Gout
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Nurse-patient relationship phases structure the therapeutic relationship through orientation, working, and termination stages to achieve treatment goals effectively. Orientation phase: establish trust, set boundaries, identify problems, contract for work. Working phase: implement interventions, address problems, evaluate progress. Termination phase: prepare for ending, review achievements, process feelings about separation. Each phase has specific tasks and challenges. Nurses must be aware of phase to guide interactions appropriately. Premature termination or prolonged orientation hinders progress. Documentation reflects phase and progress. Challenges: resistance in working phase; dependency or abandonment issues in termination. Time-limited relationships (brief hospitalization) compress phases. In long-term care, phases may recycle with new issues. Understanding phases helps nurses maintain professional boundaries and focus. Relationship is vehicle for therapeutic change, not end itself. Training in phase management improves effectiveness. Cultural factors influence relationship development.
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Zambia
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