient is trying to tell me,
how can I advocate
for that patient?
This way, we are actually
empowering the patient.
03:17
And at the same time simultaneously
protecting that patient.
03:22
How does that work?
A patient says to you.
03:28
When I am home,
sometimes my son hurts me.
03:32
He doesn't mean it.
03:34
He is you know, in his 60s,
he gets very frustrated with me.
03:40
And I'm in my 90s and I'm not
moving as fast as he wants me to.
03:47
And as the nurse, you can say,
"What I'm hearing you say is that sometimes
things happen where you don't feel safe."
And let's see what I can do to
help implement some boundaries
and do some education so that
maybe your son will understand
you can't move as
fast as you used to.
04:16
That is protective empowering.
04:20
If there is no abuse.
04:22
If there is no abuse,
then you are able to bring the
son in and do some education.
04:32
Find out if you need more
resources in that home.
04:35
Maybe the son is overwhelmed.
04:38
Maybe you can get someone to
come in a few hours a day.
04:42
This is why we're thinking.
04:44
When a person is admitted
we're thinking about
when they are discharged
back into their environment.
04:51
We want to have
therapeutic engagement.
04:54
We want to demonstrate
respect for that person.
04:57
We want to act as their advocate
and we want to empower them
while still providing
some protection to them.
05:07
Always we want to make sure that
whatever we are doing is appropriate.
05:12
It is within our legal and
professional scope of practice.