Counselling in nusing

1. COUNSELLING - Mr. Aaron S . Gogate B.BSc (Nursing)

2. MEANING Counseling denotes ‘giving of advice’. It is a specialized service of guidance. It is a process designed to help an individual grow to greater maturity through learning and to makes decisions of an individual.

3. DEFINITION Counseling is a method that helps the client to use a problem solving process to recognize and manage stress and that facilitates interpersonal relationships among client, family and health care team

4. AIMS OF COUNSELING IT HELPS STUDENT TO UNDERSTAND:- Self in terms of ability, interest, motivation, and potential. Gain Insight related to emotional difficulties. Alter maladaptive behavior. Achieving integration and fulfill their potentials. Develop decision making skills.

5. ETHICS OF COUNSELING CONFEDENTIALITY TOLERANCE VOLUNTARY OBJECTIVITY

6. PRINCIPLES OF COUNSELING PRINCIPLE OF ACCEPTANCE PRINCIPLE OF RESPECT FOR AN INDIVIDUAL PRINCIPLE OF THINKING WITH AN INDIVIDUAL PRINCIPLE OF PERMISIVENESS PRINCIPLE OF LEARNING PRINCIPLE OF CONSISTENCY

7. ATTRIBUTES OF A COUNSELLOR PRE-TRAINING ATTRIBUTES:- Self awareness and understanding Good psychological health Open-minded Objectivity Trust worthiness Approachability

8. INTER-TRAINING ATTRIBUTES:- Interview setting:- Physical arrangement- chairs should be kept facing each other. closeness of counselor indicates attentiveness and willingness. A warm friendly greeting. Maintaining Eye-contact. Problem focus Identifying an important theme Directing theme towards a goal Managing interaction with an individual

9. STEPS OF COUNSELING G- GREET THE CLIENT A- ASK CLIENTS ABOUT THEMSELVES T- TELL CLIENTS OR GIVE THE INFORMATION OF STRATEGIES OF COPOING MECHANISMS H- HELP CLIENT TO CHOOSE A METHOD E- EXPLAIN HOW TO USE R- RETURN FOR FOLLOW-UP

10. TOOLS FOR COLLECTING INFORMATION INTERVIEW OBSERVATION ANECDOTAL RECORDS CUMULATIVE RECORDS PROBLEM/INTEREST CHECKLIST RATING SCALES SOCIOMETRY PSYCHOLOGICAL TEST

11. APPROACHES OF COUNSELLING DIRECTIVE COUNSELLING:- Also called as counselor-centered Counseling Process  of  listening to member’s  problem, deciding  with  the member what should be done, and then encouraging and motivating the  person  to  do  it. This type of counseling is more useful where the individual wants information and advice for choice of a career. This approach does not focus its attention on personality development   

12. NON-DIRECTIVE COUNSELLING:- Counseling in which the counselor is empathetic and does not evaluate or direct (but may clarify) clients' remarks, thus assisting them to accept responsibility for their own problem-solving. In this counseling, the client has to be led to a point of realization, self-help. Information may be used to classify a choice and to implement a decision.

13. SR NO. DIRECTIVE NON DIRECTIVE 1. Economical Time consuming 2. Emphasis on problem Emphasis on Individual 3. Explain on intellect Explain on emotional aspect 4. Solves immediate Problem Deals with self-analysis and new problems of adjustment 5. Uses Psychological assessment data May not use psychological assessment 6. Counselor plays active role Counselor plays passive role 7. counselor helps in decision making Client takes own decision 8. Rapport forming is not significant Rapport forming is essential

14. ECLECTIC COUNSELING:- Eclectic counseling is defined as the synthesis and combination of directive and non-directive counseling. It represents a middle status between the two extremes represented by the ‘non-directive’ technique on one hand and the ‘directive’ technique on the other. The counselor is neither too active as in the directive counseling nor too passive as in the non-directive counseling.  

15. CLINICAL COUNSELING PSYCHOLOGICAL COUNSELING PSYCHOTHERAPEUTIC COUNSELING STUDENT COUNSELING PLACEMENT COUNSELING MARRIAGE COUNSELING VOCATIONAL COUNSELING INDIVIDUAL COUNSELING GROUP COUNSELING BEHAVIORAL COUNSELING EDUCATIONAL COUNSELING BEREAVEMENT COUNSELING