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THERAPEUTIC NURSE PATIENT, , RELATIONSHIP, , , , At the core of psychiatric nursing are caring relationship developed between nurse, and patient. The Therapeutic Nurse Patient Relationship (TNPR) is the foundation upon, which psychiatric nursing is established. In TNPR the both participants understand each, other as a human being. Communication is the mean to develop a good therapeutic nurse, patient relationship., , Definition :, , The therapeutic nurse patient relationship refers to an interaction between the nurse, and patient in, which the contributions of both participants helps in therapeutic process, including preventive, promotive, healing and rehabilitation., , When good TNPR is developed the nurse and patient usually called them as “My, Nurse” and “My Patient”. When the nurse and patient perceive each other as human, being this become. an human-to human relationship. The TNPR is goal oriented, relationship. The major goal of TNPR is to bring the change in the patient life., , The TNPR is different from other types of relationships like social and intimate, , relationship., Social relationship :, , In this both the individuals meets their own needs through relationship. Primarily, such relation started with friendship or interaction in accidental or planned manner. For, , example colleagues and college friends., , Intimate relationship :, The intimate relationship when both individual love, care and respect for each other, at most. The emotional bonding between individual are high. For example marriage,, , relationship between family members., , Purpose :, , . The major goal of TNPR is to bring change in patient’s life. The nurse helps the, Patient in following —, , Scanned with CamScanner

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ent problem., , , , , , To understand his pres, To understand his role in TNPR., To strengthen the patient to face the problem by means 0 freassurang, , To understand own behaviour and adopt a correct behaviour., , * To communicate effectively., To get good social relationship., To find out altemate solutions for the problems., , Components :, , 1., , It is mandatory that nurse and patient mutually and equally share the Tesponsibi, , . . ities, in therapeutic process. Such cooperation can occur with the helps of good tapport, iit, respect, genuineness and empathetic approach., , Rapport :, , Building rapport is the primary task in therapeutic nurse patient relationship, development. A good rapport results in acceptance, warmth, taking interest and, developing non judgemental relationship among nurse and patient. The ability to, truly care for and about other is the core of rapport. During opening phase of, interview the nurse initiate to build rapport with patient., , Trust :, , According to Erik Erikson trust is the initial developmental task for human being, The nurse try to earn the trust of the patient with effective use of communication, skills. The trustworthiness can be seen in nursing care that conveys a sense of, caring The nurse can earn patient trust by fulfilling basic needs (water, food, bed, aioe etc). The nurse should be honest and maintain confidentiality about, , Respect :, , Empathy is the ability to accurat, relevance in the thoughts and fee, , bones lin : :, maintain sufficient objectivity to 8 of other. With empathy, the nurse is able to, , allow the client to achieve the problem resolution, , Scanned with CamScanner

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UP, , "with minimal assistance., , , , 5 Genuineness It means nurse ability to be open, hon, > est and real in i : i _, ess of nurse all : in interaction wi, openn lows the patient to express his feeling and Titngaed, , , , relation., , phases :, The psychiatric nurse spend more time with the patient then any other health care, , rofession. me fieaneute nurse patient relationship is the path by which the nursing, emented. i i, he therapeutic nurse patient relationships helps the nurse to, , rocess iS imp, conduct the interview in order to collect the data and a . ., 23 ss, ‘al condition. sess the patient physical and, The details, ous chapter on interview technique. In this chapter we will focus, phases of therapeutic nurse patient relationship. The phases, , of the TNPR/interview technique phases have been discussed in the, , men, on relationship, , previ, development during various, of therapeutic nurse patient relationship are as follows :—, , 1. Preinteraction Phase :, It involves the preparation like obtaining information about patient from case, , sheet or health record., , “Set desired goal., , — Self readiness, feelings, fears a, alm and quite environmen, , fe, &, , nd anxiety is examine., t with ensuring privacy and, , * Prepare ¢, , confendentiality., * This phase of TNPR is required when the nurse meet patient firs, , t time., , 2. Opening Phase :, It is also termed as orientatio!, In this phase the nurse meet the patien, , Nurse should call the patient by name,, , etc. as par culture of setting) and offer seat., +, : . *, .% Nurse should be empathetic and genuine w!, , 3. Middle Phase (Working Phase) :, , * Itis also termed as working phase., and suggest solutions for that., , ** — In this phase nurse discuss the problems, , a or introductory phase., t and develop rapport and trust., greet (by shaking hands, say Namaste, , oe, Se, , <, , 2, So, , ¢, , 2,, So, , ¢, , th the patient., , 4 Closing Phase :, , oe . < FS, “This phase also termed as termination phase., , , , Scanned with CamScanner

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46, , °,, , ae, , 5, , Psychiatric and Mental Health Nursing, , When the goal of interaction achieved termination phase started and end of, communication done in gradual manner., , The TNPR is essential for performing many task like like history taking, physical, and mental status examination, investigation and treatment process including, rehabilitation. The interview technique play a great role in this., , Bounderies :, , oe, Se, , o, %, , o, Oo, , oe, Se, , The TNPR should be within the hospital/clinical area premises., , The nurse shall behave in manner which is acceptable by the society., , The nurse should maintain necessary physical distance and emotional control., Never disclose own personal information like mobile number etc. unless, therapeutic use., , Avoid gift receiving as much as possible. Patient and relative offers donate, useful gudget for hospital which is permitted by hospital authority. Never, accept money/cash from patient and relatives., , Consider gener, age and social culture during touching the patient. Touch, helps in maintaining TNPR and performing physical assessment and care., , Be professional rather then personal in maintaining relation. Romance,, marriage, sexual, or similar personal relationship is not permitted nor a part of, , TNPR., , Scanned with CamScanner