Psychosocial Integrity Version 21 PDF

Psychosocial Integrity Professor Tucker, MSN-Ed, RN- BC  Therapeutic Communication  Verbal Vocabulary Credibility Tone Clarity Methods of Nonverbal Communication...

Psychosocial Integrity Professor Tucker, MSN-Ed, RN- BC  Therapeutic Communication  Verbal Vocabulary Credibility Tone Clarity Methods of Nonverbal Communication Appearance Facial expressions Sounds Personal space Electronic Nursing Process Assess needs Plan Implement Vision communication Ample time Trusting relationship Hearing Minimize distractions Empathetic responses Cognitive Effective Skills and Techniques Presenting Asking Silence Active listening Open-Ended Reality questions Showing Clarifying Giving acceptance Focusing Summarizing Techniques Information and recognition Offering Sharing Offering self Touch general leads feelings  BEING TESTING JUDGING Barriers to DEFENSIVE Effective Communication OFFERING ARGUING SYMPATHY Stress and Coping  Which of the following images describes you best? (Select all that apply) Stress A feeling of emotional or physical tension Frustration Anger Nervousness Positive or Negative Finish deadline Avoid injury Health problems Physiological Effects of Stress Elevated Heart rate Blood pressure Glucose level O2 intake Pupil dilation Sources of Stress Physiological Injury illness Psychological Event/situation Comment Condition  Acute Stress Common Types of Immediate reaction Stress Episodic Acute Stress Frequent bouts of acute stress Chronic Stress Prolonged Stress Related Disorder Acute Stress Disorder (ASD) Posttraumatic Stress Disorder (PTSD) Irritable Bowel Syndrome (IBS) Abdominal discomfort Cramping Bloating Constipation/diarrhea Crisis Pushed beyond ability to cope Can be due to: Situations Developmental Disasters Socioeconomic Cultural Types of Defense Mechanisms Compartmentalization Denial Rationalization Projection Repression Regression Coping Strategies Eating nutritious foods Exercising daily Time management Building personal resilience Mindfulness activities Rest and Relaxation Complementary and Alternative Therapy Journaling Self-Concept Self-Concept Feelings Perception Thoughts Attitudes Beliefs Roger’s Theory of Self-Concept Self-image Self-esteem Ideal self Elements of Self- Concept Identity Body image Role Performance Self-esteem Self-efficacy Culture 8 Stages of Erikson’s Theory of Psychosocial Development 1. Trust vs. Mistrust (Birth to 1 year) 2. Autonomy vs. Shame and Doubt (1 to 3 years) 3. Initiative vs. Guilt (3 to 6 years) 4. Industry vs. Inferiority (6 to 12 years) 5. Identity vs. Role Confusion (12 to 19 years) 6. Intimacy vs. Isolation (20 to mid-40s) 7. Generativity vs. Stagnation (mid-40s to mid-60s) 8. Integrity vs. Despair (mid-60s to death) Identity Stressors Body image stressors Self-esteem stressors Role performance stressors Sexuality  Developmental stage Adolescence – puberty Older women – menopause Sexual orientation Factors Influencing Gender identity Sexuality Culture Medications Sexuality – Patient Centered Care Be straightforward Health promotion Contraception STI prevention Sexual abuse Sexual dysfunction  Nursing Process: Self-Concept and Sexuality Assessment Build a trusting relationship Be aware of verbal and nonverbal communication Assess Identity Body image Self-esteem Role performance PLISSIT tool  Disturbed Body Image Disturbed Personal Identity Ineffective Role Performance Readiness for Enhanced Self-Concept Diagnosis Chronic Low Self-esteem Situational Low Self-esteem Sexual Dysfunction Ineffective Sexuality Pattern  Planning Set Prioritize Encourage Set goals Prioritize Encourage Include family and interventions expression of client feelings and emotions  Carry out plan of care Implementation Document progress Include stress Healthy eating Adequate rest reduction Physical techniques exercise  Have outcomes been met? The client verbalize Evaluatio Self-acceptance Self-worth n Validate Body image Appearance Client-Centered Care Client-Centered Care Client preferences Endorsing participation Promote client understanding Sharing information Client considerations Culturally competent care Age related considerations  Nursing Caring Theories Watson’s Theory of Human Caring Swanson’s Theory of Caring Caring Behaviors Listening Touch Being present Providing comfort Showing compassion Key questions exemplifying caring Tell me about your health. What is it like to be in your situation? Tell me how you perceive yourself? What are your health priorities? How do you envision your life? What is the meaning of healing for you? What is the most important thing I can do for you? What is most important thing you need right now? Nurse, See Me Spirituality Concepts in Spiritual Health Faith Hope Transcendence Self-transcendence Religion Nursing Process: Spirituality Assessment Spiritual assessment tool FICA HOPE Spiritual distress Nursing Diagnosis Anxiety Ineffective Coping Complicated Grieving Hopelessness Powerlessness Readiness for Enhanced Spiritual Well-Being Spiritual Distress Risk for Spiritual Distress Risk for Impaired Religiosity Implementation Health promotion Establish presence Support healing relationship Support systems Restorative care  Christianity Buddhism Spiritual Hinduism Rituals and Islam Observanc Jehovah Witness es Judaism Mormonism Grief, Loss, Palliative Care Types of Grief Normal Anticipatory Prolonged grief disorder Disenfranchised  Kubler-Ross Five Stages of Grief Model Denial Anger Bargaining Depression Acceptance  Bereavement Mourning Individual Symptoms Experiences Crying Difficulty sleeping of Loss and Appetite changes Death Decreased productivity Types of Loss Actual loss Necessary loss Maturational loss Situational loss Perceived loss Anticipatory loss Nursing Process: Grief Assessment Symptoms of grief Anger Resentment Crying Speaking loudly Exaggerated body movements  Speak with family Speak NURSE mnemonic Planning Provide Provide additional resources Highligh Highlight strengths t  Facilitate mourning Use therapeutic communication Implementation: Health Promotion Interventions Palliative care relieve symptoms Not expected to Hospice care live greater than six months Make Your End of Life Wishes Known Postmortem Care Support the grieving family Care of the body Prepare for viewing Organ/tissue donation Autopsy considerations Nurse Self-Care Self-care Self-evaluation Recognizing personal grief Compassion fatigue