Therapeutic Communication Notes PDF

Therapeutic communication Silence a Person to talk encouraging accenting E.ee ersaeeEeeasftood givingrecognition and Esseseeffge ex...

Therapeutic communication Silence a Person to talk encouraging accenting E.ee ersaeeEeeasftood givingrecognition and Esseseeffge ex you've combed your hair today set offers Presence interest Offering and desire to understand ex I would like to spend time with you Ossering geeeeeeeaeesea.ee n ex.EE EEEE broad giving opening Eassesseeets the patient e.IR eygEiou EILEEEEEEE estate ex what unopened before observations making EIE.se iaEEne ex You appear tense eeeeeeg ec ionse.EE seems on ex what are these vices seem to be saying and encouragingcomparison Eesseeziarities  99 exigeseeference repeats the main idea Restating expressed Reseating deeeasateceeg affection you ex.net should do attention point Focusing on a single Jumps Esteeecteggient Too a it is extericing a severe or panic or enter of anxiety the nurse should not persist exploring examines certain ideas experiences or relationships ex.ie me more any more about that information makes facts the giving person needs availa ex.my purpose for Die being here is clarification needs Pt clarify seeking their own and maximize snoughts mutual ex l am not sure understa ding I Follow YOU reality indicates what is real Presenting uncertainty the voicing doubt reality of regarding me PI P 7  9 reality ons of one 9ps Ecepti ex isn't anat unusual validation consensal.EE seeming EEcige Puts concrete Verbalizing implied one into what the Pt ex Do see takes you that no one understands w do you feel about encouraging evaluation to responds to the attempting into is expressed not feeling translate just content Feelings suggesting change is possible working concporation with one patient ex You and I can discover what produces your anxiety important Points of discussio summarizing enhance to understanding encouraging formulation identify alter or a plan of action native actions for interperson on situations the Pt finds disturbi g  g eplau's interpersonaltheory accurately and message underst od the is clarify by both parties continuith IEseeeng.EE eaaeeEmes open ended questions share information about experiences perception or responses to situation closed ended questions Yes or no SEE rosective questions gEE.ae sgEsicuat eson EEEEEEE EEEEE.EE nontherapeutic communication techniques asking excessive questions Pt can get confused on nurse giving approval focus teasing the aisape oning manEEEEEEEEE.SE Enhance giving eremature advice.EEEEEEEEEnn asking why questions implies criticism minimizing seeings EEEE.EE EEIeand being asset reassuring faces SEE Eting  P sharing 9 Nave EEgg morning Judgements Eregents problem the subject validate of changing feelings Bipolar 1 Bipolar 11 experienced one episode one majorhypomanic most severe depressive EFEEEEEEEEE.EE Essen.ee ananessaramati EEFEcric emergency it's evenoric and often increases EEEI.IT aireoccoationorsocian biological Factors Norepine dopamine serotonin neurobiological will bring mania genetics hypothyroidism bipolar neuroendocrine Android peripheral inflammation p Cyclothymia disorder E.EE EEEeE Eaetwie ms Rapid Cycling Medication treatment bipolar lithium acute mania and maintenance treatment diarrhea baseline toxicity muscle weakness lack of coordination renal function thyroid status drowsiness ontradication brain damage cardiovascular disease renal disease 21 disease avoid myasthenia pregnant breastfeeding gravis  9 A g g Anticonvulsant drugs mania acute seizures epilepsy acute bipolar depression bipolar maintance vaporate acute mania episodes common side nausea darned effects weakness dizziness baseline monitor liver Effect vomiting function Poteet counts carbamazepine cause mania mixed States Second line treatment ellerydrugs does not well with other monitor go liver function 3 months blood levels aplastic anemia lamotrigine older 181 or Pullman off rash after sweens common side effects double vision somnolence EE.IE e Second antipsychotic generations olanzapine aprexa aripiprazole ability Risperidone Risperdal Asenapine Quetiapine seroquel saparis zipadside Geodon casiprazine caravan Alzheimer 1 a only on  early difficulty remember g conversations names events apathy depression middle impaired communication disorientation Confusion Poor judgement Denationan changes Late difficulty speaking swallowing warning Alzheimer Stages Stage 1 no symptoms NO impairment very mild decline stage 2 Forgetful cognitive stage 3 difficulty moderate remembering decline words 4 stage inability to personal lose to perform task information starting changes in mood stage 5 noticeable impairment of ADLS stage 6 severe are worse stages Personality changes intensive help in EEGE.GE IEIEeaIag Stage 7 loose ability to swallow bedridden cant interact with their environment Alzheimers defensive benation  Confabulation up stories I answer creating perseveration repetition of words phrase gesture Medication treatment by inhibiting cholinesterase slow progression acetyanonine temporarily Rivastigine transdermal patoletffe NMDA moderate to severe regulates neurotransmitters omega 3 Alzheimer disease amnesia memory impairment aphasia loss of ailitt language apraxia 1055 of purposeful movement agnosia sensor ability 1059 objects recogn ze to ability to read or agraphia diseased in the MPerocity put mouth everything sundown sandstone disturbance in executive functioning loss of ability to Plan organize and perform abstract thinking schizophrenia symptoms  Positive delusions Hallucinations bizarre behavior catatonia negative apart lack of motivation blunted effect EEE.IT Eiftoee pleasure Metabolic syndrome second generation medicat bind to serotonin and Item dopamine essence First generation 1 Positive symptoms but it will have little effect on negative symptoms