Q5 Special Topics

  1. Type A personality
    • compulsive need to be achievers in all aspects of life
    • Independant
    • Productive
    • Become depressed if unable to fill role
  2. 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
  3. 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
  4. 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
  5. Passive aggressive personality
    • They express hostility via passive techniques
    • React to authority negatively
    • Have difficulty working with others
  6. 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
  7. Paranoid personality
    • Believe that someones motives may be malevolent when they may not be
    • May believe others are trying to deceive them
  8. How to work with a paranoid personality
    • Help them better understand the situation at hand
    • Encourage them to talk about their feelings
  9. Antisocial personality
    • Engage in deceit, manipulation
    • use aliases to avoid pt
    • do not follow through: HEP hygiene
  10. How to work with antisocial
    • team approach
    • communication
  11. Borderline Personlity
    • Self-destructive
    • bad self image
  12. How to deal with borderline
    • empthize
    • show compassion
    • focus on strengths
    • Keep eyes open for mutilation
  13. Histrionic Personality
    Seek attention by excessive emoitionality
  14. How to work with histrionic
    • Set boundaries foe expression/pt
    • use calm -logical approach
  15. Narcissistic Personality
    • Need to be admired & feel superior
    • Tend to be condescending to others
  16. How to deal with narcissistic people
    May need to be redirected to psychologist if debilitation ruins self image
  17. Schizoid Personality
    • Detached from social interaction
    • Flat affect or limited emotion
  18. How to deal with schizoid
    try not to engage pt too much socially
  19. Schizotypal Personality
    • eccentric with perceptual distortions
    • social intimacy & physical environment is difficult
  20. Hot to deal with Schizotypal Personality
    • slow integration into environment
    • Ask if their view of reality is correct
  21. Avoidant Personality
    • social inhibition
    • feelings of inadequacy
    • hypersensitivity
  22. How to deal with Avoidant Personality
    reassure that the patient is doing well
  23. Dependent Personality
    • clingy
    • fear abandonment
  24. How to deal with Dependent Personality
    • ignore or redirect behavior
    • positive feedback
  25. OCD
    • perfectionists
    • preoccupation with control
  26. How to deal with OCD patients
    • give as much control as possible
    • set an established routine
  27. Dealing with someone with a lack of education
    • use layman's terms
    • describe what you are doing and what to expect
  28. Dealing with someone with a medical background
    • Ask if they know the procedure
    • don't under/over estimate their knowledge
  29. How to deal with Downs
    • Gentle persistance
    • Speak directly
    • Gain confidence of the pt & family
  30. How to deal with CP
    • Use pictures to communicate
    • Keep image & commands simple
  31. Symptoms of PTSD
    • Reliving the event
    • avoiding situations similar to the event
    • Feeling numb
    • Feeling keyed up
  32. Seek treatment if stress reaction ....
    • lasts more than 3 months
    • is affecting your everyday life
    • cause great distress
  33. Hospice is sought when?
    after all other options have been exhausted
  34. Palliative care
    active care of patients whose disease is unresponsive to treatment
  35. 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
  36. 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
    • 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
Card Set
Q5 Special Topics
Q5 Special Topics