Momentary Assessment of Everyday Encounter With Patient
Discussion Post
Explain your patient encounter, highlighting the challenges the situation presented, and briefly summarize the contents of your journal article.
I worked as part of a team providing care services to patient in a facility’s psychiatric unit. One of the patients in the unit was diagnosed with BPD. While I had expected for the nurses to demonstrate empathy, develop trust and establish rapport with the BPD patient, that was not the case. In fact, the patient exhibited maladaptive personality traits that included risk taking, impulsivity, hostility, emotional liability and anxiousness. Providing care to this patient presented a challenge as the nurses exhibited negative attitudes and emotional reactions to the patient. In fact, the patient exhibited maladaptive personality traits that included risk taking, impulsivity, hostility, emotional liability and anxiousness. Providing care to this patient presented a challenge as the nurses exhibited negative attitudes and emotional reactions to the patient. In fact, the nurses perceived the BPD patient as being angry and manipulative Momentary Assessment of Everyday Encounter With Patient .
ORDER YOUR PAPER HERE
Sajjadi et al. (2022) reports that a pattern of maladaptive personality traits can characterize BPD patients, and that nurses can interpret the traits to fill in the details of the patient’s individuality and identity. This makes it understandable for nurses to use the BPD traits to determine the patient’s personality. Carpenter et al. (2019) adds to the discussion by reporting that although BPD patients exhibit personality traits, this information cannot be used to determine their individuality and identity as they suffer from emotional dysregulation, a situation in which the patients’ emotional responses are poorly regulated and do not fall into the accepted range of emotional reactions. Woodridge et al. (2021) offers insight into why nurses may exhibit negative attitudes and emotional reactions to BPD patients, noting that the patients are as likely, as they are unlikely, to be responders to the therapy. The three articles make it clear that maladaptive personality traits are a unique symptomatic feature of BPD patients, the traits cannot be used as the basis for determining the patients’ individuality and identity, and failing to respond to treatment is not an uncommon outcome Momentary Assessment of Everyday Encounter With Patient .
What strategies did you employ to help handle the situation? What other strategies could you have used?
The described situation entails nurses exhibiting negative attitudes and emotional reactions to BPD patients, perceiving them as being angry and manipulative. Addressing this concern require that the nurses’ exhibit positive attitudes and emotional reactions. This was achieved through three strategies. First, training nurses to actively develop their sensitivity to the patients. Through training, with a focus on reflection, the nurses were able to review their experiences and reshape them to effectively increase their awareness about and skills for handling BPD patients. Second, evaluation in which nurses were subjected to knowledge tests, attitude rating scales, and performance questionnaires that highlighted that highlighted their attitudes and emotional reactions to make them aware of the shortcomings and facilitate active change. In addition to the two strategies, mentorship would have worked by enabling nurses to witness positive attitudes and emotional reactions so that they are able to mirror them when dealing with BPD patients (Finkelman, 2019)Momentary Assessment of Everyday Encounter With Patient .
How did you advocate for the patient in the situation?
Advocacy for the BPD patient entailed highlighting the negative attitudes and emotional reactions that the nurses exhibited. This enabled the nurses to identify what they had done wrong so that they can actively improve interactions with the patient. Rather than perceiving the patient as angry and manipulative, the nurses were encouraged to perceive the patient as experiencing emotional dysregulation. With this awareness, nurses were able to make a conscious effort to attitudes and emotional reactions towards the patient.
What are some of the legal and ethical implications that need to be considered when providing care for patients with depression resulting from illnesses or injuries or suspicious illnesses or injuries?
There are legal and ethical considerations that a nurse must consider when providing care for patients with depression. The legal considerations revolve around malpractice and negligence. Malpractice denotes deviation from a standard of care while negligence denotes conduct deviating from a reasonable standard of care, lacking in due care, and carelessness. A nurse has a legal duty to provide a patient with care that matches a reasonable standard of care. This includes assessing and monitoring the patient, following protocols, as well as communicating with proper documentation and notification (Griffith & Dowie, 2019)Momentary Assessment of Everyday Encounter With Patient .
In addition, the nurse has an ethical responsibility to the patient. This focuses on observing the nine provisions of ANA Code of Ethics to include practicing with compassion and respect for inherent dignity, worth and unique attributes of the patient, and primary commitment to the patient. Also, promoting, advocating for and protecting the safety, health and rights of the patient, being accountable and responsible for nursing care delivered, and collaborating with other health professionals to protect the human rights of the patient, promote health diplomacy and reduce health disparities (Finkelman, 2019)Momentary Assessment of Everyday Encounter With Patient .
References
Carpenter, R. W., Lane, S. P., Tragesser, S. L., & Trull, T. J. (2019). Momentary Assessment of Everyday Physical Pain in Outpatients with Borderline Personality Disorder. Personality Disorders: Theory, Research, and Treatment, 10(2), 143-153. http://dx.doi.org/10.1037/per0000304
Finkelman, A. (2019). Professional Nursing Concepts: Competencies for Quality Leadership (4th ed.). Jones & Bartlett Learning, LLC.
Griffith, R., & Dowie, I. (2019). Dimond’s Legal Aspects of Nursing: A Definitive Guide to Law for Nurses (8th ed.). Pearson.
Sajjadi, S. F., Gross, J., Sellbom, M., & Hayne, H. (2022). Narrative Identity in Borderline Personality Disorder. Personality Disorders: Theory, Research, and Treatment, 13(1), 12-23. https://doi.org/10.1037/per0000476
Woodbridge, J., Reis, S., Townsend, M. L., Hobby, L., & Grenyer, B. (2021). Searching in the dark: Shining a light on some predictors of nonresponse to psychotherapy for borderline personality disorder. PLoS ONE, 16(7), e0255055. https://doi.org/10.1371/journal.pone.0255055
350 WORD DISCUSSION POST. I HAVE ATTACHED THE CASE IN WHICH THE DISCUSSION IS GOING TO BE BASED ON, ALMOST THIS SIMILAR SITUATION HAPPENED IN MY JOB, SO DESCRIBE IT AS ACTUALLY HAPPENING AT MY JOB. ALSO ATTACHED ARE 4 ARTICLES YOU CAN REFERENCE FROM, USE ATLEAST 2 OF THE ARTICLES AS REFERENCE OR EVEN ALL THE 4. PLEASE REVIEW THE GRADING RUBRIC Momentary Assessment of Everyday Encounter With Patient