NURS310 Lecture Notes - Lecture 1: Cognitive Bias, Stationary Bicycle, Attribution Bias
22 Jun 2018
School
Department
Course
Professor
•Management of Hallucinations and Delusions
•Hallucinations
•Linda Brzustowicz talks about NOS1AP
•Hallucinations
•Voice Hearers – Paradigm Shift
•Eleanor Longden
•https:// www.youtube.com/watch?v=AgZHOSxN5cE
•http://www.intervoiceonline.org/support-recovery/a-practical-guide
•Voice Hearers - An
Alternative view
•Assessment – Overcome Obstacles
•Approaches
•Empathize and use observations
•Minimize questioning
•Seek information conversationally
•Directly but supportively seek information
•Prioritize what information is required
•Seek other sources for information (Varcarolis, p. 296)
•Assessment
•Assess patient
•Assess what is the person hearing or seeing
–“Are you hearing voices” and “What are you hearing”
•Safety Issue- Ask if voices are directing the person to harm self or others (command
hallucination?)
–Do they recognize the voice
–Do they believe they are real
–Do they plan to follow the command
•Assess yourself – Countertransference
•Interventions (cont.)
•Approach
•Watch for nonverbal cues
•Do not react to the hallucination as if they are real
•Do not address the voices
•Do not negate the person’s experience but offer your perceptions
• Distract to here and now
•Provide education – i.e., voices are part of the illness and allow to determine meaning of
these through exploration
•Interventions (cont.)
•Approach
•Concise statements
•If repeating – use the same sentence
•If telling to harm self or others notify police, physician and/or administration
•Document what client says
•Decrease environmental stimuli
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Linda brzustowicz talks about nos1ap: hallucinations www. youtube. com/watch?v=agzhosxn5ce. Alternative view: assessment overcome obstacles, approaches. Seek information conversationally: directly but supportively seek information. Seek other sources for information (varcarolis, p. 296: assessment, assess patient, assess what is the person hearing or seeing. Are you hearing voices and what are you hearing . Safety issue- ask if voices are directing the person to harm self or others (command hallucination?) Do they plan to follow the command: assess yourself countertransference. Interventions (cont. : approach, watch for nonverbal cues, do not react to the hallucination as if they are real, do not address the voices, do not negate the person"s experience but offer your perceptions. Provide education i. e. , voices are part of the illness and allow to determine meaning of these through exploration. If telling to harm self or others notify police, physician and/or administration: document what client says, decrease environmental stimuli.
