The document discusses several key concepts in psychotherapy including resistance, transference, countertransference, gift giving, and boundary violations. It provides definitions and examples of each concept. For resistance, it describes primary and secondary resistance and their causes. For transference and countertransference, it explains how they occur unconsciously and how they can impact the therapeutic relationship if not addressed. Throughout, it emphasizes the importance of self-analysis for nurses and supervision to help overcome therapeutic impasses.
The basic about the principles of psychiatric nursing , what all are the basic we have to follow while providing care to the psychiatric patients in hospital and in the community area
The basic about the principles of psychiatric nursing , what all are the basic we have to follow while providing care to the psychiatric patients in hospital and in the community area
Behavior therapy is a type of psychotherapy which is based on theories of learning and aims at changing maladaptive behavior and substituting it with adaptive behavior.
introduction to mental health nursing Jasleen Kaur
It explains the perspectives of mental health & mental health nursing..It define mental health,mental health nursing,components of mental health,mental health act,mental health program...
This slide contains information regarding Community Mental Health Nursing. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
Nature and scope of meantal health nursing - Presented By Mohammed Haroon Ra...Haroon Rashid
Subject - Mental Health Nursing and topic is Nature and Scope of Mental health nursing , Presented by Mohammed Haroon Rashid, Basic B.Sc Nursing 3rd Year in Florence College of Nursing
Behavior therapy is a type of psychotherapy which is based on theories of learning and aims at changing maladaptive behavior and substituting it with adaptive behavior.
introduction to mental health nursing Jasleen Kaur
It explains the perspectives of mental health & mental health nursing..It define mental health,mental health nursing,components of mental health,mental health act,mental health program...
This slide contains information regarding Community Mental Health Nursing. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
Nature and scope of meantal health nursing - Presented By Mohammed Haroon Ra...Haroon Rashid
Subject - Mental Health Nursing and topic is Nature and Scope of Mental health nursing , Presented by Mohammed Haroon Rashid, Basic B.Sc Nursing 3rd Year in Florence College of Nursing
This presentation mainly explains about the type of patients that are encountered in day to day practice as well as how each of them should be handled to improve the communication between a doctor and the patient.
Therapeutic and non therapeuitc communication techniquesNursing Path
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.
Psychosocial care of coronavirus disease 2019Nursing Path
The novel Coronavirus (nCoV) epidemic in 2019 -2020 has recently emerged. The route of transmission is not totally known, although it is known that it can spread from person to person, and local health care systems may be ill-equipped to handle a large-scale outbreak.
The blood electrolytes—sodium, potassium, chloride, and bicarbonate—help regulate nerve and muscle function and maintain acid-base balance and water balance. ... Thus, having electrolytes in the right concentrations (called electrolyte balance) is important in maintaining fluid balance among the compartments
Hospital infection control programs can help healthcare organizations monitor and improve practices, identify risks and proactively establish policies to prevent the spread of infections
Outcome-based education (OBE) is an educational theory that bases each part of an educational system around goals (outcomes). By the end of the educational experience, each student should have achieved the goal.
Assessment is part of the everyday activities of nursing professionals. Assessment is the only way by which a teacher can know how successful his teaching was and what areas in teaching need improvement.
A mental health disorder characterised by feelings of worry, anxiety or fear that are strong enough to interfere with one's daily activities.
The term "anxiety disorder" refers to specific psychiatric disorders that involve extreme fear or worry, and includes generalized anxiety disorder (GAD), panic disorder and panic attacks, agoraphobia, social anxiety disorder, selective mutism, separation anxiety, and specific phobias.
Selection and organization of learning experienceNursing Path
Curriculum is the educational design of learning experiences for the students. Curricular experiences include course content as well as learning activities. The selection and organization of curricular experiences must also reflect the philosophy of the school. The identifying and organizing of curricular experiences begins with the analysis of curriculum objectives. The most commonly used approach in selecting learning experiences is the logical approach in which the process is treated as content in curriculum development.
