{"id":2661,"date":"2023-03-24T12:38:06","date_gmt":"2023-03-24T12:38:06","guid":{"rendered":"https:\/\/blog.ki.se\/studentbloggen\/?p=2661"},"modified":"2023-09-05T11:40:57","modified_gmt":"2023-09-05T11:40:57","slug":"patientfall-del-5-psykologens-roll","status":"publish","type":"post","link":"https:\/\/blog.ki.se\/studentbloggen\/2023\/03\/24\/patientfall-del-5-psykologens-roll\/","title":{"rendered":"Patientfall del 5: Psykologens roll"},"content":{"rendered":"\n<p>Hej allesammans, idag \u00e4r det dag 5 och sista delen av bloggens serie om ett fiktivt patientfall. Idag \u00e4r jag h\u00e4r f\u00f6r att presentera min del, psykologens roll, i omh\u00e4ndetangandet av v\u00e5rt patient Birgit. <\/p>\n\n\n\n<p><em>Notera att detta endast \u00e4r en relativ ny students synvinkel och eventuella l\u00f6sningar till Birgits situation och att detta patientfall \u00e4r fiktivt, det \u00e4r s\u00e5ledes p\u00e5hittad och har inte intr\u00e4ffat p\u00e5 riktgit.  <\/em><\/p>\n\n\n\n<p>Jag rekommenderar att du f\u00f6rst tar en titt p\u00e5 patientfallet innan du l\u00e4ser vidare detta inl\u00e4gg. Nedan l\u00e4nkar jag till bland annat patientfallet, vilket ni hittar i introduktionen, men ocks\u00e5 de andra yrkens roller inom v\u00e5rden som ocks\u00e5 bidrar till Birgits \u00e5teranpassning till ett verksamt liv.  <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/blog.ki.se\/studentbloggen\/2023\/03\/20\/patientfall-del-1-inledning\/\">Del 1: Introduktion<\/a>&nbsp;<\/li><li><a href=\"https:\/\/blog.ki.se\/studentbloggen\/2023\/03\/21\/patientfall-del-2-sjukskoterskans-roll\/\" target=\"_blank\" rel=\"noreferrer noopener\">Del 2: Sjuksk\u00f6terskans roll<\/a><\/li><li><a href=\"https:\/\/blog.ki.se\/studentbloggen\/2023\/03\/22\/patientfall-del-3-lakarens-roll\/\" target=\"_blank\" rel=\"noreferrer noopener\">Del 3: L\u00e4karens roll<\/a><\/li><li><a href=\"https:\/\/blog.ki.se\/studentbloggen\/2023\/03\/23\/patientfall-4-arbetsterapeutens-roll\/\" target=\"_blank\" rel=\"noreferrer noopener\">Del 4: Arbetsterapeutens roll<\/a><\/li><li>Del 5: Psykologens roll<\/li><\/ul>\n\n\n\n<p>Som psykolog finns det flera olika s\u00e4tt man kan hj\u00e4lpa Birgit med, en patient som lite kortfattat har f\u00f6rlorat sin macke och har med tiden \u00e4ven f\u00f6rlorat motivationen f\u00f6r livet.&nbsp;<\/p>\n\n\n\n<p>Att f\u00f6rlora en n\u00e4ra och k\u00e4ra kan vara otroligt sm\u00e4rtsamt och sv\u00e5rt f\u00f6r en att hantera sj\u00e4lv. Jag som psykolog f\u00f6rs\u00f6ker d\u00e4rmed bidra med ett s\u00e5 s\u00e4ker och trygg milj\u00f6 som m\u00f6jligt s\u00e5 att min patient kan enklare hantera och bearbeta sin sorg. En st\u00f6djande milj\u00f6 kommer hj\u00e4lpa patienten att fult ut dela sina inersta tankar och k\u00e4nslor!&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">F\u00f6rsta tr\u00e4ffet <\/h3>\n\n\n\n<p>Idag ska jag f\u00e5 tr\u00e4ffa Birgit f\u00f6r f\u00f6rsta g\u00e5ngen. Under v\u00e5r f\u00f6rsta m\u00f6te kommer jag f\u00f6rs\u00f6ka l\u00e4ra k\u00e4nna henne och f\u00f6rs\u00f6ka f\u00e5 ett inblick av situationen hon beffiner sig i. Birgitta kommer att f\u00e5 svara p\u00e5 vissa fr\u00e5gor om hennes nuvarande sittuation, hennes bakgrund och vi kommer tillsamans f\u00f6rs\u00f6ka komma fram till vad och hur hon kommer komma \u00f6ver detta!