COUNSELING

Topic 4
Learning outcome
 Define counseling
 Explain objectives of counseling
 Discuss principles of counseling
 Discuss counseling relationship
 Discuss behavior modification and client
counseling
 Definition of Counseling

 It is a helping relationship for

clients
 It is to recognize and manage
stress of clients and their family
members.
 Counseling involves emotional,
intellectual, spiritual, and
psychological support.
Potter,P.A (2005)
 Objectives of Counseling

 To help the client accept actual or impending

changes resulting from their diseases
 Encourage individuals to examine available
alternatives and decide which choices are useful
for them
 Enable the client to take responsibility for
themselves and make their own decisions
Principles of Counseling
 Listening skills
 Empathy and positive regard
 Respect
 Handling resistance
 Transference and countertransference
 BUILD UP FOLLOW UP
RELATIONSHIP
TERMINATION
IDENTIFICATION /
CLARIFICATION OF
EVALUATION
PROBLEMS

STRATEGIES / APPLYING
ALTERNATIVE STRATEGIES /
IMPLEMENTATION
 ROLE OF THE COUNSELOR
 Define the health problem

 Allow patients to express their feelings and needs

 Tap into their own strengths and resources

 Examine their coping methods, beliefs, values and

attitude

 Assist them to make their own decisions

 Principles of Nursing Counseling

Explore patients knowledge and feelings

regarding their disease

Provide relevant information regarding their

health problems and diseases

Allow them to make their own decisions

Do not impose on them

 ROLES OF COUNSELING IN
NURSING
 Behavior Modification
 Changing behavior
 E.g: from smoking to non smoking
 Bereavement Counseling
 Acceptance whatever event that happened in
life
 Like breaking bad news, e.g: new diagnosis for
cancer
 Relaxation Exercises
 Like meditation
 Progressive muscle relaxation exercises
Steps in relationship building
 Introduce self
 Invite client to sit down
 Ensure comfort and address by name
 Initiate social conversation to reduce
anxiety and allow time to respond
 Observe emotional state/non-verbal
behaviour
 Indicate you are interested in the person
The Top Ten Basic Counseling Skills.
Listening.
Empathy.
Genuiness.
Unconditional positive regard.
Concreteness.
Open Questions -- A questioning process
to assist the client in clarifying or exploring
thoughts or.
Counselor Self-Disclosure.