Unit 1 continued Creating and Maintaining a Therapeutic and Safe EnvironmentA therapeutic nurse-client relationship is:oPurposeful / goal directed oWell defined w/ clear boundariesoStructured to meet pts needsoCharacterized by an interpersonal process that is safe, confidential, reliable and consistentMilieu TherapyCreates an environment that is supportive, therapeutic and safeoPhysical settingUnit should be clean/orderlyShould include comfortable furniture placed to promote interactions, solitary space for reading and thinking alone, comfortable places conducive to meals and quiet areas for sleepingColor scheme and overall design should be appropriate for pt ageMaterials used for floors should be attractive, easy to clean, and safe Traffic flow considerations should be conducive to client and staff movementoHealth Care Team Member ResponsibilitiesPromote independence for self-care and individual growth of clientsTreat clients as individualsAllow choices for clients w/in daily routine and within individual treatment plansApply rules of fair treatment for all clientsModel good social behavior for clients (such as respect for others)Work cooperatively as a teamMaintain boundaries w/ clientsMaintain professional appearance/demeanorPromote safe and satisfying peer interactions among clientsPractice open communication w/ team members and clientsPromote feelings of self worth and hope for the futureoEmotional ClimateClients should feel safe from all harmClients should feel cared for and accepted by staff and othersBegan as an effort to provide an environment conducive to the treatment of children who have mental illness
Management refers to the management of the total environment of the mental health unit in order to provide the least amount of stress, while promoting the greatest benefit for all the clientsGoal: while the client is in this therapeutic environment, they will learn the tools necessary to cope adaptively interact more effectively and appropriately and strengthen relationship skills. The hope is that the client will use these tools in all other aspects of his lifeNurse (manager of care) responsible for structuring and/or implementing aspects of the therapeutic milieu w/in the mental health facility
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