The Nurse Patient Relationship Interactions With Sel Beh

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  • Early assessment is based on the content of the messages
  • WHY?
  • The Nurse Patient Relationship Interactions With Sel Beh

    1. 1. The Nurse-Patient relationship: Interactions with selected behaviours
    2. 2. Hallucinations <ul><li>Comment on their behaviour </li></ul><ul><li>Once the content is known do not focus on the hallucination </li></ul><ul><li>If message is to harm themselves or others contract for safety inform the rest of the team </li></ul>
    3. 3. Delusions <ul><li>Clarify meanings </li></ul><ul><li>Once meaning has been clarified do not focus on the delusion </li></ul><ul><li>patient is to be monitored for safety as necessary </li></ul>
    4. 4. Conflicting values <ul><li>Assist patient to examine the effects of their beliefs on their lives </li></ul><ul><li>It is important for the nurse to understand the patients view as the patient sees it </li></ul>
    5. 5. Incoherent Speech patterns: <ul><li>Clarify the meanings of the communication </li></ul><ul><li>Medications can be of help </li></ul><ul><li>The nurse needs to be supportive in order to build trust </li></ul>
    6. 6. Manipulation <ul><li>Often to gain attention, sympathy, control and dependence </li></ul><ul><li>Address what is happening </li></ul><ul><li>Limit setting </li></ul>
    7. 7. Crying <ul><li>Should be allowed unless part of manipulation </li></ul><ul><li>Provide privacy </li></ul><ul><li>Offer opportunity to verbally express feelings </li></ul>
    8. 8. Sexual Innuendos <ul><li>Discuss underlying issues </li></ul><ul><li>Limit setting </li></ul>
    9. 9. Lack of cooperation/ Denial <ul><li>May be due to severe disturbances in thought processes, or lack of insight </li></ul><ul><li>Fear may be a factor </li></ul><ul><li>Nurse needs to build trust to address underlying issues </li></ul>
    10. 10. Depressed Affect <ul><li>Patience, frequent contact and empathy </li></ul><ul><li>Encourage the expression of feelings </li></ul>
    11. 11. Suspiciousness <ul><li>Communicate clearly, simply and congruently </li></ul><ul><li>Offer explanations and rationales for activities </li></ul>
    12. 12. Hyperactivity <ul><li>The patient should be in a quiet area with minimal stimuli </li></ul><ul><li>Physical activity can be used </li></ul><ul><li>May need some PRN Medication </li></ul>

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