Borderline Personality Disorders: BPD Patients

Borderline personality disorder (BPD) is one of the most common of the personality disorders (Psychiatric Nursing 2015). BPD patients may appear sincere, yet they will exhbit a darker side at times of stress, and in fact may experience a roller-coaster type of conflict with self-destructive behavior. This behavior can encompass a large part of their lives and also negatively affecting those around them. BPD patients have problems functioning in their daily lives as the disease pervades their work, social relationships, and their leisure activities.
Personality disorders are listed as Axis II on the DSM-IV which relates to personality traits which are considered different from a person’s cultural background and disturbances in two of the

There are similarities to conventional BPD treatment, but one of the major differences is the Brief Admission Intervention takes a more pro-active approach. The Brief Admission Intervention consists of a treatment plan, identified goals of the hospital admission, criteria for admission, and interaction with nursing staff. The treatment plan is generated in advance of the actual patient’s need for intervention in collaboration with the patient, mental health doctor, and the nurse (from the hospital of admission). Specific goals and boundaries are identified, to include environment to provide rest, availability of therapeutic conversation, medication administration and frequencies of admissions. Expectations are reviewed and a contractual agreement is made between the patient, doctor and nursing personal. Specific goals are made on a patient- by-patient basis, but would typically work toward preventing a situation in which the patient would experience total loss of

The central importance of the patient in the plan played a large part in the success of the patient experience. Patients viewed the nurse’s role and their interactions with the nurse as vital. They also attained a feeling of connectedness with the nurse and maintained a better level of day to day interactions with others. Conversely, those who did not have a accepting, reinforcing interaction with the nurse experienced feelings of mistrust, anger, and feelings of being ignored, which in cases of BPD (would lead to feelings of anguish), and dejection, possibly cumulating in which may lead to self-harm. This study opened the possibility of enabling those with BPD to avert a total loss of control with support from the medical field. There are many elements that contribute to a positive outcome. The disease process, the effect of interactions between patients and care providers (doctors, Nursing, etc...) the multidisciplinary team and clinics. The on-going education of the medical staff in regard to the dynamics of persons with BPD. Although those are important, it seems the most critical aspect for the BPD patient is the nurse- to-patient interaction. The nurses’ role in helping the patient to feel comfortable in being