Interpersonal Foundations For Care Of Vulnerable Populations

Front 1

What are the phases of a therapeutic relationship?

Back 1

Preinteraction phase
Orientation (into. phase)
Working Phase
Termination phase

Front 2

What is preinteraction phase?

Back 2

Obtaining information from databases, charts, report, etc.

Examining own feelings, state of mind

Front 3

What is orientation phase?

Back 3

Create an anvironment for trust/rapport
Gather data, noting strengths/weaknesses
Formulate nursing diagnoses/ concerns
Set mutual goals that are realistic
Develop a plan of action
Explore feelings of both yourself/patient

Front 4

What is working phase?

Back 4

Maintain trust and rapport
Promote patient's insight and perception of reality
Use problem solving skills to work toward goals
Overcome resistance behaviors
Continuously evaluate progress

Front 5

What is termination phase?

Back 5

Conclusion of the relationship
Review
Progress that has been made
Plan of action for future coping
Recognition and exploration of feelings about termination

Front 6

Define boundaries and give an example?

Back 6

Lines we draw that help us define our personal space, roles, and interactions in relationships
Mechanism to manage the power differential that exists in health care relationships

Front 7

Define crossings and give an example.

Back 7

Brief deviations from established boundaries with a rapid return to established boundaries
Difference from violation is that violations are based on the health care provider's needs, not patient's needs
Examples:
Accepting gifts fro clients-candy
personal disclosure
touching, hugging

Front 8

List steps to prevent crossings, violations, and their sequelae.

Back 8

Be honest with yourself
Document patient behaviors
Inrisky situations, don't go in alone
Thorough reports, staff meetings regarding patient
Discuss concerns with another professional
Use clear, professional communication with patients
Do not care for the patient if you cannot resolve your concerns.