“Components of a Therapeutic Relationship” plus 2 more nursing article(s): NursingCrib.com Updates |  |
| Components of a Therapeutic Relationship Posted: 16 Jan 2011 11:47 PM PST
Therapeutic Relationship One of the most important skills of a nurse is developing the ability to establish a therapeutic relationship with clients. For interventions to be successful with clients in a psychiatric facility and in all nursing specialties it is crucial to build a therapeutic relationship. Crucial components are involved in establishing a therapeutic nurse-patient relationship and the communication within it which serves as the underpinning for treatment and success. It is essential for a nurse to know and understand these components as it explores the task that should be accomplish in a nurse-client relationship and the techniques that a nurse can utilize to do so. TRUST Without trust a nurse-client relationship would not be established and interventions won't be successful. For a client to develop trust, the nurse should exhibit the following behaviors:
GENUINE INTEREST Another essential factor to build a therapeutic nurse-client relationship is showing a genuine interest to the client. For the nurse to do this, he or she should be open, honest and display a congruent behavior. Congruence only occurs when the nurse's words matches with her actions. EMPATHY For a nurse to be successful in dealing with clients it is very essential that she empathize with the client. Empathy is the nurse's ability to perceive the meanings and feelings of the client and communicate that understanding to the client. It is simply being able to put oneself in the client's shoes. However, it does not require that the nurse should have the same or exact experiences as of the patient. Empathy has been shown to positively influence client outcomes. When the nurse develops and utilizes this ability, clients tend to feel much better about themselves and more understood. Some people confuse empathizing with sympathizing. To establish a good nurse-patient relationship, the nurse should use empathy not sympathy. Sympathy is defined as the feelings of concern or compassion one shows for another. By sympathizing, the nurse projects his or her own concerns to the client, thus, inhibiting the client's expression of feelings. To better understand the difference between the two, let's take a look at the given example. Client's statement: "I am so sad today. I just got the news that my father died yesterday. I should have been there, I feel so helpless." Nurse's Sympathetic Response: "I know how depressing that situation is. My father also died a month ago and until now I feel so sad every time I remember that incident. I know how bad that makes you feel." Nurse's Empathetic Response: "I see you are sad. How can I help you?" When the nurse expresses sympathy for the client, the nurse's feelings of sadness or even pity could influence the relationship and hinders the nurse's abilities to focus on the client's needs. The emphasis is shifted from the client's to the nurse's feelings thereby hindering the nurse's ability to approach the client's needs in an objective manner. In dealing with clients their interest should be the nurse's greatest concern. Thus, empathizing with them is the best technique as it acknowledges the feelings of the client and at the same time it allows a client to talk and express his or her emotions. Here a bond can be established that serves as a foundation for the nurse-client relationship. Related posts:
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| Cluster A Personality Disorders Posted: 16 Jan 2011 11:26 PM PST
Definition Personality Disorders are characterized by inflexible and maladaptive personality traits that significantly interfere in how a person perform, behave or act within the society. Diagnosis A personality disorder is diagnosed when a person exhibits deviation on the following areas:
Categories The Diagnostic and Statistical Manual of Mental Disorders 4th Edition, Text Revision (DSM-IV-TR) categorizes personality disorders into clusters based on the major or identifying symptom. CLUSTER A: people with odd and eccentric behavior. CLUSTER B: people who are dramatic, emotional and erratic. CLUSTER C: people who appear anxious and fearful. Cluster A: Personality Disorders
People with a paranoid personality disorder are characterized by an overly suspicious and mistrustful behavior. Clinical Manifestations:
People who are showing a pervasive pattern of social relationship detachment and a limited range of emotional expression in the interpersonal settings falls under this type of personality disorder. Clinical Manifestations:
Schizoid and schizotypal personality disorder are both characterized by pervasive pattern of social and interpersonal deficits, however, the latter is noted with cognitive and perceptual distortions and behavioral eccentricities. Clinical Manifestations:
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| Posted: 16 Jan 2011 11:24 PM PST
Brand Name: Cortastat, Dalalone, Decadrol, Decaject, Deronil, Dexacorten, Dexameth, Dexasone, Dexone, Hexadrol, Primethasone, Solurex Classification: Long- acting corticosteroid Indications
Mechanism of Action Dexamethasone suppresses inflammation and the normal immune response. It prevents the release of substances in the body that causes inflammation. Contraindications
Use Cautiously in:
Side Effects
Adverse reactions If these signs and symptoms will be noted instruct the patient to call or notify the physician immediately.
Route and Dosage Cerebral Edema PO (Adults): 2 mg q 8-12 hours IM, IV (adults): 10 mg initially IV, 4 mg q 6 hr, may be decreased to 2 mg q 8-12 hr, then change PO. Adrenocortical Insufficiency/Anti-inflammatory PO (Adults): 0.5-9 mg daily in single or divided doses PO (children): 23.3 mcg/kg in 3 divided doses. IV (Adults): 0.5-24 gm/day IM (Adults): 8-16 mg q 1-3 wk Nursing Interventions
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