Therapeutic Relationship Flashcards
Types of Relationship: Initiated purpose for friendship, socialization, companionship, and achievement of a task?
Social Type
Types of Relationship: Involves two individual who are emotionally/sexually commited to each other?
Intimate
Types of Relationship: Professional and patient-centered
Therapeutic Relationship
Components of a Therapeutic Relationship: foundation, patient confidence towards the nurse
Trust
Components of a Therapeutic Relationship: TRUST, what are the (3) three C’s?
Confidence, Consistence, Congruence
Components of a Therapeutic Relationship: understanding the situation from the patients POV
Empathy
Components of a Therapeutic Relationship: harmony, common perspective
Rapport
Components of a Therapeutic Relationship: accepting the patient as unique ad with worth and dignity
Acceptance and Positive Regard
consciously and full awareness
Y-use of Self
“It’s okay to cry” E or S?
Empathy
A nursing student is preparing to receive a new patient who is being transferred to the medical ward.
Pre-Interaction Phase (receive a new patient)
“Umiiyak ka din”
Sympathy
The nurse reviews the patient’s medical records, learning that the patient is a 45-year-old male with diabetes mellitus admitted due to a diabetic foot ulcer.
Pre-Interaction Phase (review records)
The nurse identifies potential needs and plans for the initial interaction, including ensuring the room is prepared and anticipating questions or concerns the patient may have.
Pre-Interaction Phase (preparing)
When the patient arrives, the nursing student introduces themselves and explains their role in the patient’s care.
Orientation Phase (introduces/interaction)
The student establishes rapport by asking about the patient’s comfort and addressing immediate needs, such as pain or anxiety. They also set expectations, discussing the ward rules (e.g., visiting hours, meal schedules) and the plan for the day, including dressing changes for the ulcer.
Orientation Phase (rapport)
An initial assessment is conducted, focusing on the patient’s physical condition, emotional state, and concerns. Trust is built through active listening and empathic communication.
Orientation Phase (initial assessment)
Over the next few days, the nursing student works closely with the patient to address concerns and provide care. For example, they assist with wound care and teach the patient about proper foot hygiene and blood sugar monitoring.
Working Phase
The student collaborates with the patient to set achievable goals, such as reducing infection risk and improving glycemic control.
Working Phase (goals)
The patient initially expresses resistance to dietary changes, citing difficulties in maintaining a diet at home.
Working Phase (resistance)
The student helps the patient explore strategies to overcome these challenges, such as meal planning and involving family in dietary adjustments.
Working Phase (help pt to resolve issue and help identifies)
Progress is evaluated through wound healing and improved understanding of self-care practices.
Working Phase (progress)
the nursing student reviews the patient’s achievements, such as learning to perform wound care independently and stabilizing blood sugar levels. They summarize key points from the patient’s education sessions and ensure follow-up appointments are scheduled.
Termination Phase (review achievements)
The patient expresses reluctance to leave, worried about managing their condition alone.
Termination Phase (reluctance to leave)
The student reassures the patient, emphasizing their readiness and resources available, such as community health services. A therapeutic closure is achieved with mutual appreciation expressed, marking the end of their professional relationship.
Termination Phase (closure)
Barriers in Nurse-Patient Relationship: going beyond limits of therapeutic relationship
Boundary Violation
Barriers in Nurse-Patient Relationship: patient struggle against change or healing
Resistance
Barriers in Nurse-Patient Relationship: patient develops feelings towards the nurse
Transference
Barriers in Nurse-Patient Relationship: nurse develops feelings towards the patient
Countertransference
