3. 3
THERAPEUTIC IMPASSES ARE
BLOCKS IN THE PROGRESS OF
THE NPR.
IMPASSES PROVOKE INTENSE
FEELINGS IN BOTH NURSE AND
THE PATIENT, WHICH MAY
RANGE FROM ANXIETY AND
APPREHENSION TO
FRUSTRATION, LOVE OR
INTENSE ANGER.
10. IT IS AN UNCONSCIOUS RESPONSE IN
WHICH
THE
PATIENT
EXPERIENCES
FEELINGS
AND
ATTTUDES
TOWARDS
THE NURSE THAT WERE ORIGINALLY
ASSOCIATED SIGNIFICANT FIGURES IN
THE PATIENT’S EARLY LIFE.
10
13. • NO NEED TO TERMINATE THE
RELATIONSHIPUNLESS POSES
A SERIOUS BARRIER TO
THERAPY.
•ASSIST PATIENT IN
IDENTIFYING THE
TRANSFERENCE.
•WORK WITH PATIENT IN
SORTING OUT PAST FROM THE
PRESENT.
13
18. POWER TOOLS IN EXPLORATION
POTENT INSTRUMENTS FOR
UNCOVERING INNER STATES
IT CAN BRING LIGHT TO NEW
MATERIALS OR INFORMATION.
HELPS NURSE TO MAINTAIN A WORKING
RELATIONSHIP WITH THE PATIENT.
18
19. • SUPPORT THE NURSE
•ASSIST HER IN IDENTIFYING
COUNTER TRANSFERENCE.
•DISSCUSS WITH THE
SUPERIORS.
•SELF - EXAMINATION
•PURSUE TO FIND OUT SOURCE
AND SOLUTION OF THE
PROBLEM.
•PEER CONSULTATION
19
20. 20
RECEIVING A GIFT
FROM THE
PATIENTS MAKE
NURSES TO INHIBIT
INDEPENDENT
DECISION MAKING
AND CREATE A
FEELING OF
ANXIETY AND GUILT
22. IT OCCURS WHEN A
NURSE GOES OUTSIDE
THE BOUNDARIES OF
THE THERAPEUTIC
RELATIONSHIP AND
ESTABLISHES A SOCIAL,
ECONOMIC OR
PERSONAL
RELATIONSHIP WITH
THE PATIENT.
22
23. •HAS DIFFICULTY IN SETTING
LIMITS WITH THE PATIENTS
•RELATES TO PATIENT LIKE A
FRIEND OR FAMILY MEMBERS
23
24. 24
•HAS SEXUAL FEELINGS TOWARDS PATIENT.
•FEELS THAT HE OR SHE IS TOO INVOLVED
WITH THE PATIENT OR FAMILY
•BELIEVES THAT THE OTHER STAFF
MEMBERS ARE GETTING JEALOUS OF YOUR
RELATIONSHIP WITH THE PATIENT.
27. 27
WAYS TO OVERCOME :
•HELP FROM PEERS AND
SUPERVISORS IN SELF
ANALYSIS AND FACING
REALITY
•ANALYZE HERSELF AND
RECOGNISE HER
LIMITATIONS.
28. 28
ORIENTATION PHASE
PERCEPTION OF EACH
OTHER AS UNIQUE
INDIVIDUAL MAY NOT
TAKE PLACE
PROBLEMS RELATED TO
ESTABILISHING AN
AGREEMENT OR PACT
BETWEEN PATIENT.
29. 29
WAYS TO OVERCOME
•SHARE WITH THE
SUPERVISORS
•AN ALERT
SUPERVISOR CAN
•DETECT THIS AND
GUIDE HER IN THE
RIGHT DIRECTION.
30. 30
WORKING PHASE
•TESTING OF THE
NURSE
•UNREALISTIC
ASSUMPTIONS
•NURSE’S FEAR OF
CLOSENESS
•RESISTANCE
BEHAVIOUR
•TRANSFERENCE
AND COUNTER
TRANSFERENCE.
32. 32
WAYS TO OVERCOME
•NURSE MUST BE AWAREOF
PATIENT FEELIN.
•ASSIST THE PATIENT BY
OPENLY ELICITING HIS
THOUGHTS AND FEELINGS
ABOUT TERMINATION
•SUPERVISOR CAN ASSIST
THE NURSE IN MAKING
DISCHARGE PLAN OF THE
PATIENT.
