Self Harm

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mutual trust and respect, the nurturing of faith and hope, being sensitive to self and others, and assisting with the gratification of your patient's physical, emotional, and spiritual needs through your knowledge and skill. This caring relationship develops when you and your patient come together in the moment, which results in harmony and healing.1 Effective verbal and nonverbal communication is an important part of the nurse-patient interaction, as well as providing care in a manner that enables your patient to be an equal partner in achieving wellness.2 Here are some tips to consider:

* Introduce yourself to your patient and use her name while talking with her. A handshake at your initial meeting is often a good way to quickly establish trust and respect. [pic]

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* Make sure your patient has privacy when you provide care. Be sure that her basic needs are met, including relieving pain or other sources of discomfort. * Actively listen to your patient. Make sure you understand her concerns by restating what she has verbalized. For example, "Mrs. Smith, you mentioned that you were concerned that your bone pain won't be addressed in a timely manner?" However, don't use restating too much in a conversation because it can be perceived by your patient that you aren't really listening to her. Be real, showing your genuine self when communicating with her. * Maintain eye contact. Remember, too much eye contact can be intimidating. Smile at intervals and nod your head as you and your patient engage in conversation. Speak calmly and slowly in terms that she can understand. Your voice inflection should say "I care about you." * Maintain professional boundaries. Some patients need more therapeutic touch, such as hand-holding and hugging, than others and some patients prefer no touching. Always respect differences in cultures. You can help your patient achieve harmony in mind, body, and spirit when engaging in a therapeutic relationship based on effective communication that incorporates caring behaviors. It's a win-win situation in which you and your patient can experience growth by sharing "the moment" with each other. Back to Top | Article Outline

REFERENCES

1. Watson J. Caring Science as Sacred Science. Philadelphia, PA: FA Davis Company; 2005.

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2. College of Nurses of Ontario. Therapeutic nurse-client relationship. http://www.cno.org/docs/prac/41033_Therapeutic.pdf.

Repper, J. & Perkins, R. (2006) Social Inclusion and Recovery: A Model for Mental Health Practice. Bailliere Tindall, UK. ISBN 0-7020-2601-8

Treatments and drugs

By Mayo Clinic staff

There's no one best way to treat self-injuring behavior, but the first step is to tell someone so you can get help. Treatment is based on your specific issues and any related mental health conditions you might have, such as depression. Treating self-injury behavior can take time, hard work and your own desire to recover. Because self-injury can become a major part of your life and it's often accompanied by mental disorders, you may need treatment from a mental health professional experienced in self-injury issues. There are several treatment options for self-injuring behavior. Psychotherapy

Known as talk therapy or counseling, psychotherapy can help you identify and manage underlying issues that trigger self-injuring behavior. Therapy can also help you learn skills to better manage distress, help regulate your impulsiveness and other emotions, boost your self-image, better your relationships, and improve your problem-solving skills. Several types of individual psychotherapy may be helpful, such as: • Cognitive behavioral therapy, which helps you identify unhealthy, negative beliefs and behaviors and replace them with healthy, positive ones. • Dialectical behavior therapy, a type of cognitive behavioral therapy that teaches behavioral skills to help you tolerate distress, manage or...
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