Universal health coverage (UHC) means that all people and communities can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship.
Pneumonia is an inflammatory condition of the lung affecting primarily the small air sacs known as alveoli. Typically symptoms include some combination of productive or dry cough, chest pain, fever, and trouble breathing.
Swine influenza is an infection caused by any one of several types of swine influenza viruses. Swine influenza virus (SIV) or swine-origin influenza virus (S-OIV) is any strain of the influenza family of viruses that is endemic in pigs
Abortion is the ending of pregnancy by removing an embryo or fetus before it can survive outside the uterus. An abortion that occurs spontaneously is also known as a miscarriage.
The enterobacteriaceae basic properties.ppsx xNursing Path
The Enterobacteriaceae are a large family of Gram-negative bacteria that includes, along with many harmless symbionts, many of the more familiar pathogens, such as Salmonella, Escherichia coli, Yersinia pestis, Klebsiella, and Shigella.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
4. Resistance is the
patient’s attempt to
remain unaware of
anxiety producing
aspects within
himself.
It’s a natural learned
reluctance to
avoidance of
verbalizing or even
experiencing
troubled aspects of
self.
www.drjayeshpatidar.blogspot.com
5. PRIMARY
Often caused by
patient’s
unwillingness to
change when the
need for change is
recognized
It may be also a
reaction by the
patient to the nurse
who has moved too
rapidly & too deeply
into patient’s feeling.
SECONDARY
Secondary gain- favorable
environmental,
interpersonal & situational
changes occur. Material
advantage as a result of
illness.
It include financial
compensation, avoiding
unpleasant situations,
increased sympathy or
attention, escape from
responsibility, lessening of
social pressure.
www.drjayeshpatidar.blogspot.com
6. 1. SUPRESSION & REPRTESSION OF PERTINENT
INFORMATION.
2. INTENSIFICATION OF SYMTOMS.
3. SELF DEVALUATION & A HOPELESS OUTLOOK
ON THE FUTURE.
4. FORCED FLIGHT INTO HEALTH.
5. INTELECTUAL INHIBITION- FORGETFULNEESS,
LATE FOR SESSIONS
6. ACTIONS OUT OR IRRATIONALE BEHAVIOR.
www.drjayeshpatidar.blogspot.com
7. 7. Superficial talk.
8. Use of defense of intellectualization
where there is no insight.
9. Patient has developed insight but refuses
to assume responsibility.
10. Transference.
www.drjayeshpatidar.blogspot.com
8. Active listening
Clarification – Give for focused idea of what
is happening.
Reflexion – Helps the patient to become
aware of what has been going in his mind.
Explore behavior to find possible reason.
Maintain open communication with
supervisor
www.drjayeshpatidar.blogspot.com
9. It is an unconscious response of the patient
in which he experiences feeling & attitudes
towards the nurse that were originally
associated with significant figures in his early
life.
Such response utilize the defense mechanism
of displacement.
Transference reactions are harmful to the
therapeutic process only if they remain
ignored & unexamined.
www.drjayeshpatidar.blogspot.com
11. No need to terminate relationship unless poses a
serious barrier to therapy or safety.
Nurse should work with patient in sorting out
past from the present
Assist patient in identifying the transference &
reassign a new & more appropriate meaning to
the current nurse patient relationship.
The goal is to guide the patient to independence
by teaching them assume responsibility for their
own behaviors, feeling & thoughts & to assign
the correct meaning to the relationship based on
the present circumstances instead of past.
www.drjayeshpatidar.blogspot.com
12. It’s a therapeutic impasse
created by the nurse.
It refers to nurse’s specific
emotional response
generated by the qualities of
the patient.
In this case the nurse
identifies the patient with
individuals from her past &
personal needs will interfere
with therapeutic
effectiveness.
