Clinical Supervision

Clinical Supervision

Discussion: Clinical Supervision
Personal reflection and discussion with colleagues is essential to your development as a psychiatric mental health nurse practitioner. In Week 8, you collaborated with colleagues as you participated in your first Clinical Supervision. This week, you have the opportunity to continue your collaboration as you reflect on and discuss your experiences with counseling older adults. Keep in mind that although there may be challenges to counseling this population, these clients offer unique learning opportunities. For this Clinical Supervision, consider an older client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes. Clinical Supervision



Learning Objectives
Students will:
Assess clients presenting for psychotherapy
Evaluate effectiveness of therapeutic approaches for clients receiving psychotherapy
To prepare:

Review this week’s media and consider the insights provided.
Reflect on the clients you are currently counseling at your practicum site.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3
Post a 3- to 5-minute Kaltura video that addresses the following:

Describe an older client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes.
Note: Do not use the client’s actual name.

Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
Identify any additional information about this client that may potentially impact expected outcomes.
Note: Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner. Clinical Supervision

View a selection of your colleagues’ responses.

Client Description
The client is a 78-year old female, Mrs. XX, who has been attending counseling sessions because she has grief and loss issues after losing her only sibling, her sister, and her only child in a space of three months. Mr. XX lives alone because she lost her husband many years ago. She has two friends who she meets regularly. Last month, Mrs. XX was diagnosed with ovarian cancer and she feels devastated. After three weeks of counseling, she has not been able to cope with her diagnosis, and she is still traumatized about her grief. Her mind is always preoccupied with death and she has not been able to accept to undergo treatment despite the counseling.
One the key challenge that affected the outcome of the counseling was that I would find myself adjusting communication style and this made the client uncomfortable. For instance, sometimes I would find myself unknowingly changing my communication styles in accordance with the beliefs I hold regarding older persons, instead of focusing on traits of the client. This would make the client uncomfortable and as soon as I noticed this I tried to change.
Therapeutic Approach with the Client
Person-centered therapy was used during all counseling sessions where a holistic approach was adopted. Every attempt was made to promote a setting that enabled the client to encounter herself and interact more with her thoughts, feelings, as well as meanings (Lead & Humboldt, 2014). The effectiveness of this therapy is that enables individuals to have a stronger personality, and understand their feelings. Accordingly, this helps people to find a meaning in life through self-actualization (Mohdsa et al, 2014).
Additional Information on the Client
It was very difficult to build trust with the client. The client kept on asking about my experience in counseling practice and this indicated that she would be more trustful with a counselor who is more experienced. The lack of trust might impact the clinical outcome because evidence shows that the elderly tend to accept the advice of professionals they perceive to have adequate experience and competency (Koops et al, 2016).

Koops R, Winter A, Sijmen R, Hoeks J & Jansen M. (2016). Development of a Communication Intervention for Older Adults With Limited Health Literacy: Photo Stories to Support Doctor–Patient Communication. Journal of Health Communication. 21(1).
Lead I & Humboldt S. (2014). Building Bridges: Person-Centered Therapy with Older Adults.
European Journal of Business and Social Sciences. 1(8), pp, pp 23-32. Clinical Supervision
Mohdsa F, Yusoff F & Subhi S. (2014). The Effectiveness of Person-centered Therapy and Cognitive Psychology Ad-din Group Counseling on Self-concept, Depression and Resilience of Pregnant Out-of-wedlock Teenagers. Procedia – Social and Behavioral Sciences. 114(21), pp: 927-932. Clinical Supervision

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