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Terms in this set (49)
belief that the overall person is flawed, and is
Stigma
characterized by social shunning, disgrace, and shame
determines level of functioning while dealing with
Continumm of care
stressors
- Freud (1856-1939)
Psychoanalytic - theory of intrapsychic conflict was the cause of mental
illness
- unresolved interpersonal relationships/ core conflicts
Psychodynamic -good for individuals who are well functioning, clear
area of difficulty, and motivated for change
- Harry Sullivan (1892-1949)
interpersonal theory
- early relationship with primary parenting figure
- John Watson (1904-1990)
Behavior theory
- learned maladaptive environment
1. trust vs. mistrust (Infancy 0-1.5 years)
2. autonomy vs. shame and doubt
(Early Childhood 1.5-3 years)
3. initiative vs. guilt
(Preschool 3-6 year)
4. industry vs. inferiority
(School Age 6-12)
Eriksons eight stages 5. identity vs. role confusion
(Adolescence 12-20)
6. intimacy vs. isolation
(Early Adult 20-35)
7. generativity vs. stagnation
(Middle Adult 35-65)
8. integrity vs. despair
(65-death)
, right to communicate
right to treatment
right to informed consent
Patient rights
right to refuse treatment
right to treatment in less restrictive setting
right for privacy
This phase can last a few meetings or be extended. It is
Peplau's Model of Nurse- the first time that the nurse and the patienkt meet and is
Patient Relationship the phase in which the nurse conducts the initial
Orientation interview. A major emphasis during this phase is the
establishment of a rapport.
maintain the relationship, share information, gather
Peplau's Model of Nurse- future data, promote the patient's problem solving skills,
Patient Relationship self esteem and use of language. Facilitate behavioral
Working Phase change, evaluate progress, support the practice and
expression of alternative adaptive behaviors
This is the final, integral phase of the nurse patient
relationship. Termination is discussed during the
orientation and working phase. During this phase the
nurse and patient summarize the goals and objectives
Peplau's Model of Nurse-
achieved in the relationship. Discuss ways for the patient
Patient Relationship
to incorporate into daily life any new coping strategies
Termination
learned. Review situations that occur during the nurse-
patient relationship. Exchange memories which can help
validate the experience for both nurse and patient and
facilitate closure.
Stating in different (often fewer) words the basic content
Paraphrasing
of the patient's message.
the nurse mirrors the patient's overt and covert
messages so the technique may be used to echo
Restating
feelings as well as content. It is easy to overuse this tool
so that its application becomes mechanical.
means of assisting patients to better understand their
own thoughts and feelings. Reflecting may take the form
Reflecting of a question or a simple statement that conveys the
nurses observations of the patient when sensitive issues
are being discussed