The document discusses communication and therapeutic communication. It defines communication as the exchange of information between individuals so that the message is understood. Therapeutic communication aims to support a patient's well-being by identifying health issues and facilitating expression of emotions. Various techniques are described like listening, questioning, reflecting, and role playing. The purpose, principles, and types of relationships like nurse-patient relationships are also outlined.
It is an interpersonal interaction between the nurse and the patient during which the nurse focuses on the patient’s specific needs to promote an effective exchange of information.
THERAPEUTIC COMMUNICATION AND NURSE-PATIENT-RELATIONSHIP.pdfTejal Virola
Therapeutic communication is a technique used by healthcare professionals, particularly in the field of mental health and counseling, to establish a supportive and trusting relationship with clients or patients. Its primary goal is to promote healing, foster understanding, and facilitate positive changes in a person's thoughts, feelings, and behaviors. Effective therapeutic communication is essential for building rapport, encouraging self-expression, and facilitating the healing process.
A therapeutic nurse-patient relationship is a professional relationship established between a nurse and a patient with the aim of promoting the patient's well-being, health, and healing. This relationship is built on trust, respect, communication, empathy, and collaboration to meet the patient's healthcare needs effectively. It's a fundamental aspect of nursing practice, especially in providing holistic and patient-centered care.
this ppt contains therapeutic communication and therapeutic nurse patient relationships which is part of basic B.Sc. and M.Sc. nursing
Unit 4- Therapuetic communication.pptx coomunication, process recordingS.DHIVYALAKSHMI
Communication refers to the giving and receiving of information. Communication is the means by which people influence the behaviour of another, leading to the successful outcome of nursing intervention.
berkomunikasi dengan pasie dibutuhkan cara dan strategi yang tepat.... komunikasi terapetik sangat membantu untuk itu.... semoga manfaat (Assoc. Prof. Dr. Arwani, SKM, BN.Hons. MN)
It is an interpersonal interaction between the nurse and the patient during which the nurse focuses on the patient’s specific needs to promote an effective exchange of information.
THERAPEUTIC COMMUNICATION AND NURSE-PATIENT-RELATIONSHIP.pdfTejal Virola
Therapeutic communication is a technique used by healthcare professionals, particularly in the field of mental health and counseling, to establish a supportive and trusting relationship with clients or patients. Its primary goal is to promote healing, foster understanding, and facilitate positive changes in a person's thoughts, feelings, and behaviors. Effective therapeutic communication is essential for building rapport, encouraging self-expression, and facilitating the healing process.
A therapeutic nurse-patient relationship is a professional relationship established between a nurse and a patient with the aim of promoting the patient's well-being, health, and healing. This relationship is built on trust, respect, communication, empathy, and collaboration to meet the patient's healthcare needs effectively. It's a fundamental aspect of nursing practice, especially in providing holistic and patient-centered care.
this ppt contains therapeutic communication and therapeutic nurse patient relationships which is part of basic B.Sc. and M.Sc. nursing
Unit 4- Therapuetic communication.pptx coomunication, process recordingS.DHIVYALAKSHMI
Communication refers to the giving and receiving of information. Communication is the means by which people influence the behaviour of another, leading to the successful outcome of nursing intervention.
berkomunikasi dengan pasie dibutuhkan cara dan strategi yang tepat.... komunikasi terapetik sangat membantu untuk itu.... semoga manfaat (Assoc. Prof. Dr. Arwani, SKM, BN.Hons. MN)
Therapeutic communication and interpersonal relationship Neha Sharma
Therapeutic communication is defined as the face-to-face process of interaction that focuses on advancing the physical and emotional well-being of a patient. Nurses use therapeutic communication techniques to provide education and support to patients, while maintaining objectivity and professional distance.
Effective Communication in Nursing is very essential to meet not only the expectation of patients toward Healthcare services but also to help achieve departmental or organizational goals and objectives.
