Psychosocial NursiNg care D o w Psychosocial n a guide to nursing the whole person lo a P de d s b “This book reminds us of the importance of maintaining our focus yc y [ Fa c u on the individual, and on their fears and hopes. I would highly h NursiNg care lty recommend it.” o of N Professor Daniel Kelly, RCN Chair of Nursing Research, Cardiff University, UK so ursin g c , C h “thPes ylcehaornsoerc’isa ul nNduerrssitnagn Cdianrge oisf ah ovwer yth teim neulrys eb omoaky t rhealat thee tlpos a dnedv elop ia a guide to nursing iangm care for the ‘whole person’, through the use of lucid and illustrated l ai U avecrcyo uancctse. s sIitb tleh etroe fboorteh fi sltlus daenn itms panodrt aqnuta lgifiaped i ns ttahfef. ”literature and is Nur the whole person niversity 5 Steven Ersser, Dean of the Faculty of Health & Social Care & s .62 i .1 Professor of Nursing & Dermatology Care, The University of Hull, UK N 56 .8 g 6 ] a c t [0 7 Nursing involves caring for the whole person, and taking care of both physical and a /18 psychosocial needs. This book aims to help the reader to develop the knowledge, r /16 stThkheilel s cb eaonnotdrk ec cooonfn fitshdideee ncrcaser det-iofgf eicvraienrneg t ef oaxsrpp etehrceite snw cohefo . tlhee preaprseounti ca nndu rtsoin egn csaurree atnhde peaxtpielanint si sh aotw e a gu ]. Copyright © you can make the most of opportunities to nurse the whole person. Key topics id McG covered include: e t raw o -H • Understanding the personal experience of illness nu ill Glob • Communication and listening skills rs al E • Developing nurse–patient relationships ing ducatio • Psychosocial assessment skills th n Ho • Using psychotherapeutic approaches e w ldings, L h L since it is common for those who are physically ill to feel psychologically vulnerable, o C. N l o the book also has chapters exploring how to care for patients who are anxious, e p t to b depressed, psychotic or who display challenging behaviours. er e re athlel crhaanpgtee rosf ipnrcaluctdicee c oaspep ostrutduineist ieans dfo pre irmsopnroalv isntgo ryioeus ro nf uilrlnseinsgs ctoar he eolpf tihllues trate son distribute d whole person. o r m D o aton q eusasleifnyt wialh roe awda nfotr a a dlle neupresre su nlodoekrsintagn tdoi nhgo onfe tthhee itrr ucer aaftr ta nodf nfourrs tinhgo.se preparing av dified e r in an Dave Roberts is senior lecturer in cancer and oB y wa phoanolclnioaotlorivagery y cf aocrrel itn ahitce a olo Nxxfuoforrrsdde B usrponeiovckeiaerlssis ituty in nhi vPoessrypsciithtyao lsa-. n d erTs y without pe rm Dave roBerTs issio n . Roberts_033524414_cov.indd 1 9/4/13 12:50:38 D o w n lo a d e d b y Psychosocial Nursing Care [ Fa c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . MHBK092-FM.indd 1 4/11/13 7:30 AM D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . MHBK092-FM.indd 2 4/11/13 7:30 AM D o w n lo a d e d b y Psychosocial [ Fa c u lty o f N u Nursing Care rsin g , C h ia n g m a i U n iv A Guide to Nursing ersity 5 .6 the Whole Person 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y Dave Roberts rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . MHBK092-FM.indd 3 4/11/13 7:30 AM D o w n lo a d e d b y [ F a c u lty Open University Press o McGraw-Hill Education f Nu McGraw-Hill House rsin g Shoppenhangers Road , C h Maidenhead ia n g Berkshire m a England i U n SL6 2QL iv e rsity email: [email protected] 5.6 2 world wide web: www.openup.co.uk .1 5 6 .8 6 and Two Penn Plaza, New York, NY 10121-2289, USA ] a t [0 7 First published 2013 /18 /1 6 Copyright © Dave Roberts, 2013 ]. C o p y rig All rights reserved. Except for the quotation of short passages for the h t © purposes of criticism and review, no part of this publication may be M reproduced, stored in a retrieval system, or transmitted, in any form or by cG any means, electronic, mechanical, photocopying, recording or otherwise, raw wthieth Cooupt ythrieg hptr