Milieu Essay

976 Words 4 Pages
The therapeutic milieu seemed very relaxed and quiet when I first entered the day room on Monday. I observed a female patient sitting by herself eating her dinner, a male patient watching a football game, and two female patients coloring together. The nursing staff seemed very calm as well. The evening session of group therapy had been canceled, which allowed the patients to continue to enjoy leisurely activities of their choice before going to bed. The therapeutic milieu was very relaxed for the majority of my clinical experience. At the end of my rotation the therapeutic milieu evolved into a group meeting. A nurse stood while the patients sat in the chairs near the television. The nurse spoke to the patients in a calm and assertive voice. …show more content…
I was able to observe a nurse, a care technician, and a security guard. The role of care technician was to monitor the entrance of the day room. She was very friendly to the patients and made sure to greet them as they entered and exited the room. I noticed that she was very diligent and constantly scanned the room to ensure that each patient in the day room felt calm and comfortable. I was able to observe the interaction between a nurse and a patient when the nurse administered an evening dose of lithium to a patient. The nurse was very calm as she administered the medication to the patient. The made sure to explain the purpose of the medication to the patient before administering the medication and took the time to chat with the patient for a few minutes after she had given the medication to ask about her day and to address any concerns that the patient may have had. I was able to observe a security guard accompany a patient who was on one to one observation into the day room to have an after dinner snack. I did not observe much interaction between the security guard and the patient. I noticed that he did not speak to her as she ate, he allowed her to sit by herself at the table while he sat at a chair close to her …show more content…
As she administered lithium to the patient, she took the time to fully explain to purpose of the medication to the patient. I noticed that after she had given the medication, the nurse remained by the patient’s side to talk about any concerns that the patient had about her treatment plan and how her day had gone. I noticed that the patient seemed very relaxed and content to know that she had the nurse’s undivided attention. The nurse carefully listened to each concern and never made it seem that she was rushed or eager to leave the patient’s side. I found her interaction with the patient extremely therapeutic as it seemed that the nurse had taken the time to build a trusting relationship with the patient by letting her know that she had her undivided

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