Miscommunication is one of the leading causes of medical errors that may bring harm or permanent damage to patients. Emphasizing the use of effective communication in the healthcare setting lessen the occurrence of such errors.
Therapeutic Communication and Nurse – Patient Interaction 1.pptxWaldoGoesWild
Therapeutic communication is a type of professional communication defined as the purposeful, interpersonal, information-transmitting process that leads to client understanding and participation.
we communicate when we talk and also when we don't talk. the sharing of ideas, thoughts, perceptions, belief between two individuals (client and nurse) which will help nurse to provide effective care and treatment to the client.
developmental psychology.pptx for nursing studentsSulekhaDeshmukh
there is notes of developmental psychology it is very important chapter of psychology i make this notes in very easy method easy you can understand, in this unit will get knowledge about the psychological development according to age and what psychological changes will be there according to age, about all these will get knowledge except of these topic will get knowledge about the psychology of challenged individual, psychology of women and psychology of group, this notes will help you for exam if you loke so please like
psychological assessment and test for nursing students unit 8.pptxSulekhaDeshmukh
this is the easy notes of psychology for BSC Nursing 1st year and for GNM 1st year, psychological assessment test will help to know about the person's behavior, here will get what is the psychological assessment test, definition purpose, types of assessment test, this psychological assessment test we use for those peoples who are getting problem in their carrier, it will be help in which field we can make our carrier in this notes will get how we can interpreted test, i make this notes in very easy form definitely it will help for exam
Therapeutic communication and interpersonal relationship Neha Sharma
Therapeutic communication is defined as the face-to-face process of interaction that focuses on advancing the physical and emotional well-being of a patient. Nurses use therapeutic communication techniques to provide education and support to patients, while maintaining objectivity and professional distance.
Effective Communication in Nursing is very essential to meet not only the expectation of patients toward Healthcare services but also to help achieve departmental or organizational goals and objectives.
Miscommunication is one of the leading causes of medical errors that may bring harm or permanent damage to patients. Emphasizing the use of effective communication in the healthcare setting lessen the occurrence of such errors.
Therapeutic Communication and Nurse – Patient Interaction 1.pptxWaldoGoesWild
Therapeutic communication is a type of professional communication defined as the purposeful, interpersonal, information-transmitting process that leads to client understanding and participation.
we communicate when we talk and also when we don't talk. the sharing of ideas, thoughts, perceptions, belief between two individuals (client and nurse) which will help nurse to provide effective care and treatment to the client.
developmental psychology.pptx for nursing studentsSulekhaDeshmukh
there is notes of developmental psychology it is very important chapter of psychology i make this notes in very easy method easy you can understand, in this unit will get knowledge about the psychological development according to age and what psychological changes will be there according to age, about all these will get knowledge except of these topic will get knowledge about the psychology of challenged individual, psychology of women and psychology of group, this notes will help you for exam if you loke so please like
psychological assessment and test for nursing students unit 8.pptxSulekhaDeshmukh
this is the easy notes of psychology for BSC Nursing 1st year and for GNM 1st year, psychological assessment test will help to know about the person's behavior, here will get what is the psychological assessment test, definition purpose, types of assessment test, this psychological assessment test we use for those peoples who are getting problem in their carrier, it will be help in which field we can make our carrier in this notes will get how we can interpreted test, i make this notes in very easy form definitely it will help for exam
mental health and mental hygiene for nursing students ptxSulekhaDeshmukh
it is very easy notes of psychology for BSC nursing 1st year students and GNM 1st year mental heath is very important topic every year will get question from this chapter so hear i made very easy notes , here will get notes about what is the mental health, what are the characteristic of mental healthy person, what is mental illness, how we can identify that person is mentally ill person, about the defense mechanism, frustration and conflict , how we can over cum frustration so please if you like my notes please like, it will help for your exam
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
2. DEFINITION
• Communication is the process of exchanging
information ,though ,ideas ,and feeling from
one individual to another.
• Communication is the process by which a
massage is passed from the sender to
receiver with the objective ,that the massage
sent is received and understood as intended.
