In this particular case, I will make sure that I understand the patient’s feelings and endeavor to validate them rather than dismiss them. I do comprehend that some of the statements or basis of her actions may be archaic but I will not just dismiss them out rightly. Rather, I will try to come terms with her thoughts and views in order to draw her closer to me. When she knows that I am concerned on her, she will be equally drawn to me and thus be ready to hear, what I tell her. When an individual with Borderline Personality Disorder feels that she has been heard, validated and understood, there is much likelihood that she will engage herself in addressing her problem (Stoffers, Völlm, Rücker, Gerta., Antje, Nick and Lieb, 2012). Furthermore, I will also apply the principles of cognitive behavior therapy which include listening, being patient with the client and thinking before speaking. In particular, I will accord full attention to the client when she is talking, ask her questions and repeat what she said to indicate that I have heard her. Furthermore, I will need to control myself even in situations that I could frustrate by her opinions/views and understand that the patient may not be free to open herself at the first instance. Last but not least, I will need to take some time to respond to the client rather than doing so immediately. This will enable me to find a better way of responding to her instead of thwarting it.
My assessment process will largely entail looking at the patient’s background and history. What I will be looking for in this evaluation is the prevalence of unstable and intense relationships with other people, whether she had had suicidal thoughts or attempts, engagement in impulsive activities, severe mood swings including intense depressions, anxiety or irritation. In addition, I will find out the self perspective and identity of the client, feelings of loneliness and emptiness, feelings of paranoia and difficulty in anger management.
The correct diagnosis related to the case of S is impaired social interaction. Accordingly, the nursing intervention measure that will be applied is to collaborate with the patient alongside with the families and other multidisciplinary team in establishing a reward system for compliance in managing her manipulative behavior. In addition, the nurse will work closely with a clinical counselor and psychiatrist and a church minister who will be able to set out other psychological and medical therapies to manage the patient’s condition.
Stoffers, M.; Völlm, A.; Rücker, G., Timmer, A., Huband, N., Lieb, K. (2012). Psychological
therapies for people with borderline personality disorder. The Cochrane Database of Systematic Reviews (8): CD005652