USING THE CASE STUDY BELOW CRITICALLY ANALYSE THE IMPORTANCE OF THERAPEUTIC RELATIONSHIP, EFFECTIVE COMMUNICATION , LEADERHIP, RESIIENCE AND EMOTIONAL INTELIGENCE WITHIN CLINICAL PRACTICE.
Derek has unstable type 2 diabetes, diagnosed 5 years ago. Over the last two years, Derek has frequently been admitted to the medical ward where you are a student due to none adherence with medication and diet. Derek’s parents moved from the Caribbean to Manchester in the 1960’s. Derek is 35 years old, he is single, unemployed, lives in social housing and has minimal formal educational attainment. Derek’s parents died within a year of each other around the time of his diabetes diagnosis. Derek has a BMI of 30 and relies on ready meals, engages in minimal exercise and does not frequently leave his home and on admission there is evidence of self-neglect with soiled clothing and poor personal hygiene. Derek has disturbed sleep patterns and has noted that his mood is worse in the evenings. Derek does not have a large circuit of friends and is quite socially isolated. His repeated admissions with hyperglycaemia illustrates that he has not following the advice in managing his diabetes. Due to the frequency of his admission, Derek is seen, by some, as a “drain” on resources and you notice that some of the staff are quite “short” with him. You notice that Derek is quiet and withdrawn on the ward and responds to any interaction with one word answers.