nativid_medctr05

nativid_medctr05 - Managing Care for Persons with...

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    Managing Care for Persons with Borderline Personality Disorders Phyllis M. Connolly PhD, APRN, BC, CS Professor of Nursing San Jose State University [email protected] 408-924-3144
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    Questions to Consider How does the stigma of the label of Borderline  Personality impact your care? What are you views concerning suicide and self-harm? How do stress & anxiety impact your patient and you? What strategies are useful when dealing with anger? How do you respond when you feel as if you are being  manipulated? What are some effective interventions to deal with self- harm, and manipulative behaviors? What are your self-care behaviors? How might collaboration create newness and facilitate  hope?
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    Qualities of Healthy  Personality Positive & accurate  body image Realistic self-ideal Positive self-concept High self-esteem Satisfying role  performance Clear sense of identity
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    Personality “persona” Complex pattern psychological  characteristics Not easily eradicated Expressed automatically in every facet  of functioning Biological dispositions & experiential  learning Distinctive pattern of perceiving, feeling,  thinking & coping
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    Why Do We Behave the Way We Do? Affective (feelings) Cognitive (thoughts) Behavioral (actions) Interacting System’s Human  Behavior
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    Stress:  A person-environment  A person-environment  interaction interaction Sources Biophysical Chemical Psychosocial Cultural Heat-cold noise radiation exhaustion physical  inactivity alcohol nicotine caffeine
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    External stimuli Emotional feelings Peripheral physiological changes Central nervous system arousal Internal stimuli Genetic equip Past experience Stress Individual perception of stressor- conscious or unconscious Stress Model
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    Responses to Stress Demanding  situation--stressor Internal state Tension Anxiety Strains
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    Anxiety Normal—feeling response to a threat to  one’s safety, well-being, or self-concept Characteristics Appropriate to the threat Anxiety can be relieved Can cope either alone or with some  support Problem solving slow but still usable
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    Abnormal Anxiety Occurs more frequently, longer  and more intense Interferes with one’s life Function is more impaired Disproportionate to threat Blocks learning from the  experience Pervasive feeling in all mental  health problems
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    Psychosis Brief Reactive Psychosis Panic Dread Loneliness Rituals Avoidance Psychosomatic Heartpound Palpitations Shakiness Butterflies All senses alert Calm Daydreaming Sleep Panic Acute and Chronic Normal RELATIVE SEVERITY OF ANXIETY (Haber p.437)
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    Definition: Personality 
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  • '10
  • Connolly,PhyllisM
  • Borderline personality disorder, Borderline Personality, borderline personality disorders, Borderline Personality DSM, behaviors unsafe sex

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nativid_medctr05 - Managing Care for Persons with...

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