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Chapter 6 Module Therapeutic Milieu

This document outlines a chapter on therapeutic milieu from a nursing textbook. It defines a therapeutic milieu as a comfortable, secure physical and mental healthcare environment designed to promote healing. The goals are to improve patients' behaviors, autonomy, and coping skills. A therapeutic milieu has qualities like meeting patients' needs, respecting their input, and providing structure with flexibility. Different types of therapists can support patients in areas like occupational therapy, education, art, music, psychotherapy and recreation. Nurses play a role in involving patients in decisions, promoting social skills and a sense of community.

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85 views2 pages

Chapter 6 Module Therapeutic Milieu

This document outlines a chapter on therapeutic milieu from a nursing textbook. It defines a therapeutic milieu as a comfortable, secure physical and mental healthcare environment designed to promote healing. The goals are to improve patients' behaviors, autonomy, and coping skills. A therapeutic milieu has qualities like meeting patients' needs, respecting their input, and providing structure with flexibility. Different types of therapists can support patients in areas like occupational therapy, education, art, music, psychotherapy and recreation. Nurses play a role in involving patients in decisions, promoting social skills and a sense of community.

Uploaded by

kcamillebautista
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Saint Mary’s University

SCHOOL OF HEALTH and NATURAL SCIENCES


Nursing Department
Bayombong, Nueva Vizcaya
Course No. NCM117 Lecture
Subject: Care of Client with Maladaptive Patterns of Behavior, Acute and Chronic
Year Level: BSN 3
Contact Hours/Credit Units: 4 hours/week (4units)

CHAPTER 6

THERAPEUTIC MILIEU

l. Introduction

A therapeutic environment is designed to promote healing experiences and to provide a


corrective setting for the enhancement of the client’s coping abilities. A comfortable, secured
physical environment coupled with a qualified mental health care team is essential.

ll. Learning Objectives

1. Describe therapeutic milieu.


2. Explain the role of a nurse in a therapeutic milieu.
3. State the goals of a therapeutic environment.
4. Discuss the characteristics of a therapeutic environment.
5. Identify the elements of therapeutic milieu.
6. Explain democratic environment in a psychiatric setting.
7. Describe the role of the different therapist in a psychiatric setting.

lll. Core Content of the Chapter


Therapeutic milieu:

Purposes of therapeutic milieu:


1. To improve patient’s behavior.
2. Involve patient in decision making of unit.
3. Increase patient’s sense of autonomy.
4. Increase communication among patients and between patients and staff.
5. Set structure of unit and behavioral limits.
6. Form a sense of community.

Role of the nurse in therapeutic milieu:


1. Involve patient in decision making.
2. Promote involvement of all staff.
3. Promote development of social skills of a patient.
4. Encourage sense of community in staff and patients.
The goals of a therapeutic environment:
1. To increase patient’s self or personal worth and self-esteem.
2. To improve his skills to relate to others.
3. To help him work and be useful and live effectively in the community.
4. Help him learn to trust others.

Characteristics of therapeutic environment:


1. Meet the patient’s physical needs.
2. Encourage the patient to express his needs, rights and opinion.
3. Protect the patient from injury to self and to others.
4. Let patient make the freedom to choose and make decision.
5. Maintain as structured environment which is flexible.
6. Staff and personnel should remain consistent.
7. Provide respect and dignity to the patient.
8. Continue assessing and evaluating patient’s progress. Modify treatment and intervention if
needed.

Elements of therapeutic environment:


1. Safety
2. Unit structure
3. Norms
4. Limit setting
5. Balance
6. Environmental modification

Democratic environment:

The different therapist in a psychiatric setting:


O.T:
Educational therapist:
Art therapist:
Musical therapist:
Psychodrama therapist:
Recreational therapist:
Play therapist:
Speech therapist:
Nutritionist:
Auxiliary personnel:

IV. Activity:
Short Quiz
Long quiz

V. Bibliography:
Videbeck, S. (2020). Psychiatric-Mental Health Nursing. Wolters
Keltner, N., Bostrom C., & McGuiness T. (2012). Psychiatric Nursing. Elsevier Inc.

Prepared by:
Mrs. Rosalie C. Carreon, RN, MSN
Nursing Department

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