Holistic Care Hocking College Unit 1 objectives
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Feeling
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biochemical energies in your body in response to various situations, influenced by your past experiences and current thoughts
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5 principles of feelings
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1. not controlled by will 2. must be recognized & accepted 3. has a use 4. fade in time 5. indirectly influence behavior
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Self Care related to nursing challenges
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care givers need care, know our \"triggers\", cool out & comfort, figure it out: Plan self care (needs, help, resources, supports, information, skills)
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Therapeutic use of self
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use of aspects of one's personality, experiences, values, feelings, intelligence, needs, coping skills, an perceptions to establish relatedness and to structure nursing intervention
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Positive regard
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people are valuable just because they are focused on client strengths and assets, help see potential for recovery growth for a quality life experience (see the person first then the illness)
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Trustworthiness/Authenticity/Honesty
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Person can count on you, feel safe to explore needs. Be your natural self with your own unique style (humanness)
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Respect/Openness/Non-Judgmental
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Having confidence in the client's ability to solve their problems, Accepting without prejudice, Not being critical to accomplish this we need to be aware of our own biases (What's it been like for you?)
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Warmth
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Be concerned interested and friendly (touch)
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Acceptance of the person as worthy
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Listen and believe as the person shares experiences
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Competence
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Skilled technically, cognitively, interpersonally, ethically, and legally, to meet the client's health care needs. Take responsibility for our strengths and weaknesses
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Empathy
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ability to see, feel and understand another's experiences, perceptions, and feelings. Need to have self-awareness, openness, understanding, validate the client.
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Assertiveness
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ability to stand up for yourself without violating the rights of others
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Congruence
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Verbal and non-verbal match and convey the same message
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Humor
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Playful, fun words, activities, behaviors (appropriate to the situations \"timing\")
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Caring
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starts with ourselves when our needs are met and support is available to us we can focus helpfully on the needs of others
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Professional boundaries
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spaces between the nurse's power and the client's vulnerability
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5 principles of professional boundaries
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1. nurse is responsible to delineate and maintain boundaries 2. nurse should examine any boundary crossing to avoid repeated crossings 3. Care setting, community influences, client needs, and the nature of therapy affect the delineation of boundaries 4. Nurse should avoid situations where the nurse has a personal or business relationship as well as a professional one 5. it may be difficult to know when the nurse-client relationship is truly terminated
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Zone of helpfulness
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center of the professional behavior continuum
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Boundary Crossings
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brief excursion across boundaries
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Boundary Violations
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confusion between the needs of the nurse and those of the client
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Professional sexual misconduct
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extreme violation involving a breach of trust
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Distancing
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detaching for the client's needs
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Disinterest
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not showing genuineness in interactions or client's well-being
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Neglect
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acts of omission or commission failure to act in a manner that is beneficial to the client
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RED FLAGS (8)
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1. excessive self-disclosure 2. secretive behavior 3. super nurse behavior 4. selective communication 5. singled our client 6. flirtations 7. \"you and me against the world\" behavior 8. failure to protect the client
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10 ways to stay in the zone
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1. treat all clients with dignity & respect 2. speaking, acting, and presenting a professional appearance 3. by example 4. fair and consistent with each client 5. avoid discussing personal issues 6. avoid keeping secrets 7. recognize if you feel you are the only one who can help the client 8. avoid spending more time with one client 9. avoid engaging in misinterpreted behavior 10. avoid taking sides in a disagreement
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What to do if the nurse crosses the line?
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1. consult with a trusted supervisor or colleague 2. examine and care for own feelings and needs 3. take time to reflect and plan how to return to the zone of helpfulness
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Transference
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client unconsciously displaces feeling and issues on the nurse
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Counter Transference
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nurse unconsciously responds to the client based on past feelings and issues and relationships
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Therapeutic Alliance
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based on current relationship and health parts of both participants
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Caregiver
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the traditional and primary role. meeting physical, emotional, intellectual, sociocultural, & spiritual needs
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Advocate
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pleads for supporting or representing a cause or individual
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Milieu Manager
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Help set up a 24 hour safe comfortable caring environment focused on current group needs
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Communicator
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uses effective therapeutic communication skills to establish helping relationship with all
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Teacher
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explains health information related to client needs
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Counselor
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helps the client to recognize and cope with stressful psychological or social problems; to develop an improve interpersonal relationships and promote personal growth
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Leader
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makes decisions coordinates activities of others allocate resources evaluate care and personnel
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Researcher
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participates in identifying significant researchable problems
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Self Awareness
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process of developing an understanding of one's own view
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What makes self awareness important?
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\"self\" is the most basic tool in nursing. not only benefits relationships with clients but also crucial to the health and well being and self esteem of the nurse
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How does self awareness help?
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when we know ourselves we can identify our needs and make plans to care for ourselves, the more we understand ourselves the more we understand others, leads to satisfying caring relationships, fundamental to development of caring alliances with clients
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What happen if we have limited self awareness?
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Cant change what we can't admit, don't get our needs met, develop troubled behaviors, not open to opportunities to expand our self knowledge
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What makes self awareness challenging?
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ideal images, lots of pain and unmet needs to sort though, not popular
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How do we become self aware?
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by consistently reflect on one's life
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Two components of empathy?
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Understanding & Validating
