30 Questions
What is the primary basis of a therapeutic relationship?
Mutual respect and trust
What is often lacking in traditional healthcare delivery?
Compassionate care
Why is recognizing patients' unmet non-medical needs important?
Because healthcare practitioners are often the only social contacts
What is another term for a therapeutic relationship?
All of the above
What is a key element of a therapeutic relationship?
Caring and non-judgemental behaviour
Why is it essential to know patients' interests?
To act in the best interest of patients
What is the focus of traditional healthcare delivery?
Task-oriented care
What sometimes refers to interactions between healthcare practitioners?
Therapeutic relationships
What is essential for a pharmacist to possess in their profession?
Flexibility in identifying and resolving problems
What can be expected of therapeutic relationships over time?
They may evolve differently depending on the patient and context
What is a key aspect of healthcare delivery that is often overlooked?
Interpersonal human aspects
What is essential for good health outcomes?
Inputs from all members of the healthcare team
What can a plot of therapeutic relationships show?
A U-shaped, V-shaped, quadratic or mixed pattern
What is an effective pharmacist-patient relationship a part of?
One of several therapeutic relationships needed for good health outcomes
Why are therapeutic relationships crucial in pharmaceutical care?
To predict treatment adherence and positive clinical outcomes
What is the primary focus of patient-centred care?
Patients' preferences and values in clinical decision making
What is an essential element of effective therapeutic relationships?
Shared decision making and responsibility
What is the consequence of labeling patients as 'good', 'bad', or 'uncooperative'?
Hindered future delivery of healthcare interventions
What is the ultimate goal of therapeutic relationships in healthcare?
To provide compassionate care and psychosocial support
What characterizes interlocking therapeutic relationships in healthcare?
A multidisciplinary healthcare team working together
What is the outcome of effective therapeutic relationships?
Improved patient satisfaction and clinical outcomes
What is the role of healthcare practitioners in therapeutic relationships?
To think in terms of medical care and psychosocial support
What is essential in chronic and difficult-to-treat cases?
A multidisciplinary approach
Which type of relationships is the pharmacist-patient relationship just one of?
Therapeutic relationships
What is necessary for achieving desired clinical outcomes?
A combination of inputs from healthcare practitioners and an informed patient
Why might healthcare interventions not achieve good health?
If the patient is not informed or engaged
What is required for effective and safe healthcare interventions?
Patients' compliance with healthcare practitioners' advice
What is important to consider when building therapeutic relationships?
A patient's health literacy levels, race, tribe, culture, and prejudices
What is involved in building therapeutic relationships?
A complex, trial-and-error process
How do therapeutic relationships evolve?
In a dynamic, unpredictable way
Study Notes
Therapeutic Relationships
- A therapeutic relationship is a collaborative association between a healthcare practitioner and a patient, based on mutual respect, trust, and commitment to good clinical outcomes.
- It involves caring and non-judgmental behavior within a safe environment, going beyond disease diagnosis, prescribing, and dispensing medications.
- Other terms used to describe therapeutic relationships include therapeutic alliances, working alliances, helping alliances, helpful relationships, and purposeful relationships.
Importance of Therapeutic Relationships
- Traditional healthcare delivery is often too task-oriented, leaving patients with unmet non-medical needs.
- Recognizing patients' unmet needs is crucial, as healthcare practitioners may be the only social contacts they have.
- Pharmaceutical care requires more intimate caring relationships between healthcare practitioners and patients to act in their best interests.
- Positive therapeutic relationships are expected to predict treatment adherence and positive clinical outcomes.
Elements of Effective Therapeutic Relationships
- Effective communication (information provision and assessment of patients' understanding)
- Shared decision making and shared responsibility for clinical outcomes
- Warmth, friendliness, genuine interest, empathy, and unwavering desire to facilitate and support patients
- Improvements in patient satisfaction, adherence to medical treatment, and improved clinical outcomes
Therapeutic Communication
- Patient-centred, therapeutic engagement that takes into account patients' preferences and values in clinical decision making
- Responding to patient emotions and unmet non-medical needs
- Avoiding labels such as "good", "bad", or "uncooperative" patients, which can hinder future healthcare delivery
Interlocking Therapeutic Relationships
- Multidisciplinary healthcare teams, including doctors, nurses, pharmacists, laboratory personnel, and others, work together to restore health.
- Each healthcare team member has a therapeutic relationship with the patient, and continuity in healthcare delivery requires a combination of inputs from all members.
- Effective and safe healthcare interventions require an informed, engaged patient.
Evolution of Therapeutic Relationships
- There is no magic formula for building effective therapeutic relationships, which require unconditional interest in patients and respect for their uniqueness and diversity.
- Building therapeutic relationships involves trial and error, failures, and corrections.
- Therapeutic relationships can evolve in different patterns, such as stable, linear, quadratic, U-shaped, or V-shaped, and may require flexibility to identify and resolve problems.
Key Messages
- A holistic view of healthcare is needed, involving inputs from all members of the healthcare team, including the patient.
- An effective functional pharmacist-patient relationship is only one of several therapeutic relationships that need to work well to achieve good health outcomes.
- Healthcare delivery should focus on both medical competence and interpersonal human aspects, such as the unmet non-medical needs of patients.
Explore the concept of therapeutic relationships in psychology and behavioural science. Learn about the evolution and importance of therapeutic relationships in healthcare.
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