&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Validera patientens k\u00e4nslor <\/h3>\n\n\n\n<p>Birgit har f\u00f6rmodligen en rad komplexa k\u00e4nslor just nu, inklusive sorg, ilska, skuld, f\u00f6rvirring mm. Som psykolog validerar jag hennes k\u00e4nslor och f\u00f6rs\u00f6ker att f\u00e5 patienten att f\u00f6rst\u00e5 att dessa k\u00e4nslor och det hela hon upplever just nu kan k\u00e4nnas v\u00e4ldigt tungt men att det \u00e4r en normal del av sorgeprocessen som hon m\u00e5ste g\u00e5 igenom f\u00f6r att sedan kunna sl\u00e4ppa sorgen!&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Pendlingsmodellen <\/h3>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"960\" height=\"540\" data-id=\"2732\" src=\"https:\/\/blog.ki.se\/studentbloggen\/wp-content\/uploads\/sites\/143\/2023\/03\/Pendlingsmodell-blogg.jpg\" alt=\"\" class=\"wp-image-2732\" srcset=\"https:\/\/blog.ki.se\/studentbloggen\/wp-content\/uploads\/sites\/143\/2023\/03\/Pendlingsmodell-blogg.jpg 960w, https:\/\/blog.ki.se\/studentbloggen\/wp-content\/uploads\/sites\/143\/2023\/03\/Pendlingsmodell-blogg-300x169.jpg 300w, https:\/\/blog.ki.se\/studentbloggen\/wp-content\/uploads\/sites\/143\/2023\/03\/Pendlingsmodell-blogg-768x432.jpg 768w, https:\/\/blog.ki.se\/studentbloggen\/wp-content\/uploads\/sites\/143\/2023\/03\/Pendlingsmodell-blogg-400x225.jpg 400w, https:\/\/blog.ki.se\/studentbloggen\/wp-content\/uploads\/sites\/143\/2023\/03\/Pendlingsmodell-blogg-800x450.jpg 800w\" sizes=\"(max-width: 960px) 100vw, 960px\" \/><\/figure>\n<\/figure>\n\n\n\n<p>Jag introducerar pendlinsmodelllen till Birgit som lite kort inneb\u00e4r att man v\u00e4xlar mellan tv\u00e5 olika aspekter av sorg, n\u00e4mligen att f\u00f6rh\u00e5lla sig mellan att till\u00e5ta ens sj\u00e4lv att uttrycka sin sorg och att st\u00e4nga av sorgen och \u00e4gna sig \u00e5t distraktioner ist\u00e4llet. N\u00e5gra exempel p\u00e5 ett tillf\u00e4llig distraktion kan vara att byta plats p\u00e5 m\u00f6blerna hemma till hennes n\u00f6je, skapa nya relationer eller f\u00f6rst\u00e4rka sina redan befintliga relationer med m\u00e4nniskor som hon hade kontakt med innan hon f\u00f6rlorade sin partner, och som hon f\u00f6rmodligen har f\u00f6rsummat senaste tiden. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u00c5terbygga patientens identitetk\u00e4nsla  <\/h3>\n\n\n\n<p>N\u00e4r man f\u00f6rlorar en partner kan det oftast k\u00e4nnas som att man har f\u00f6rlorar en del av sin egen identitet. D\u00e4rf\u00f6r \u00e4r det extremt viktigt att \u00e4ven jobba med Birgits identitetsk\u00e4nsla. Detta g\u00f6r jag som psykolog genom att hj\u00e4lpa henne utforska bland annat hennes egna v\u00e4rderingar, intressen samt sina eventuella framtida m\u00e5l i livet.&nbsp;<\/p>\n\n\n\n<p>N\u00e4r jag och patienten har f\u00e5tt en bild av hennes m\u00e5l i livet kan vi \u00e4ven jobba med hennes motivation att uppn\u00e5 dessa m\u00e5l. Detta kommer jag g\u00f6ra med KBT (Kognitiv Beteende Terapi) som \u00e4r en form av terapi som fokuserar p\u00e5 att \u00e4ndra patientens negativa tankem\u00f6nster och beteenden genom att hj\u00e4lpa patienten att ers\u00e4tta de ist\u00e4llet med&nbsp;mer realistiska och positiva tankar. F\u00f6r att uppn\u00e5 detta kommer jag anv\u00e4nda mig av sm\u00e5 bel\u00f6ningar som kan vara uppmuntrande f\u00f6r patienten att k\u00e4nna sig mer motiverad och f\u00f6rhoppningsvis att forts\u00e4tta arbeta mot sina m\u00e5l.