Bernadetta Dwi Hartati February 16, 2012

WHAT IS THE PURPOSE OF LEARNING ENGLISH?

WHAT ARE THE PROGRAMS NEEDED TO REACH YOUR PURPOSE?

WHAT IS YOUR IMPRESSION AS A NURSE?

WHAT IS YOUR IDEAL RELATED TO NURSING? WHAT KIND OF NURSE DO YOU WANT TO BE?

Collect cards:
LIFE IS A SKILL Needs: Knowledge Practice it!

Supervisor Head nurse Staff nurse Nurses have become more directly involved with patient care in their daily relationship

The nurse interacts with patients need some elements The nurse listens well and utilizes techniques that provide an opportunity for the points to express feelings The nurse giving support to achieve a goal

The functions associated with the nurses roles are: a) Communications are among all level of personal: 1. between nurses patients staff 2. the nurse physician relationship, etc. b) Carried out orders c) Administered: physical care: - give medication - H. E. - referal

Mother 1. Mothering approaches convey 2. Acceptance 3. Warmth 4. Closeness 5. Tenderness 6. Protection

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B. Teacher It is said that every nurse is a teacher 1. Teach the patient how and when to take a medication 2. In mental health, nurses teeach the patient how to play games 3. GU RU = digugu dan ditiru

C. Socializing agent The active socializing function Exp: nurse who sits beside the uncommunicative patient

D. Technician 1. Giving a bed-bath 2. Serving food or other nutrients 3. Administering various types of medications and treatments The performance of these procedures requires attention to ACCURACY, ECONOMY EFFORT, and SAFETY to the patients

E. Councelor 1. The nurse as an councelor must be adept in recognizing and interpreting verbal as well as non-verbal communication 2. Therapeutic counseling is depend upon the nurses ability to discover elements of disturbance in the patients relationship with others and to respond with approaches which do not threaten the individual 3. Listening to the patient is important, but the quality of listening is more important

F. Manager 1. Concern with the care of the ward as well as the patients personal property (belonging). Attention may be given to: * housekeeping * appearance of the physical environment * preparation of food * care of patients clothing and personal possession 2. Managing requires an ability to: * survey needs * organize * record * plan for and evaluate patients care, etc.

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In a therapeutic nurse patient relationship, it is essential that the nurse have an understanding of communication theories and the use of recognized techniques. Recognized techniques: The nurses show of acceptance Interest Understanding Confidentiality Those above are very fundamental to the establishment of a therapeutic relationship

In mental health: Questions should be used carefully Deep probing should be avoided Avoid why and how it is forbidden caused provokes hostility and a barrier to communication

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What for? To achieve the goals of establishing To develop trust To encourage the patient to verbalize about his/her problems in living

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Some specific techniques: Giving information (s.a. : my name is , your bed is , newspaper can be ordered from the gift shop, etc.) Giving recognition (s.a. : good morning Mrs. J, Ive noticed you manicured your nails, etc.) Showing acceptance (s.a. : yes, uh-huh, Im following what you say, nodding, etc.) Offering of self (s.a. : Im intersted in visiting with you, let me help you, I will stay with you, etc.)

5. Making observation (s.a. : you look sad, I notice you biting your nails, etc.) 6. General leads (s.a. : tell me about that, and then?, so, etc.) 7. Broad openings (s.a. : what would you like to talk about?, what are you thinking about?, where would you like to start?, etc.) 8. Encouraging description of perceptions (s.a. : what does the voice seem to be saying?, tell me when you begin to feel nervous, etc.)

Seeking clarification (s.a. : who are they?, what does that have to do with it?, etc.) 10. Reflecting pt: I relied on the wrong person n: the wrong person? pt: my mother treats me like I was a kid n: that makes you feel angry 11. Restating pt: I am awake most of the nights n: you have trouble sleeping 12. Exploring (s.a. : tell me more about that, what led you come to the hospital?, etc.)
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13. Verbalizing the implied pt: no one ever visits. My children dont even bother to come n: you think nobody cares 14. Stating reality pt: I could be home taking care of myself n: perhaps later, when youre better 15. Silence

THANK YOU WE CAN DO IT