G



G



1080


Gastrointestinal Intubation


Definition: Insertion of a tube into the gastrointestinal tract


Activities:



1st edition 1992; revised 1996



5242


Genetic Counseling


Definition: Use of an interactive helping process focusing on assisting an individual, family, or group, manifesting or at risk for developing or transmitting a birth defect or genetic condition, to cope


Activities:



• Provide privacy and ensure confidentiality


• Establish a therapeutic relationship based on trust and respect


• Determine the patient’s purpose, goals, and agenda for the genetic counseling session


• Determine knowledge base, myths, perceptions, and misperceptions related to a birth defect or genetic condition


• Determine presence and quality of family support, other support systems, and previous coping skills


• Provide estimates of patient’s risk based upon phenotype (patient characteristics), family history (pedigree analysis), calculated risk information, or genotype (genetic testing results)


• Provide estimates of occurrence or recurrence risk for patient and at-risk family members


• Provide information on the natural history of the disease or condition, treatment and/or management strategies, and prevention strategies, if known


• Provide information about the risks, benefits, and limitations of treatment/management options, as well as options for dealing with recurrence risk in a nondirective manner


• Provide decision-making support as patients consider their options


• Prioritize areas of risk reduction in collaboration with the individual, family, or group


• Monitor response when patient learns about own genetic risk factors


• Allow expression of feelings


• Support patient’s coping process


• Institute crisis support skills, as needed


• Provide referral to genetic health care specialists, as necessary


• Provide referral to community resources, including genetic support groups, as needed


• Provide patient a written summary of genetic counseling session, as indicated


1st edition 1992; revised 2000



5290


Grief Work Facilitation


Definition: Assistance with the resolution of a significant loss


Activities:



• Identify the loss


• Assist the patient to identify the nature of the attachment to the lost object or person


• Assist the patient to identify the initial reaction to the loss


• Encourage expression of feelings about the loss


• Listen to expressions of grief


• Encourage discussion of previous loss experiences


• Encourage the patient to verbalize memories of the loss, both past and current


• Make empathetic statements about grief


• Encourage identification of greatest fears concerning the loss


• Instruct in phases of the grieving process, as appropriate


• Support progression through personal grieving stages


• Include significant others in discussions and decisions, as appropriate


• Assist to identify personal coping strategies


• Encourage patient to implement cultural, religious, and social customs associated with the loss


• Communicate acceptance of discussing loss


• Answer children’s questions associated with the loss


• Use clear words, such as dead or died, rather than euphemisms


• Encourage children to discuss feelings


• Encourage expression of feelings in ways comfortable to the child, such as writing, drawing, or playing


• Assist the child to clarify misconceptions


• Identify sources of community support


• Support efforts to resolve previous conflict, as appropriate


• Reinforce progress made in the grieving process


• Assist in identifying modifications needed in lifestyle

Related posts:

  1. D
  2. N
  3. B
  4. V

Stay updated, free articles. Join our Telegram channel
Tags:
Dec 3, 2016 | Posted by in NURSING | Comments Off on G

Full access? Get Clinical Tree
Get Clinical Tree app for offline access