3. Purpose of communication
• To transfer information between one to
another.
• To interpret and adopt policies in the
organization .
• To improve employer employee relationship.
• To recruit, select, train and develop the
personnel in the organization.
• To encourage participation in decision making
4. • To boost the group moral of the worker
• To ensure job satisfaction.
• to help in the grievance procedure and
disciplinary action .
• To prepare the personnel and public for a
change process.
6. DEFINITION
• In therapeutic communication the nurse direct
the communication toward the patient to
identify current health problem , plan
implement and evaluation the action taken.
• Therapeutic communication is defined as
communication strategies that support a
patient’s feeling of well being.
7. Purpose of therapeutic
communication
• Establish a therapeutic nurse patient
relationship.[establish- start a moral
relationship with somebody]
• Identify the most important patient’s need
• Asses the patient's perception of the problem
• Facilitate the patient's expression of emotion
• Implement intervention designed to address
the patient's need
8. • To identify client's strength and weaknesses.
• Clarify the area of conflict and anxiety.
• Promoting self care and independence.
• To develop trust .
9. Principles of therapeutic
communication
• Treat the client as an individual
• Accept the client as he is .
• Aware the total need of the client
• Emotional and involvement is essential .
• Consistency in behavior
• Encourage the client feeling
• Honest and open communication needed.
10. • Engage in active listening
• Establish trust and rapport.
• Sufficient time is provided to the client to
respond.
• When patient is uncomfortable do not prolong
the conversation.
12. • SHARING PERCEPTIONS
• THEME IDENTIFICATION
• SILENCE HUMORE
• INFORMING
• SUGGESTING
• CONFRONTATION
• ROLE PLAY
13. LISTENING
• It is the first rule of therapeutic nurse
relationship. the patient should be talking
more than the nurse during the interaction
listening is sign of respect and is powerful
reinforce[to make some thing stronger] .
Active listening involves all the nurse’s senses
eg. Maintaining eye contact and receptive
non verbal communication
14. BROAD OPENING
• BROAD OPENING – here the nurse is
encouraging the patient to select topic for
discussion. patient should be
welcomed to the communication with warmth
and respect .the patient should feel that nurse
is ready to listen eg. what are you thinking
about ? what shall we discuss today?
Domination of the interaction by the nurse or
rejecting the responses by the nurse result in
poor therapeutic relationship
15. QUESTIONING
• QUESTIONING - the nurse skillfully asks open
ended question [ that mean can not be
answered with yes or no, there is need to
longer response]during the initial admission
avoid asking too many personal questions in
one session eg. How come you stopped
taking your medication?
16. RISTATING
• Nurse is repeating of the main though the
patient has expressed it is also indicates the
nurse is listening to the patient .usually a part
of patient’s statement is repeated
• Eg. Your mother left when you were 5 yr. old?
17. CLARIFICATION
• Here the nurse make specific question to help
clear up a specific point . Patient verbalization
may not be clear when overwhelmed with
emotion , To make clear that which is vague or
maximize understanding between the nurse
and patient.
• Eg. I am not sure what you mean ,could you
tell me about it again.
18. with the help of reflection we can direct back
the client’s ideas, feelings, questions and
content.
Eg : You are feeling anxious and tense and it is
related to a conversation you had with your
husband last night?
REFLECTION
19. FOCUSING
• Focusing helps the patient expand a topic and
also helps in analyzing in detail .it helps the
patient talk about life experience and accept
the responsibility for improving them
Eg. I think you should talk more about your
relationship with your husband?
20. SHARING PERCEPTION
• It involves asking the patient to verify the
nurse’s understanding of what the patient is
thinking or feeling
Eg: “You are smiling, but I sense that you are
really very angry with me.”
21. THEME IDENTIFICATION
Themes are underlying [important but hidden]
issues or problems experienced by the patient that
emerge [to appear or come out from somewhere]
repeatedly during the course of the nurse-patient
relationship, like anxiety, depression.
