Mental Health (WHO)
Can realize his/her potential
Can cope with normal stress in life
Can productivity and fruitfully
Can contribute to community
Psychiatric Nursing
- Interpersonal process, interrelationship of
nurse to:
Patient
Community
Health Practitioners
The clients: INDIVIDUAL, FAMILY, COMMUNITY
The tool use for nurse- patient relationship is
- Therapeutic use of self (you can’t use it if you
have no self-awareness)
Theory of Interpersonal relationship Theory
- Hildegard Peplau
Father of Phil. Psychiatry:
- Elias Domingo
- Chief of hospital NCMH (Nat. Center for
Mental Hospital
Father of Psychiatry
- Emil Kraepelin
- Give Classification of Mental Illness
Father of Psychoanalysis
- Sigmund Freud
1st American Psychiatric Nurse
- Linda Richards
1st Psychiatric Nursing Book
- Nursing Mental Disease
- By: Harriet Bailey
Epitome of Pilipino Woman Suffering
- Sisa
Nursing Patient- Relationship Govern by Interpersonal
Theory
By Hildegard Peplau
PHASE 1: Pre- Orientation Phase/ Pre- Interaction
Preparation of Nurses
Exclusion of the Patient
Goal: Self Awareness (Prepare self for the
relationship)
Usually start when patient assigned to the nurse
(And the nurse will be doing some research about
patient condition)
PHASE 2: Orientation Phase
First meeting of nurse and patient Interaction
GOAL: Establish a mutually accepted contract
Introduce yourself
Start of the Termination Phase
Established rapport
Do the ASSESSMENT
PHASE 3: Working Phase
Longest and most productive phase
GOAL: Identification and Resolution of patient
problem
PLANNING AND IMPLEMENTATION
Conduct Therapies
Explore the patient feelings
PHASE 4: Termination Phase
End of relationship
GOAL: Find meaning in the experiences
( should have LEARNING)
EVALUATION
Referral and follow up
Endorsement
PROBLEMS ENCOUNTER IN THE RELATIONSHIP
1. Transference - Patient is emotionally or overly
attached to the nurse.
2. Countertransference – Nurse attached to
patient
3. Resistance – Happened during orientation
phase. ( If this occurs establish rapport)
4. Termination – (Wag mo akong iwan) If this
happened, review the contract ( ako po ay
isang nurse sa araw na iyon hanggang dito
lang po)
