Challenging histories

Question 1

BATHE technique

Answer 1

Background (what is going on in your life)
Affect (how do you feel about that)
Trouble (what troubles you the most)
Handling (how are you handling)
Empathy (that must be very difficult)

Question 2

REBELS framework

Answer 2

Recognising the issue: Recognise and acknowledge, “wow you’re really angry”, “you are not keen on that idea”

Empathy: Show empathy

Boundaries: Establish boundaries, stand up for them. Say we have practice policy, I can not do this, legally…

Emphasise patients best interests: “It is really important to me that we figure this out”

Language (inclusive): Not divisive (why and but), try we, , both and

Solutions: Focus on these, generate together

Question 3

Boundaries, agendas and emotions that may present as issues

Answer 3

Be prepared to set your own boundaries and be ready to defend them.
Know your agenda and say it if need be. Clinical and patient
Responding to emotions: emotional response is first, understand why and empathise accordingly

If presented with challenge, ask why such a statement (rascist) is being said?

Question 4

Strategy for addressing emotion

Answer 4

Respond to emotion before giving information

NURSE
I can see you are frustrated, tell me why?