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Q5 Special Topics
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Type A personality
compulsive need to be achievers in all aspects of life
Independant
Productive
Become depressed if unable to fill role
Perfectionists
uphold high standards in order to maintain self esteem
Judge themselves by inflexible and unachievable standards
May experience difficulty adapting to slow rehab pace
Authoritative Personality
Need to be in control
Things must be done in a particular way because of rigid rules
Tend to be judgemental
May experience difficulty adapting to disability
How to deal with authoritative personality
Provide alternate strategies to solve an "unsolvable" problem
Engage patients in problem solving to give them as much control as possible
Passive aggressive personality
They express hostility via passive techniques
React to authority negatively
Have difficulty working with others
How to work with a passive-aggressive personality
Place responsibility for progress on them
Give them as much "control" as possible
Downplay the role of the therapist as an authority figure
Paranoid personality
Believe that someones motives may be malevolent when they may not be
May believe others are trying to deceive them
How to work with a paranoid personality
Help them better understand the situation at hand
Encourage them to talk about their feelings
Antisocial personality
Engage in deceit, manipulation
use aliases to avoid pt
do not follow through
: HEP hygiene
How to work with antisocial
team approach
communication
Borderline Personlity
Self-destructive
bad self image
How to deal with borderline
empthize
show compassion
focus on strengths
Keep eyes open for mutilation
Histrionic Personality
Seek attention by excessive emoitionality
How to work with histrionic
Set boundaries foe expression/pt
use calm -logical approach
Narcissistic Personality
Need to be admired & feel superior
Tend to be condescending to others
How to deal with narcissistic people
May need to be redirected to psychologist if debilitation ruins self image
Schizoid Personality
Detached from social interaction
Flat affect or limited emotion
How to deal with schizoid
try not to engage pt too much socially
Schizotypal Personality
eccentric with perceptual distortions
social intimacy & physical environment is difficult
Hot to deal with Schizotypal Personality
slow integration into environment
Ask if their view of reality is correct
Avoidant Personality
social inhibition
feelings of inadequacy
hypersensitivity
How to deal with Avoidant Personality
reassure that the patient is doing well
Dependent Personality
clingy
fear abandonment
How to deal with Dependent Personality
ignore or redirect behavior
positive feedback
OCD
perfectionists
preoccupation with control
How to deal with OCD patients
give as much control as possible
set an established routine
Dealing with someone with a lack of education
use layman's terms
describe what you are doing and what to expect
Dealing with someone with a medical background
Ask if they know the procedure
don't under/over estimate their knowledge
How to deal with Downs
Gentle persistance
Speak directly
Gain confidence of the pt & family
How to deal with CP
Use pictures to communicate
Keep image & commands simple
Symptoms of PTSD
Reliving the event
avoiding situations similar to the event
Feeling numb
Feeling keyed up
Seek treatment if stress reaction ....
lasts more than 3 months
is affecting your everyday life
cause great distress
Hospice is sought when?
after all other options have been exhausted
Palliative care
active care of patients whose disease is unresponsive to treatment
6 principals of palliative care
Affirm life and regard dying as a normal process
Neither hasten nor postpone death
Provide relief from pain and other distressing symptoms
Integrate the psychological and spiritual aspects of patient care
Offer a support system to help patients live as actively as possible as death
Offer support system to help family members cope during the patient’s illness and their bereavement
10 commandments of effective listening
stop talking
put the person at ease
remove distractions
show the person willingness to listen
Empathize
Be patient
Ask for clarification
Do not offer solutions
Do not share personal stories unless asked
BOUNDARIES
Beware of being idealized
Orchestrate a team approach
Understand your own values
No! know how to use it
Dependency, do you foster it?
Absorbing painful experiences (compassion fatigue)
Rescue Fanstasies
Identify key communicator
Empathy Vs. Sympathy
Stick to the policies
Author
prestoncas
ID
205240
Card Set
Q5 Special Topics
Description
Q5 Special Topics
Updated
2013-03-07T04:13:32Z
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