The nurse’s unresolved
conflicts about authority, sex,
assertiveness & independence
ten to create problems rather
than solve them.www.drjayeshpatidar.blogspot.com
14. Inability to empathize with patient in certain
problem areas.
Depressed feelings during or after the
sessions.
Carelessness about implementing the
contract by being late, running overtime etc.
Drowsiness during sessions.
Feeling of anger or impatience because of
patient’s unwillingness to change.
Encouragement of patients dependent
behavior, praise affection.
www.drjayeshpatidar.blogspot.com
15. Pushing the patient before he is ready or
arguing.
Trying to help the patient in matters not
related to the identified nursing goals.
Dreaming or preoccupation with the patient.
Sexual or aggressive fantasies about the
patient.
Recurrent anxiety, unease or guilt feelings
about the patient.
A tendency to focus repeatedly on only one
aspect or looking at the information
presented by the patient.
www.drjayeshpatidar.blogspot.com
16. Powerful tool in exploration & potent
instrument for uncovering inner states. They are
dangerous only if they are brushed aside,
ignored or not taken seriously.
It can lead to further information, can bring to
light new materials & help in developing insight.
Nurse’s understanding of countertransference &
her own feelings help to maintain a working
relationship with the patient.
www.drjayeshpatidar.blogspot.com
17. Need not terminate relationship.
Support the nurse.
Assist her identifying countertransference.
Discuss with superiors.
Self examination.
Pursue to find out source of problem.
Exercise control countertransference.
Peer consultation & professional meetings.
www.drjayeshpatidar.blogspot.com
18. Receiving a gift from patient make the nurse
to inhibit independent decision making &
create a feeling of anxiety or guilt.
Gift is something of value is voluntarily
offered to another person, usually to convey
a gratitude.
www.drjayeshpatidar.blogspot.com
19. The timing of a particular situation, the
intent of giving & the contextual meaning of
giving of the gift.
www.drjayeshpatidar.blogspot.com
20. It occurs when nurse goes outside the
boundaries of therapeutic relationship &
establishes a social, economic or personal
relationship with the patient.
www.drjayeshpatidar.blogspot.com
21. Receives feedback that her behavior is intrusive
with patient or their families.
Has difficulty in setting limit with patient.
Relates the patient to a friend or family
member.
Has sexual feeling towards a patient.
Feels that she is the only one who understands
the patient.
Receives feedback that she is too involved with
a patient or family.
Feels that other staffs are too critical or jealous
of her relationship with the patient.www.drjayeshpatidar.blogspot.com
24. Help from peers and supervisor in self
analysis & facing reality.
Analyze herself & recognize her asset &
limitation.
www.drjayeshpatidar.blogspot.com
25. Perception of each other as unique
individual may not take place.
Problems related to establishing an
agreement or pact between the &
patient.
www.drjayeshpatidar.blogspot.com
26. Nurse must be willing to relate honestly to
her feeling & share it with supervisor.
Nurse must feel free to reveal self without
fear of criticism.
Difficulty may be faced in assisting a nurse
with countertransference since most of this
behavior is unconsciously determined.
A alert supervisor can detect this & guide the
nurse appropriately.
www.drjayeshpatidar.blogspot.com
27. Testing of nurse by the patient.
Unrealistic assumption about progress of
patient.
The nurse’s fear of closeness.
Life stressors of nurse.
Resistance behavior.
Transference
Countertransference
www.drjayeshpatidar.blogspot.com
28. Anger
Punitive behavior
Depression or assuming non caring attitude
Flight to health
Flight to illness.
Nurse’s inability or unwillingness to make
specific plans & implement them.
www.drjayeshpatidar.blogspot.com
29. Nurse should be aware of patients feeling &
be able to deal with them appropriately.
Assist the patient by openly eliciting his
thoughts & feelings about termination.
Supervisor can assist the nurse in preparing
patient for discharge.
www.drjayeshpatidar.blogspot.com