“it sounds like that is very important to you, you
have mentioned it a very few times”
22. Silence:
• SILENCE – Lack of communication for a
therapeutic reason. Eg : Sitting with a client
and non-verbally communicating interest and
involvement .
23. HUMOR –
• HUMOR – The discharge of energy through
the comic enjoyment of the imperfect. That
gives a whole new meaning to the word
‘nervous’ , said with shared kidding between
nurse and the patient.
24. Informing:
Informing or giving information is nurse share
simple facts with the patient. This skill is use in
patient education like when to take medication,
necessary precautions and side effects.
“I think you need to know more about your
medication works”
25. SUGGESTING
• Suggesting is preparation of alternate ideas.
As a therapeutic technique, it is useful
intervention in the working phase of the
relationship. Suggesting or giving advice can be
non-therapeutic. Patient may take nurse’s advice
and still have an unsuccessful outcome, the
patient returns to blame nurse
26. CONFRONTATION
a fight or an argument
• Helping the patient become aware of
inconsistencies in feelings, attitudes, beliefs or
behaviors.
Eg. You say you have already decided what to
do, yet you are still talking a lot about your
options.
27. ROLE PLAY
• Role play is a technique that allows patient to
explore realistic situations by interacting with
other people in a managed way in order to
develop experience and trial different
strategies in a supported enviornment
31. TYPES OF RELATIONSHIPS .
• SOCIAL RELATIONSHIP - social relationship
give us a way conceive social context, with the
help of social relationship we can fulfill our daily
needs
Ex. – friends, neighbors, coworkers,
32. • INTIMATE RELATIONSHIP An- intimate
relationship is a relationship between two
individuals committed to one another, caring for
and respecting each other . Those in an intimate
relationship usually react naturally with each
other . According to Erikson , the intimate
relationship focus the basis for marriage and
other partner-type relationships .
33. • THERAPEUTIC RELATIONSHIP The therapeutic
relationship between a healthcare professional
and a client ,it is a mean by which the therapist
and a client hope to engage with each other and
effect beneficial change in the client.
34. • HELPING RELATIONSHIP – it is an interaction
process in which the nurse fulfills their role by
using her professional knowledge and skill in
such a way that she is able to help the patient
physically, socially and emotionally.
35. COMPONENTS / ELEMENTS OF NURSE-
CLIENT RELATIONSHIP
• RAPPORT. – a friendly relationship in which
people understand each other very well
• EMPATHY. – the ability to imagine how another
person is feeling and so understand his /her mood.
• WARMTH. – the quality of being kind and friendly
• GENUINENESS - sincerity
• CONFIDENTIALITY.- usually this will mean keeping
things secret between the client and you .
36. THERAPEUTIC INTERPERSONAL
RELATIONSHIP – PHASES .
1. Pre-interaction phase = Explore self perception
of both Nurse and client.
nurse responsibility in pre – interaction phase
to become well know about own feeling ,fear
and fantasies
Analyze professional strength and weakness
Collect information about the patient like
demographic data, occupational data
Prepare a plan based on the data before meeting
37. Problem found in preinteraction phase
• Anxiety
• Anger
• Depression
• Boredom
Nurse can take help of senior experienced nurse
to overcome anxiety ,analyze self and identify
the limitation.
38. Orientation phase
It is the first meeting of the nurse with her
client , in this phase the main goal of nurse
is to find out the cause of patient seeking help
Nurse responsibility in orientation phase
nurse establish rapport ,gain trust and create
a familiar situation in which the patient accept
the nurse.
39. • Nurse initiate effective communication
• They collects all the data about client’s
feeling, emotion, strengths and weakness.
• The nurse identify major area of the problem
and plan for the interventions.
• The nurse discusses with the client how to
solve the problem .
40. Problem found in orientation phase
• both nurse and patient may have problem
accepting each other as a unique individual.
• They may have trust issues between them.
