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 […]
Precautions C N S stimulants
Precautions C N S stimulants Use caution in children with psychoses; clients with Tourette’s disorder, anorexia, or insomnia; elderly, debilitated, or asthenic clients; and clients with a history of suicidal or homicidal tendencies; prolonged use may result in tolerance and physical or psychological dependence. Dexmethylphenidate and methylphenidate Effects of concomitant use Hypertensive crisis may occur […]
Psychostimulants
Psychostimulants ADHD (Attention Deficit-Hyperactivity Disorder) Indications Attention deficit/hyperactivity disorder (A D H D) in children and adults Medications are also used to treat narcolepsy and exogenous obesity Medication action The C N S stimulants increase levels of norepinephrine, dopamine, and serotonin in the C N S. Their effectiveness in the treatment of ADHD is thought […]
Sedative-Hypnotics
Sedative-Hypnotics Indications Short-term management of various anxiety states and treatment of insomnia; selected agents are used as anticonvulsants, as preoperative sedatives, and to reduce anxiety associated with alcohol withdrawal. Action: Depression of the C N S Exception: Ramelteon’s sleep-promoting properties are the result of agonist activity on selective melatonin receptors. Contraindications Contraindicated in known hypersensitivity, […]
Nontherapeutic Communication
Nontherapeutic Communication Example Rationale Reassuring -Indicting there is not cause for anxiety. “Everything will be all right.” “I wouldn’t worry about that!” 1. Attempts to dispel the anxiety of the patient by implying there is not sufficient reason for it devalues the patient’s judgment, and communicated the nurse’s lack of understanding and empathy. 2. […]
Therapeutic Communication Techniques (Recommended to use when interacting with a patient)
Interpersonal Techniques Therapeutic Communication Techniques (Recommended to use when interacting with a patient) Examples Rationale Silence -Absence of verbal communication 1. Interested, expectant silences often encourage the patient to verbalize. 2. Silence allows the patient an opportunity to take the initiative in communication that, which is most pressing. 3. Silence reduces the pace of the […]