The first thing these people have to face is the stigma of their disorder, whether it be their own, family, social or institutional. On the other hand, these are patients who encounter “great barriers” on a day-to-day basis, let’s not forget that their greatest difficulty is having the ability to regulate their emotions and feelings, which leads them to extreme situations both emotionally and emotionally as well as behaviorally.
The functions of nursing professionals in this field are very diverse, framed in the work of a multidisciplinary team, and aimed at promoting the autonomy and empowerment of the affected person.
In this way, nursing work ranges from psychoeducation, therapeutic support, behavioral management, the application and supervision of treatments and containment measures, to intervention in the event of a crisis.
In addition, the support and advice to the family environment is a fundamental part that the nursing staff develops, together with the rest of the team.
Thus, the nursing procedures and techniques applied to address BPD will vary depending on the situation in which the patient finds himself. To do this, professionals use “the Nursing Care Process, through which personalized care is provided and adjusted to the phase we are facing.”
Daily work with people with a borderline personality disorder is “complex”, explains this nurse, based on the person and their environment, with a relational component that makes “the day very intense”. In the first place, the day begins with a reading of all the incidents that occurred the previous day and a sharing of all the members of the therapeutic team. Next, and according to the individual patient care plan, “the development of each of the appropriate interventions begins.”
“During the day, the nurse must be able to respond to the needs of the person with borderline personality disorder in a non-threatening way”, observing the patients perceive any significant changes. In addition, it is also common for professionals to offer care to those affected, in a group or individually, “providing tools and strategies with which both the patient and their environment can accept the disorder and live with it, helping them to identify any risk situation to be able to deal with it.”
Communication and nursing education
In this way, the approach to communication with this type of patient varies depending on the situation or the person with whom one is interacting. For this process to be correct, we must take into account several aspects, such as active listening, avoiding generalizations, leaving response time, using appropriate language, or choosing the place where we can speak. In addition, it is very important to respect silences and “of course, non-verbal communication.
Regarding the nurse-patient relationship, the aforementioned becomes “crucial”; that is, “the better the communication with the person, the better bond will be established, which will allow detecting any change or preventing relapses in the person with personality disorder”. Through the relationship of help and empathy, the creation of these ties between the two parties can be favored.
What we need for the helping relationship is to offer resources to the other person, to overcome and adequately face a difficult situation, focus on their needs and accompany them”. On the other hand, when it comes to empathy, it can be said that it is the main tool in this helping relationship; This last one is an attitude, It allows us, professionals, to capture and understand the world of the other while being aware of our internal world. Being close but with professionalism: that is the barrier.