Anxiety, Obsessive-Compulsive, and Related Disorders
Anxiety, Obsessive-Compulsive, and Related Disorders Anxiety is an emotional response to anticipation of danger, the source of which is largely unknown or unrecognized. Anxiety is a necessary force for survival. It is not the same as stress. A stressor is an external pressure that is brought to bear on the individual. Anxiety is the subjective […]
Documentation of the steps of the nursing process
Documentation Documentation of the steps of the nursing process is often considered as evidence in determining certain cases of negligence by nurses. It is also required by some agencies that accredit healthcare organizations. Examples of documentation that reflect use of the nursing process Problem-oriented recording Has a list of problems as its basis Uses […]
Why Nursing Diagnosis
Why Nursing Diagnosis The identification and classification of nursing phenomena began in 1973 with the First National Conference on Nursing Diagnosis. General and specialty standards are written around the six steps of the nursing process. It is defined in most state nursing practice acts as a legal responsibility of nursing. Promotes research in nursing. Nursing […]
The Nursing Process in Psychiatric Mental Health
The Nursing Process in Psychiatric Mental Health The Nursing Process is a systematic framework for the delivery of nursing care that uses a problem-solving approach, goal-directed, with its objective being the delivery of quality client care, is dynamic, not static. Standards of Practice for psychiatric nursing (ADOPIE) Assessment: Information is gathered from which to establish […]
Active Listening
Active Listening To listen actively is to be attentive to what patient is saying, both verbally and nonverbally. Several nonverbal behaviors have been designed to facilitate attentive listening. Non-verbal behaviors that must be followed to facilitate active listening are included in the acronym SOLER:- S: Sit squarely facing the patient O: Observe an open posture […]
The Impact of Preexisting Conditions
The Impact of Preexisting Conditions Values, attitudes, and beliefs Learned ways of thinking Culture and religion Cultural mores, norms, ideas, and customs provide the basis for our way of thinking Social status High-status persons often convey their high-power position with gestures of hands on hips, power dressing, greater height, and more distance when communicating with […]
Boundaries in the Nurse-Patient Relationship
Boundaries in the Nurse-Patient Relationship Material- Physical property Social- Culture and how individuals are expected to behave in social situations Personal- “physical distance boundaries” and “emotional boundaries” Professional- limit and outline expectations for appropriate professional relationships with patients. Concerns associated include:- Self-disclosure Gift-giving Types of touch- Functional-professional, Social-polite, Friendship-warmth, Love-intimacy, Sexual arousal Friendship or romantic […]
Phases of Therapeutic Nurse-Patient Relationships
Phases of Therapeutic Nurse-Patient Relationships Pre-interaction phase Obtain information about the patient from chart, significant others, or other health team members. Examine one’s own feelings, fears, and anxieties about working with a particular patient. Orientation (introductory) phase Create an environment for trust and rapport. Establish contract for intervention. Gather assessment data and identify patient’s strengths […]
Conditions Essential to Development of a Therapeutic Relationship
Conditions Essential to Development of a Therapeutic Relationship Rapport- by getting acquainted and establishing rapport is the primary task in relationship development, and is accomplished by discussing non-health related topics. It promotes acceptance, warmth, friendliness, common interest, trust, and nonjudgmental attitude. Trust- As an initial development task, it makes development of the relationship easier. It […]
Relationship Development and Therapeutic Communication
Relationship Development and Therapeutic Communication The nurse–patient relationship is the foundation on which psychiatric nursing is established. The therapeutic interpersonal relationship is the process by which nurses provide care for patients in need of psychosocial intervention. Therapeutic use of self is the instrument for delivery of care to patients in need of psychosocial intervention. Therapeutic […]