iLoric wenristitnegn Apgeremncisys Lioinm oitfe tdh.e D peutbailliss hoefr s ourc ha lliicceennccee sf rom -Hill G lo (for reprographic reproduction) may be obtained from the Copyright ba Licensing Agency Ltd of Saffron House, 6-10 Kirby Street, London, l Ed u EC1N 8TS. ca tio n H A catalogue record of this book is available from the British Library o ld in g ISBN-13: 978-0-335-24414-0 s, L L ISBN-10: 0-335-24414-9 C eISBN: 978-0-335-24415-7 . No t to b Library of Congress Cataloging-in-Publication Data e re CIP data applied for distrib u Typeset by Aptara, Inc. ted o r m o d Fictitious names of companies, products, people, characters and/or data ifie d that may be used herein (in case studies or in examples) are not intended in a to represent any real individual, company, product or event. ny w a y w ith o u t p e rm issio n . MHBK092-FM.indd 4 4/11/13 7:30 AM D o w n lo a d e d Praise for this book by [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 “Now more than ever, people working in health care need to focus on the 56 .8 person. The systems in which we work can sometimes mitigate against 6] a being able to carry out effective communication and assessment. This book t [0 7 reminds us of the importance of maintaining our focus on the individual, and /1 8 on their fears and hopes. I would highly recommend this very useful resource /16 to student nurses and their teachers, as well as other health professionals ]. C o p interested in holistic approaches to communication and support. It contains yrig the kernel of good care: seeing the person behind the disease.” ht © Professor Daniel Kelly, RCN Chair of Nursing Research, Cardiff University, UK M c G ra w “Psychosocial Nursing Care is a very timely book that helps to develop -H the learner’s understanding of how the nurse may relate to and care for the ill G ‘whole person’, through the use of lucid and illustrated accounts. It helps the lob a reader to transcend the usual silos of general and mental health nursing by l E d u highlighting the relevance and application of key dimensions of care, such as ca empathy, resilience, intimacy and the challenges that all nurses encounter, tion H including support for the anxious person. It therefore fills an important gap o ld in the literature and is very accessible to both students and qualified staff.” ing Professor Steven Ersser, Dean of the Faculty of Health & Social Care & Professor of s, L L C Nursing & Dermatology Care, The University of Hull, UK . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . MHBK092-FM.indd 5 4/11/13 7:30 AM D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . MHBK092-FM.indd 6 4/11/13 7:30 AM D o w n lo a d e d Dedication by [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 For Farzaneh and Niayesh 56 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . MHBK092-FM.indd 7 4/11/13 7:30 AM D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . MHBK092-FM.indd 8 4/11/13 7:30 AM D o w n lo a d e d b y [ F a c u Contents lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a Acknowledgements xi t [0 7 /1 8 /1 Introduction: Psychosocial Nursing Care 1 6]. C o p y 1 Mind, Body and Illness: In Search of the Whole Person 3 rig h t © 2 Communication in Nursing: Relating to the Whole Person 21 M c G ra w 3 Psychosocial Nursing Care: Caring for the Whole Person 39 -H ill G lo 4 Psychosocial Assessment: Understanding the Whole Person 57 b a l E d u 5 Psychotherapeutic Approaches in Nursing: New Opportunities ca tio for Working with the Whole Person 79 n H o ld in 6 Working with the Anxious Person 95 g s, L L C 7 Working with the Depressed Person 113 . N o t to 8 Working with the Psychotic Person and with the Seriously be re Mentally Ill 131 distrib u 9 Working with People who Present Difficult Behaviours 149 ted o r m o Index 169 difie d in a n y w a y w ith o u t p e rm issio n . MHBK092-FM.indd 9 4/11/13 7:30 AM