41. Working phase
• Most of the therapeutic interventional
activities carried out in this phase ,nurse and
patient act as a team to identify stressors of
the patient and promote the development of
insight.
Nurse responsibility in working phase
• gather more and more data of the patient to
explore the stressors.
42. • Let the patient understand his behavioral
change by evaluating himself
• The nurse can evaluate the problems and
redefine them.
43. Problem found in working phase
• Some times patient test the nurse
• Making an unrealistic goal can give frustration
to both nurse and patient
• Nurse live problem
• Transference
• Resistance
44. Termination phase
• It is the most important phase of the
relationship , the main aim of this phase is to
bring a therapeutic end to the termination
phase
Nurse responsibility of termination phase
• put reality of separation in front of the
patient
45. • Nurse and patient should mutually explore the
feeling ,emotion and related behavior
• Evaluate the effectiveness of therapy and
achievement of goal
• Discuss future plans for meetings if required
46. Problem found in termination phase
• Anger
• Punitive behavior
• Depression
• Nurse unwillingness to implement any plan
47. REVIEW TECHNIQUES OF IPR /. Johari
Window
• The Johari window is a technique to help
people better understand their relationship
with themselves and others it was created by
psychologist joseph Luft and Harrington
Ingham in 1955 .
48. Open area
Information about you that both
you and others know
Blind area
Information about you that you do
not know but others know
Hidden area
Information about you that you
know but others do not know
unknown area
Information about you that neither
you nor others know.
49. Need for johari window
• Self awareness
• Cordial relationship
• Improve communication
• Team development
• Personal development
• Group dynamics
50. Therapeutic impasse and its
intervention
• Therapeutic impasses are the block in the
progress of the nurse-client relationship.
Impasses provokes intense feelings in both the
nurse and the client, which may range from
anxiety and apprehension ( feeling of worry)
to frustration, love or intense anger. They arise
for a variety of reasons and may take many
different forms, but they all create blocks in
the therapeutic relationship
52. Resistance
• Resistance is the patient ‘s attempt to remain
unaware of anxiety producing aspects within
the self , it Is a natural or learned reluctance
to avoidance of verbalizing or even
experiencing troubled aspects of self.
53. TRANSFERENCE
• It is an unconscious response of the patient in
which he experience feeling and attitudes
towards the nurse that were originally
associated with significant figures in his early
life
54. Counter transfarance
• It is 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 individual from their past and personal
need will interfere with therapeutic
effectiveness.
55. • The nurse’s unresolved conflicts about
authority ,sex, assertivness and independence
ten to create problems rather than solve them
56. Gift giving
• Receiving a gift from patient make the nurse
to inhibit independent decision making and
created a feeling of anxiety or guilt
• Gift is something of value is voluntarily offered
to another person ,usually to convey a
gratitude
• The timing of a particular situation ,the intent
of giving and the contextual meaning of giving
of the gift
57. Boundary violation
• It occurs when nurse goes outside the
boundaries of therapeutic relationship and
establishes a social, economic or personal
relationship with the patient.
58. Possible boundary violation related to
psychiatric nurse
• the patient takes the nurse out to lunch or
dinner
• Has difficulty in setting limit with patient
• Relates the patient to a friend or family
members
• Has sexual feeling towards a patient.
59. • Feels that she is the only one who
understands the patient
• Feel that other staffs are too critical or jealous
of her relationship with the patient.
60. INTERVENTIONS TO OVERCOME
THERAPEUTIC IMPASSES
• Nurse must have knowledge of impasses and
recognize behaviors.
• Nurses must examine their strengths ,
weaknesses, and values before they can
interact more appropriately with clients.
• Nurses must be open and clear about their
genuine[ real or true] reactions when clients
misperceive behavior .
61. • Limit setting is useful when clients act
inappropriately towards the nurse .
• Maintain open communication with his / her
supervisor[ most senior staff at the place of
work] ,who can assist the nurse in making
discharge plan of the patient.