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Therapeutic impasses ppt
- 1. “THERAPEUTIC IMPASSES” PRESENTED BY: POOJA SAHARAN 1ST YR.M.SC NURSIN M.M UNIVERSITY, MULLANA,AMBALA 1
- 2. THERAPEUTIC HEALING, CURATIVE, CURING, REMEDIAL, MEDICINAL…… IMPASSES CAN’T OR WON’TMOVE FORWARD 2 THERAPEUTIC IMPASSES
- 3. 3 THERAPEUTIC IMPASSES ARE BLOCKSIN THE PROGRESS OF THE NPR. IMPASSES PROVOKE INTENSE FEELINGS IN BOTH NURSE AND THE PATIENT, WHICH MAY RANGE FROM ANXIETY AND APPREHENSION TO FRUSTRATION, LOVE OR INTENSE ANGER.
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- 6. 6 RESISTANCE IS THE PATIENT’S ATTEM PTTO REM AIN UNAW ARE OF ANXIETY PRODUCING ASPECTS W ITHIN THE SELF.
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- 8. •ACTIVE LISTENING •CLARIFICATION •REFLECTION •EXPLORE BEHAVIOURTO FIND POSSIBLE REASONS. •MAINTAIN OPEN COMMUNICATION 8
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- 10. IT IS ANUNCONSCIOUS RESPONSE IN WHICH THE PATIENT EXPERIENCES FEELINGS AND ATTTUDES TOWARDS THE NURSE THAT WERE ORIGINALLY ASSOCIATED SIGNIFICANT FIGURES IN THE PATIENT’S EARLY LIFE. 10
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- 13. • NO NEEDTO TERMINATE THE RELATIONSHIPUNLESS POSES A SERIOUS BARRIER TO THERAPY. •ASSIST PATIENT IN IDENTIFYING THE TRANSFERENCE. •WORK WITH PATIENT IN SORTING OUT PAST FROM THE PRESENT. 13
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- 16. IT IS A THERAPEUTIC IMPASSES CREATED BY THENURSE. IT REFERS TO THE NURSE’S SPECIFIC RESPONSE GENERATED BY THE QUALITIES OF THE PATIENT 16
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- 18. POWER TOOLS INEXPLORATION POTENT INSTRUMENTS FOR UNCOVERING INNER STATES IT CAN BRING LIGHT TO NEW MATERIALS OR INFORMATION. HELPS NURSE TO MAINTAIN A WORKING RELATIONSHIP WITH THE PATIENT. 18
- 19. • SUPPORT THENURSE •ASSIST HER IN IDENTIFYING COUNTER TRANSFERENCE. •DISSCUSS WITH THE SUPERIORS. •SELF - EXAMINATION •PURSUE TO FIND OUT SOURCE AND SOLUTION OF THE PROBLEM. •PEER CONSULTATION 19
- 20. 20 RECEIVING A GIFT FROMTHE PATIENTS MAKE NURSES TO INHIBIT INDEPENDENT DECISION MAKING AND CREATE A FEELING OF ANXIETY AND GUILT
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- 22. IT OCCURS WHENA NURSE GOES OUTSIDE THE BOUNDARIES OF THE THERAPEUTIC RELATIONSHIP AND ESTABLISHES A SOCIAL, ECONOMIC OR PERSONAL RELATIONSHIP WITH THE PATIENT. 22
- 23. •HAS DIFFICULTY INSETTING LIMITS WITH THE PATIENTS •RELATES TO PATIENT LIKE A FRIEND OR FAMILY MEMBERS 23
- 24. 24 •HAS SEXUAL FEELINGSTOWARDS PATIENT. •FEELS THAT HE OR SHE IS TOO INVOLVED WITH THE PATIENT OR FAMILY •BELIEVES THAT THE OTHER STAFF MEMBERS ARE GETTING JEALOUS OF YOUR RELATIONSHIP WITH THE PATIENT.
- 25. 25 THERAPEUTIC IMPASSES IN VARIOUSPHASES OF NPR…
- 26. 26 PRE INTERACTION PHASE DIFFICULTYIN SELF ANALYSIS ANXIETY BOREDOM ANGER DEPRESSION
- 27. 27 WAYS TO OVERCOME: •HELP FROM PEERS AND SUPERVISORS IN SELF ANALYSIS AND FACING REALITY •ANALYZE HERSELF AND RECOGNISE HER LIMITATIONS.
- 28. 28 ORIENTATION PHASE PERCEPTION OFEACH OTHER AS UNIQUE INDIVIDUAL MAY NOT TAKE PLACE PROBLEMS RELATED TO ESTABILISHING AN AGREEMENT OR PACT BETWEEN PATIENT.
- 29. 29 WAYS TO OVERCOME •SHAREWITH THE SUPERVISORS •AN ALERT SUPERVISOR CAN •DETECT THIS AND GUIDE HER IN THE RIGHT DIRECTION.
- 30. 30 WORKING PHASE •TESTING OFTHE NURSE •UNREALISTIC ASSUMPTIONS •NURSE’S FEAR OF CLOSENESS •RESISTANCE BEHAVIOUR •TRANSFERENCE AND COUNTER TRANSFERENCE.
- 31. 31 TERMINATION PHASE •ANGER •DEPRESSION •LIGHT TOILLNESS •FLIGHT TO HEALTH •UNWILLINGNESS TO MAKE PLAN
- 32. 32 WAYS TO OVERCOME •NURSEMUST BE AWAREOF PATIENT FEELIN. •ASSIST THE PATIENT BY OPENLY ELICITING HIS THOUGHTS AND FEELINGS ABOUT TERMINATION •SUPERVISOR CAN ASSIST THE NURSE IN MAKING DISCHARGE PLAN OF THE PATIENT.
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