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The Nursing Care Management
Pages 14 (3514 words)
This is care study related to a patient whose identity will remain undisclosed for confidentiality and ethical reasons. For the purpose of this work of care analysis, her case will be taken, and she has been nicknamed Patricia. …
This paper approves that medical history indicating stressors of long-term illness of complex partial seizures, mental illness of manic depression, medications against mental illness and seizures, and learning disabilities. A combination of these would lead to emotional disabilities. Conditions such as these can isolate individual who feels disconnected from others, resulting in difficulty relating in social situations. Presence of visual or hearing impairments are to be noted since presence of these in her case may lead to a situation where she may find communication barriers are increased, social interaction is affected, and interventions need to be designed to promote involvement with others in positive ways.
This report makes a conclusion that the nursing care management must take care of the need to establish therapeutic relationship using positive regard for the person, active-listening and providing safe environment for self-disclosure. Client who is having difficulty interacting in social situations needs to feel comfortable and accepted before she is willing to talk about self and concerns. Client needs to learn social skills, because she has never learned the elements of interacting with others in social settings. Role-playing one-on-one is less threatening and can help individual identify with another and practice new social skills. Having client to participate in a controlled group environment, for example Pat and Jim, provides opportunities to try out different behaviours in a built-in social setting where members can make friends and provide mutual advice and comfort. Positive reinforcement for improvement in social behaviours and interactions should be provided since this encourages continuation of desired behaviours/efforts for change. ...
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