As a practicing nurse, how do you establish a therapeutic relationship? a positive environment for an initial assessment? any differences for an assessment of an infant that you would make?

As a practicing nurse, the establishment of therapeutic relationships with patients is really important, because it will ensure a positive interaction between the professional and object of care, as well as success in the endeavours from both to achieve the goals of care.

As such, there are several steps that can be taken to ensure that this environment is positive. The first is the attitude with which the nurse establishes raport. The nurse must show a positive, and professional attitude, be polite and nice with the patient, speak to them using words that are clear and appropriate to the age, and educational level of the patient and their family, explain her/his purposes with a set program of care, or a procedure, and always be available and ready to answer the questions that are pertinent to the patient´s care. It is also important for the nurse to show the patient that any and all information received during care will remain strictly confidential. THe initial relation can be established through greeting,  introduction of the nurse to the patient and their family if available, explanation of the purpose of the nursing plan the nurse will carry out, and constant readiness to listen atentively to the patient and their family. This, if done during the initial assessment, attentive listening, explanation, and oppenness, as well as showing a professional, yet not unreachable stance, will ensure a good initiation of therapeutic relationship.

In children, there is something also very important. Nurses must always remember to treat the pediatric patient as a participant in care, not simply the object of care. Children, especially at a certain age, will show more reluctance to allow a nurse near if they fear, or are uncertain, of what will happen. Also, vocabulary, actions and attitude must be appropriate for the age of the child. Finally, the nurse must count with the help, or engage the participation, of the parents, or guardians, of the child. They will be vital to establish raport and a positive caring environment.

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