therapeutic relation+process recording.pptx

therapeutic relation

1. Orientation… Barriers: - Resistance - Transference - Counter transference Ways to overcome barriers: - Adequate knowledge about therapeutic impasses - Self evaluation - Evaluation by seniors or coworkers and their feedback - Limit setting - Open and clear communication - Encouraging independence

2. Working phase The time period between orientation and termination Nurses’ tasks: - Maintain the relationship - Gather further data - Promote the client’s development - Facilitate behavioral change - Overcome resistance behavior - Evaluate the problem and goals and redefine as necessary

3. Working phase… Barriers: - Testing of the patient by the patient - Progress of the patient - The nurses’ fear of closeness - Life stresses of the nurse - Resistance, transference and counter transference Ways to overcome barriers: same as orientation phase

4. Termination phase Giving therapeutic end to the nurse patient relationship Conditions for termination: - Symptoms relieved; improved social functioning - Greater sense of identity - Accomplishment of goal/ or not at all achieved - Death/ discharge - Referral to other agencies - Run away or LAMA Nurses’ tasks: - Establish reality of separation - Mutually explore feelings of rejection, loss, sadness, anger and related behaviors - Review progress of therapy and attainment of goals - Formulate plans for meeting future therapy needs

5. 3.4 Process recording Process recording is a written account or verbatim recording of all that transpired, during and immediately following the nurse - patient interaction The recording of the conversation during the interaction or the interview between the nurse and the patient in the psychiatric setup with the nurse’s inference

6. Purpose The process recording is intended to: Develop planning, structuring and evaluating the interaction with patients Improve communication skills Identify nurse’s feelings and thoughts in relation to self and others Develop ability to identify problems and solve them

7. Components of process recording Introductory part Context of the interaction Record of interaction between nurse and the patient Analysis of the interaction Summary

8. Process recording format 1. Patient’s Identification: Name: Age: Sex: Religion: Marital status: Education: Occupation: Income/month: Language: I.P. No: Ward: Diagnosis: Address: Date and time of process recording Date of admission: Brief summary of the patient’s problem: 2. Place of interaction 3. Description of the environment 4. Reason for selecting the patient 5. Objectives: - - -

9. Format… Nurse’s Response Patient’s Response Technique Inference Verbal Non- Verbal Verbal Non- Verbal Conclusion: - Fixing the time and place for next interview Summary: - List of inferences - Care plans made according to inference - Any special difficulties faced during the inference - Techniques used to overcome difficulties Signature