Introduction
Nephrologist nursing is practice that involves the taking care of patients who are suffering and those who are at a risk of suffering from kidney disease. This practice involves the prevention and assessment of the health of the patients and his family at large. Since the nurse usually engage in the taking care of patients with chronic kidney problems then it requires an individual to have better skills and motivated to carry out this practice, it is regarded to be the most challenging practice in the nursing profession since it deals with the organ system of an individual (Pope, 2002).
Discussion
In this case we find that these patients may be undergoing various health conditions such as the diabetes, hypertension, infectious diseases and even psychiatric conditions such as depression, anxiety neuroses among others this condition normally lead to the patients undergo psychosocial problems. Since this nephrology nursing is regarded as a specialty practitioner I would like to come up with various counseling methods that will help engage the nephrology nurses At South Florida Nephrology Group help the nephrology patients suffering from psychiatric issues.
Counseling is regarded as an essential factor in dealing with people who have been affected by kidney disease and are facing psychiatric issues. This practice is usually used by the Nephrologist nurses in helping this people to handle issues which are found to be causing factors of the psychological disorders. Occasionally, this practice requires skilled Nephrologist nurses who can deal with issues ranging from education, marriage, individuals and families. To do this the nurses are therefore required to have the following in their practices in order to understand the person’s problems The following are the required skills that the Nephrologist nurse should have in order to carry out a successful counseling practice.
They include the following:
- Good listening skills- the nurse should be able to realize that he is a good listener and this is strength when it comes to carrying out counseling.
- Empathetic- this is one of the strengths when it comes to counseling skills.
- Genuine- the nurse should be in a position to tell the affected person the truth even if it is not that good to the recipient. The nurse should be able to bring out the truth in a manner that the patient and the family can handle and understand.
- Unconditional positive regard.
- Concreteness in providing information.
- Remove obstacles for change,
The Nephrologist counseling nurse should have good listening skills, empathy, and be genuine which will require the practitioner to tell the truth even if the subject matter is not that good to the patient. Therefore one is required to bring out the truth in a way that the patient will be able to handle and understand his situation; the nursing counselor should give unconditional positive regard and also should have concreteness in providing any information about the psychological disorder (Wynd, 2003).
Roles of Advanced nephrology Nurses in counseling
In this case of psychiatric issues, we find that many Nephrologist nurses indulge in a number of activities that usually assist the sick person to come back to the normal status. The following are the methods that are used by the counseling nurses in order to resolve such issues.
Therapeutic Relationship
Under this we find that a better relationship between the client and the Nephrologist nurse counselor is established. The client is therefore required to build trust and safety on the counselor although sometimes it is argued that the patients find it hard to build trust on the counselor thus they end up not giving full information about the causative factor of the illness. According to the counseling practices safety is considered as a leading factor to a safety therapeutic trauma work. In this case the patient may be found to be having a number of characteristics that may hinder him from building trust and safety on the counselor. These factors may include personality temperament. We may also find that when the patient is found to have undergone a number of traumas, the chances of him or her building his trust on the counselor are always high (Kleinpell and McLaughlin, 2007).
Dialectical Behavior Therapy
This therapy has an objective of dealing with individuals who are known to be suffering from the personality disorders. This therapy indicates that individuals are always found to be responding to the emotional stimulation not normally; this may come up as a result of biological factors and also the way the individual was brought up. This therapy is usually carried out in two forms; that is the weekly psychotherapist that involves the addressing issues that are said to have affected the individual during the week and also coming up with the best resolutions for such factors leading to psychological disorders (Kleinpell and McLaughlin, 2007).
The second form is the group therapy which is directed towards the handling of the interpersonal skills, the regulation of emotions and also enabling the individual to accept and also tolerate the disorder. The importance of the Dialectical Behavior Therapy is that it helps the individuals found to be suffering from the personality disorders to response to such conditions positively and also bringing up a number of characteristics including that of self-esteem, having and looking for more goals in life and also learning of new methods of behaving (Chopra and Kulhara, 1996).
Family Therapy
This is regarded as the best method used of helping the Nephrologist patients who are found to be suffering from psychological traumas. This is because many dysfunctions such as traumas resulting kidney problems and other family matters are easily handled by using the patients’ family members who produce a number of information such as personal characteristics that may help the Nephrologist nursing counselor in handling the person affected by the disorders. This is a treatment that may be used by many counselors and that they are advised to practice this therapy with regards to carrying a number of methods used in counseling (Wynd, 2003).
One of them is the supportive method of counseling which is applied in the counseling with an objective of relieving pain caused by depression on the individual and also by doing this the patient is also allowed to recognize himself as an important member of the society. Most of the disorders make individual face loneliness and discriminated from the rest of the people in the society thus such technique is important (Chopra and Kulhara, 1996).
Cognitive Therapy
This is a method used to make the patient recognize himself with the social problems he is facing in the society whereby the counselors are put in a position of teaching them on how to recognize minor and major problems that may lead to the occurrence of the psychological disorders.
Behavioral Therapy
This is a type of counseling that specializes in the creation of changes in the individuals’ personal life whereby the person is always at a risk of being attacked with psychological disorders. This method is found to be working hand in hand with behavioral therapy which brings an establishment of the skills that may be applied in the solving of such problems by the Nephrologist nurse.
In many cases we find that the Nephrologist nurses, prefer this method since it creates a distinction between external problems and internal changes to be made by the person, the internal changes are meant to help in the assessment of the problems the patient is facing, this is usually done by self-evaluation, including the evaluation of other people surrounding the sick person and the expectations of the person in his life. External changes are usually used in the handling of the existing problems by the use of various management skills including, communication, life management and those required to develop a better relationship with those who are not affected by the disorders (Halligan, Bass and Marshall, 2001).
Conclusion
Counseling plays a key role in treatment of kidney patients with psychiatric issues should be subjected to such programs in order to aid them to recover slowly from such attacks which may affect their lives. These counseling services should be made easier in terms of getting access to it at the South Florida Nephrology Group for example building counseling centers in all parts of the country (Pope, 2002).
Reference
Chopra P and Kulhara P (1996)-Social support social dysfunction & stressful life events In neurotic patients, Indian Journal of Psychiatry.
Gask L and Usherwood T (1997) medical & psychiatric issues for counselors London.
Halligan, P., Bass, C. and Marshall, J. (2001): Contemporary Approach to the Study of Hysteria Clinical and Theoretical Perspectives Oxford University Press, UK.
Kleinpell, R and McLaughlin, R (2007) Ensuring clinical competency for NPs in acute Care, The Nurse Practitioner.
Wynd, C (2003). Current Factors Contributing To Professionalism In Nursing Journal Of Professional Nursing.
Pope, B. (2002). Working Together To Meet Patient And Family Needs Nursing,