PPT - Boundaries 3.14 - KEPRO 3.14 Packet.pdf · • Recall aspects of supportive communication ......
Transcript of PPT - Boundaries 3.14 - KEPRO 3.14 Packet.pdf · • Recall aspects of supportive communication ......
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March 2014 eas
Boundaries
Presented by: APS HealthcareSouthwestern PA Health Care Quality Unit(APS HCQU)
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Information or education provided by the HCQU is not intended to replace medical advice from the consumer’s personal care physician, existing facility policy or federal, state and local regulations/codes within the agency jurisdiction. The information provided is not all inclusive of the topic presented.
Certificates for training hours will only be awarded to those who attend a training in its entirety. Attendees are responsible for submitting paperwork to their respective agencies.
Disclaimer
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• Define the term boundaries
• Distinguish between external and internal boundaries
• Recognize healthy techniques for supporting people with I/DD without invading their boundaries
• Recall aspects of supportive communication
Objectives
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• Boundaries are a set of parameters that make each person unique, independent, and free to be creative and problem‐solve.
• Boundaries designate the appropriate amount of emotional and physical closeness one needs to maintain so that over‐dependence or over‐independence does not develop.
• Boundaries change
Defining Boundaries
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• Self‐protection
• Control and choice
• “No” when needed
• Respect for limits
Why Are Boundaries Needed?
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• Personal property line
• Where one person ends and another person begins
Boundaries – External
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PERSONAL SPACE
Activity
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• Proximity or closeness
• Touch
• Privacy
• Bathrooms
• Bedrooms
• Personal property
External Boundaries – Examples
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• Beliefs, spirituality, emotions, feelings, perceptions, and self‐esteem
• Internal boundaries define where one person’s feelings end and another person’s feelings begin
Boundaries – Internal
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• Subtle comments
• Sensitive topics
• Micro‐violence
• Bullying
• Power‐over approaches
Internal Boundaries – Examples
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Four core types of psychological boundaries:
1. Soft
2. Rigid
3. Spongy
4. Flexible
Types of Psychological Boundaries
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All walls have doors (that open) and all doors can be closed (a little)
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• Unaware of their rights
• Believe that setting boundaries jeopardizes relationships
• Prevent closeness and intimacy
• Difficulty expressing wants, needs, and feelings
• May not have learned healthy boundaries
Characteristics of People with Unhealthy Boundaries
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• Awareness
• Self‐acceptance
• Self‐worth
• Permission
Developing Healthy Boundaries in People with I/DD
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Suggestions for developing healthy boundaries include:
• Talk about the plan for establishing a boundary
• Start small
• Communicate
• Develop specific, clear, direct request
• Follow‐up
Developing Healthy Boundaries in People with I/DD
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• People may no longer…
• I have a right to ask for…
• To protect my personal space, it is ok for me to…
• To protect my privacy, it is ok for me to…
Practice
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• Privacy
• Personal space
• Touch
• Sensitive Topics
Issues Related to External Boundaries
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• Bullying
• Self‐determination
• Self‐assertiveness
Issues Related to Internal Boundaries
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• Development of healthy boundaries is a process; there are no quick fixes
• Explore a person’s history for possible trauma/abuse or clinical issues
• Requires a therapeutic environment
• Supportive communication
• Right to say “no”
Considerations for Supporting People with I/DD
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• Expression or sign sent
• Does not have to be verbal
• Acknowledge it
• Understand it
• Response to it
More about Supportive Communication
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Communication
Activity
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It is important for
• Caregivers to respect the boundaries of individuals
• Individuals to communicate their boundaries
• Individuals to respect the boundaries of caregivers and housemates
Respecting Boundaries of Others
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• Every person has rights to personal space, thoughts, and feelings, as well as the right to establish boundaries to protect those rights
• Supporting people with I/DD to develop healthy boundaries is a process of learning, acknowledging, validating, understanding, and responding
• Respond to people with I/DD with respect and compassion and provide meaningful supports
Concluding Thoughts
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• Abuse: Individual to Individual
• Behavior is Communication
• Communication: Positive Techniques
• Positive Approaches: An Overview
• Self‐Determination
Suggested Accompanying Trainings
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• Healthy Boundaries Where the Gone Things Go Living with PTSD and Other Assorted Visitors. Retrieved on December 3, 2013, from http://lizabethf.wordpress.com/
• Lancer, D. (2013). What Are personal Boundaries? How Do I Get Some? Psych Central. Retrieved from http://psychcentral.com/lib/what‐are‐personal‐boundaries‐how‐do‐i‐get‐some/0016100
• Tartakovsky, M. (2011). 10 Way to Build and Preserve Better Boundaries. Psych Central. Retrieved from http://psychcentral.com/lib/10‐way‐to‐build‐and‐preserve‐better‐boundaries/0007498
References
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To register for future trainings,
or
for more information on this or any other physical or behavioral health topic, please visit our website at
www.hcqu.apshealthcare.com
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Please take a few moments to complete the evaluation form found in the back of your packets.
Thank You!
Evaluation
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There will be a test review after all tests have been completed and turned in to the Instructor.
Test Review