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Therapeutic Communication, Anxiety  and Defense Mechanism Submitted By : wilsontom.blogspot.com
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MASLOW’S HIERRARCHY  OF NEEDS
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Behavior therapy and behavior modification ,[object Object],[object Object],[object Object],[object Object]
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Levels of anxiety Mild : high degree of alertness, mild uneasiness Moderate : heart pounds, skin cold and clammy, poor comprehension Severe : hallucinations and delusions Panic : inability to see and hear, inability to function
Assess level of anxiety ,[object Object],[object Object],Nursing interventions in anxiety
Keep environmental stresses low when anxiety is high ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assist client to cope with anxiety more effectively ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maintain accepting and helpful attitude towards client ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anxiety disorders Type Assessments Nursing Mx PHOBIA       ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Type Assessments Nursing Mx OCD Obsession-  repetitive,  uncontrollable thoughts Compulsion - repetitive uncontrollable acts e.g. rituals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Type Assessments Nursing Mx Conversion hysteria Physical symptoms with no organic basis- blindness, paralysis,  Convulsions without loss of consciousness “ La belle indifference” Stocking and glove anesthesia ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Substitution : marrying someone who looks like previous significant other Introjection : blaming oneself when angry with others Repression : inability to remember a traumatic event (unconsciously) Reaction formation : being good to someone u don’t like
Regression : bedwetting, babytalk Dissociation : detachment of painful emotional conflict from consciousness  Suppression : deciding not to deal with something unpleasant until next day
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Situational crises Grieving patient Dying patient Rape trauma A S S E S S M E N T ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Stages of dying DABDA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Grieving patient Dying patient Rape trauma A N A L Y S I S Potential Problems Family guilt, anger, anxiety Patient anger, withdrawal, guilt, anxiety, loss of role ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Thanks wilsontom.blogspot.com

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Therapeutic communication, anxiety and defense mechanism

  • 1. Therapeutic Communication, Anxiety and Defense Mechanism Submitted By : wilsontom.blogspot.com
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  • 19. Levels of anxiety Mild : high degree of alertness, mild uneasiness Moderate : heart pounds, skin cold and clammy, poor comprehension Severe : hallucinations and delusions Panic : inability to see and hear, inability to function
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  • 28. Substitution : marrying someone who looks like previous significant other Introjection : blaming oneself when angry with others Repression : inability to remember a traumatic event (unconsciously) Reaction formation : being good to someone u don’t like
  • 29. Regression : bedwetting, babytalk Dissociation : detachment of painful emotional conflict from consciousness Suppression : deciding not to deal with something unpleasant until next day
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