Through science, nurses obtain the skills and technology they rely on to achieve each patients optimal health (Dougherty, L & Lister, S. 2004). In this essay I will illustrate how I worked and established a working relationship with service user TJ during my 100-day statutory placement at a primary care community setting for people with learning disabilities and mental health problems. I will consider the interactions and interventions embarked upon with the patient, critically analyzing my work practice by linking theory to practice. My work with this patient involved helping and supporting him to develop new skills and more importantly to lower his aggression towards others in the day centre. The assignment will look at the rationale for utilizing a holistic philosophy of care and employing an anti-discriminatory and anti-oppressive practice in nursing. I will also discuss how developed a close relationship. I will divide the essay into five sections. The first will discuss the description of the work. The second section will analyse how relationship was established. The third section will identify anticipated and actual barriers in the relationship. The fourth will talk in depth how the relationship was brought to a close. Reflecting upon my interactions with the patient I will analyze the influence of the reflective process. Following guidance from the NMC code of professional conduct and the GSCC Codes of Practice, the names of the patients have been changed to ensure confidentiality. The placement will remain unidentified and referred to as Edwardian Day Centre. The final section will provide an evaluation of my success (if any) in establishing the relationship with TJ. The essay will than be concluded.
Established with the aim to enable people with learning disability to live independently in the society, Edwardian Day Centre considers its members (aged 18-65) as students rather than service users as this prevents labelling (Cynthia, B.