Counselling terminal illness

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  • 1. COUNSELLING TERMINAL ILLNESS
  • 2. MEANING OF TERMINAL ILLNESS A disease that cannot be cured and that is reasonably expected to result in the death of the person within a short period of time is termed as terminal illness. It indicates a disease which will eventually end the life of the sufferer.
  • 3. Counsellor must be able to • Understand the illness experience. • Perceive each patient’s experience as unique. • Foster a more egalitarian relationship. • Build a therapeutic alliance. • Develop self-awareness.
  • 4. Communication skills • Listening • Non-verbal communication • Interactive communication • Empathy • Assertiveness
  • 5. To conduct a effective counselling • • • • • • • • Avoid making recommendations. Do not jump to conclusions. Do not shift from one subject to another. Open ended and closed ended questions. Keep your goals clearly in mind. Determine the patient’s ability. Maintain objectivity. Nonverbal messages.
  • 6. Barriers to effective counselling • • • • • • • Environmental barriers Semantics Perception Negative attitude Personal barriers False assumptions about patient Negligence or malpractice
  • 7. Communication with special patients • • • • • The Elderly Terminally Ill patients Patients with AIDS Patients who are mentally ill The Children
  • 8. Ethical principles • Beneficence • Autonomy • Honesty • Informed Consent • Confidentiality • Fidelity
  • 9. References: • 1. Harvey M. Rappaport et al. The Guidebook for Patient Counselling. Lancaster, Pennsylvania: Technomic Publishing Company, 1994. • 2. Tindall, William N, Robert S. Beardsley, Carole L. Kimberlin. Communication Skills in Pharmacy Practice (fourth edition). Baltimore, Maryland and Philadelphia, Pennsylvania : Lippincott Williams & Wilkins, 2003.
  • 10. THANK YOU SANIKA SATHE MA PART II SEM IV COUNSELLING