BORDERLINE PERSONALITY DISORDER

Mental health nurses and Borderline Personality Disorder

Table of Contents

CHAPTER # 1: INTRODUCTION3

Significance of Study3

Over view of Sstudy4

Aims and Objectives5

Problem Statement5

Key words:6

Limitations of the Study6

CHAPTER # 2: LITERATURE REVIEW8

Personality Disorder9

Treatment10

Psychoanalytically Oriented Therapies10

The Mentalization-Based Treatment (MBT)10

Psychotherapy based on the transfer (PBT)11

Therapies cognitive-behavioural approach (CBT)11

Dialectical-Behavioural Therapy (DBT)13

Clinical Attitudes toward Persons with Borderline Personality Disorder13

Practices14

Approach Needs To Be Adopted By Nurses15

Performance of Nursing16

Nursing Diagnoses for Borderline Personality Disorder 18

Survey Result18

Need for Training and Education For Nurses19

Skills Training and Individual Therapy19

CHAPTER # 3: METHODOLOGY21

Research design21

Pros and cons22

Pharmacotherapy23

Validity24

Ethical Considerations25

Data Security: Participant Anonymity and Document Retention25

Time Scale26

Data Analysis27

Conclusion27

CHAPTER # 1: INTRODUCTION

Significance of Study

The borderline personality disorder or borderline, also called boundary or border (abbreviated BPD) is currently defined by the DSM-IV as "a personality disorder characterized primarily by deregulation emotional, thought extremely polarized and chaotic relationships.” The overall profile of the disorder also typically includes a pervasive instability of mood, self-image and behaviour, and the sense of identity, which can lead to periods of dissociation. This is included in the group B disorders personality, called "dramatic-emotional." It is by far the most common personality disorders.

According to Zimmerman, (2010, 26-31), the evaluation of the practice of a health professional is to analyze its clinical activity performed in-relation to practice guidelines available to date. Improved quality and safety of patient care must be the result of this comparison. This assessment is part of a dynamic improvement in the quality of care conducted at different levels: the public health system (macro), the organization of care between different professional's network (meso) and clinical practice (micro).

Healthcare communication is defined as the dealing that creates a connection between numerous healthcare clients and teams regarding issues that relates to healthcare. The model of healthcare communication views a broader perspective and includes the external factors that affect the healthcare setting, which persuades the participants also has an influence on the outcome obtained through interaction. The three major factors in healthcare communication are: transactions, contexts and relationships. Healthcare communication is a major responsibility that requires maintaining relations between all the stakeholders within the healthcare ecological unit. A healthcare employee, despite the profession and educational level, must understand that by escalating their interaction skills and utilizing them to carry out their daily tasks, improving their health care and interpersonal relationships (Gallop, 2008, pp. 815-819).

Over view of Study

A staggering number of individuals worldwide are affected by Borderline Personality Disorder. In fact, it has been estimated that one in four adults-approximately 57.7 million Americans-will suffer from a Borderline Personality Disorder each year, with approximately 6% presenting forms that are considered highly severe, such as schizophrenia, major depression, or bipolar disorder (National Alliance on Mental Health, 2007; World Health Organization, 2001). Approximately 154 million people globally suffer from depression, and 25 million people suffer from schizophrenia (Word Health Organization, 2001). In addition, one in four patients visiting a health service has at least one mental, neurological or behavioural disorder; however, most of these disorders are neither diagnosed nor ...