Manipulative Behaviour
Manipulative behaviour is a coping mechanism sometimes used by patients when facing stress. It can be very destructive and can greatly interfere in the nurse/patient relationship.
To help a patient with manipulative behaviour, the nurse can:
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Assess a patient’s needs or anxieties, which he/she is addressing through manipulative behaviour.
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Assist patient in recognizing his/her pattern of behaviour.
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Teach patient direct ways to communicate needs.
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Ensure patient does not“split” (i.e. tell you something about someone else). Encourage patient to communicate directly with involved party.
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Give consistent, clear messages.
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Establish a written contract with the patient as necessary.
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Involve the Enterostomal Therapy Nurse, Clinical Nurse Specialist, Social Worker, Psychiatry as necessary.