Adlerian: What is it?

Mark Graham By Mark Graham, 22nd Jul 2015 | Follow this author | RSS Feed | Short URL http://nut.bz/11_hj_1p/
Posted in Wikinut>Writing>Textbook

This paper is about using Adlerian theory in nursing and education.

Adlerian Theory in Nursing and Education

The definition of Adlerian therapy is one of becoming and leading to a feeling of superiority of life tasks, goals, and idiographic (individual) principles. Also, this is where family constellations and birth order may come into play in the family. According to this therapy form one must strive to please, comfort, control and be superior. People must learn from their early recollections and dreams to form ideas of what they are and may be in their world. Adlerian therapy is about re-education and reorientation and giving encouragement to them (James, 2003).

Being a very quiet type of person I still think I will be a good counselor, since one of the basic skills of counseling is active listening. The key word is listening. I mainly work with geriatric patients as a Licensed practical nurse with all the trappings of the job. I work with them helping them with their ADL's (Activities of Daily Living), and their medications in the day and evenings. This position was in a Behavioral Health Unit so the nurses also work doing activity groups when the activity therapist was at a conference or on vacation, but usually in the evenings the nurses did the activities. These group activities were primarily dealing with Reality Orientation, Re-socialization, Didactic Education and Relaxation. Working with the elderly population you usually do not get a lot of conversation at times and you have to try other avenues to see what level the patients or clients are willing to open up to you. This nurse used games, art, music and even literature to start the activities and get a general idea of cognition of the group members. The elderly do participate in the activity sessions when they are encouraged and some of their peers seem to enjoy what is happening. Slowly they will begin to show trust with me and the others that are present. When trust forms the patients may even answer the questions asked of them and may even share a few ideas about the topic of the activity or discussion while staying in the hospital or where the group is being held.

The problems are usually dealing with Major depression, Anxiety, Bi-Polar disease, and Schizophrenia, but mainly we were dealing with Dementia/Alzheimer's disease (Impaired cognition). Working with these problems and types of patients the group sessions gave me a chance to be creative and build motivation and have fun with the patients. Working with the elderly I have done various art projects like drawing, painting and even sculpture with clay. This medium at times would let the patients show their frustration that lead to the patient being admitted and then letting the staff know that now the patients do need help more than they used to and by admitting this idea they can now move on and not have to feel like they are letting their families down because they need more help than they used to in the past. The art projects have brought out emotions that needed to be brought out and through artistic expression the patients were able to do this. Some of the other activities that the staff did was physical exercise and cooking activities. The exercise sessions were to improve the patients' range of motion and flexibility and how proper nutrition will help them feel better for a lot of these patients due to their issues did not eat properly or get enough exercise. These two activities would improve physical motivation and hopefully improve their quality of life. In teaching the Didactic education sessions the topics usually covered were ideas covering decision-making skills, coping skills, memory and thinking skills and hoping that these skills would help them solve their own problems somehow. Some of these teaching sessions if the patients were able to understand they would learn about the medications that they had to take to also feel better. The patients would learn the names of the medications as well as when to take them, the possible side effects and if the medications were changed in dosage they could possibly ask questions about these issues. The patient could see if they were progressing in the treatment that is being followed and the importance of being compliant here in the current mileau and at home or where ever they actually live whether it be at a nursing facility or someplace else.

After you after read the beginning of this article the reader will see how I am an Adlerian for I am a person, teacher and a nurse who likes to be creative and have fun, but as a quiet type of person it helps me to improve the skills and become more inventive and open to the situations that may happen in therapy. In doing and leading these types of activities pertaining to art, music, exercise and cooking they all lead to increased motivation for the leaders and the participants, for example I remember when baking various items and even when making banana splits with all the senses that were occurring you see the smiles forming instead of frowns. I liked the idea of encouraging the patients to try and share ideas that may improve their understanding of what is happening. These ideas lead to discussions about the medications being used or what ever the patient wanted and/or needed to express to promote wellness and improve thought processes and how the current behaviors were not working the way that the patient thought they were working.

End of Part One

Tags

Cooperation, Counseling, Theory, Therapy

Meet the author

author avatar Mark Graham
I am a graduate student of Children's Literature and have also studied Counseling at the graduate level as well as College teaching and Reading and Literacy. I will be writing on these and my ownideas

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