&nbsp; Det \u00e4r \u00e4ven viktigt att att ta en sak i taget och skapa hanterbara delm\u00e5l s\u00e5 att patienten kan uppmuntras att forts\u00e4tta arbeta mot de.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Utveckla patientens h\u00e4lsa <\/h3>\n\n\n\n<p>Sist men inte minst arbetar jag \u00e4ven med patientens utveckling i h\u00e4lsosamma hanterinhamekansmer s\u00e5som meditation, journalf\u00f6ring, fysisk tr\u00e4ning eller att \u00e4ven n\u00e5 ut till patientens v\u00e4nner och familj f\u00f6r st\u00f6d om patienten samtycker! Beroende p\u00e5 patientens behov kommer jag dessutom f\u00f6rs\u00f6ka f\u00f6rse henne med resurser och remisser till andra professioner som kan st\u00f6dja patientens tillv\u00e4xt genom sorgeprocessen. Detta kan exempelvis vara en arbetsterapeut, fysioterpauet eller en dietist f\u00f6r att hj\u00e4lpa Birgit med att f\u00f6rb\u00e4ttra hennes kost. Detta med tanken att ens psykiska h\u00e4lsa p\u00e5verkas av en sammanst\u00e4lning av olika faktorer inklusive ens kost. Om Birgit b\u00f6rjar f\u00e5r en balanserad och h\u00e4lsosam kost kommer det resultera till fr\u00e4mjandet av hennes psykiska h\u00e4lsa ocks\u00e5! Om jag dock ser att Birgits \u00e4r i behov av medicinering kommer jag skicka min patient vidare till en psykiatriker ist\u00e4llet, f\u00f6r att hon ska kunna f\u00e5 den hj\u00e4lp hon beh\u00f6ver. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>I slut\u00e4ndan \u00e4r allas upplevelse av sorg unik, och de specifika strategier som psykologer anv\u00e4nder beror p\u00e5 patientens individuella behov. Men genom att tillhandah\u00e5lla ett st\u00f6djande och medk\u00e4nnande milj\u00f6, validera patientens k\u00e4nslor och hj\u00e4lpa patienten att utveckla copingstrategier, kan man en psykolog hj\u00e4lpa sin patient att navigera sorgens l\u00e5nga resa och b\u00f6rja hitta sin v\u00e4g fram\u00e5t f\u00f6r att kunna blomstra till sin fulla potential igen! <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hej allesammans, idag \u00e4r det dag 5 och sista delen av bloggens serie om ett fiktivt patientfall. Idag \u00e4r jag h\u00e4r f\u00f6r att presentera min del, psykologens roll, i omh\u00e4ndetangandet [&hellip;]<\/p>\n","protected":false},"author":546,"featured_media":2657,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[25,12,107,89,106],"class_list":["post-2661","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studentliv","tag-karolinska-institutet","tag-ki","tag-patientfall","tag-psykologprogrammet","tag-safunkarvarden"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Patientfall del 5: Psykologens roll - Studentbloggen<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/blog.ki.se\/studentbloggen\/2023\/03\/24\/patientfall-del-5-psykologens-roll\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patientfall del 5: Psykologens roll - Studentbloggen\" \/>\n<meta property=\"og:description\" content=\"Hej allesammans, idag \u00e4r det dag 5 och sista delen av bloggens serie om ett fiktivt patientfall. 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