Contrast and compare the three phases of the nurse-client relationship. 6. Role- play how you would address the four areas of concern during your first interview . Phases of Therapeutic Nurse - Patient Relationship - Free download as Powerpoint Presentation .ppt The nurse patient relationship is an end result of series of interaction between the nurse and patient .. Child and Adolescent Disorders. 9. Adolescent, ages 13 years to 18 years Nursing recognize additional age groupings of pediatric patients and geriatric patients. Know the framework used in your . The infant is in the oral stage of development, as described by Freud. o Protect from . o Developing relationships with the opposite sex.
Methods Integrative review process An integrative review is a research strategy involving the review, synthesis, and critique of extant literature. In addition, the reference lists of potential papers retrieved were examined to identify any further material that met the inclusion criteria. Both versions of British and American spellings were used to construct the search strategy as to reflect a systematic and comprehensive approach.
Nurse–client relationship - Wikipedia
The concept of therapeutic interpersonal relationships is not confined to any specific time period or type of peer-reviewed publication, and so no limitations were placed on these parameters to ensure a broad and diverse scope of knowledge.
Papers that focused on pediatrics and adolescence were also excluded as this review focused on adult patient—staff interaction.
In addition, papers involving student cohorts were also excluded as were papers that reported solely on satisfaction surveys. Data evaluation The search strategy initially identified papers after removal of duplicates Figure 1. The authors RK and KW independently identified 37 potential papers for inclusion based on titles and abstracts. The authors RK, KW, and JD independently appraised the 37 identified papers based on the inclusion and exclusion criteria. Disagreements that arose were resolved by debate and consensus.
Thirty studies were subsequently excluded, leaving a total of seven. Robert Peck's three developmental tasks associated with aging and the aging process include: Ego Differentiation versus Work Role Preoccupation: The older adult adjusts to retirement and enjoys leisure activities that they were unable to partake in while they were gainfully employed.
Ego Transcendence versus Ego Preoccupation: The individual accepts their own mortality without fear. Body Transcendence versus Body Preoccupation: The aging person maintains a sense of wellbeing, happiness and satisfaction despite the physical declines associated with the aging process.
Identifying Expected Body Image Changes Associated with the Client's Developmental Age As with all other nursing care, nurses must be able to identify and report client deviations from what is expected in terms of their growth and development and they must also be able to modify care and their approaches to care as based on these deviations. Nurses also determine the impact of expected body image changes on the client in terms of how the patient's perceptions are interfering with the patient's quality of life and the continued performance of their activities of daily living.
The major expected bodily changes and bodily image changes are those that occur with puberty, menopause, pregnancy and the aging process. Identifying Family Structures and Roles of Family Members Family structures are numerous and becoming more numerous and varied than any other time in the past. These family structures are discussed below: The Traditional Nuclear Family: This family structure consists of biological children and two marred parents of different genders.
This family structure consists of one or more people with a child who resides with others who are related biologically. For example, the extended family unit can consist of a grandparent or grandparents.
Developmental Stages and Transitions: NCLEX-RN || pdl-inc.info
This family structure consists of one or more foster children and one or two parents. The adoptive family is one that has at least one adopted child and one or two parents. The frequency of binuclear families has significantly increased over the last several years as more and more divorced parents are sharing custody. This family structure consists of two parents and at least one child.
Developmental Stages and Transitions: NCLEX-RN
The parents in legal joint custody arrangements share responsibility for the child or children. The Single Parent Family: This family has one parent and one or more children.
This family structure consists of two adults with no children whatsoever. The communal family is one that consists of group of unrelated adults who live in a community with their children and who share responsibility for the children and their care, among other things.
The Gay, Lesbian and Transgender Family: This family structure consists of two adults of the same gender who have one or more children. The Blended Reconstituted Family: This family consists of two adults who live in the home with one or more step children from a previous marriage or another type of union. Roles in the family have also changed over the past decades.
In the past roles within the family were gender based; now these roles are not usually based on gender. For example, in the past the mother stayed at home and cared for the children while the father worked as the bread winner of the family. Now things are very different.Teenage Relationships
For example, some males are "stay at home dads" while the female in the family works outside of the home as the bread winner of the family.
Other family roles that are assumed by the adults in the family are disciplinarian, teacher, housekeeper, cook and shopper. Ideally, these roles and responsibilities are equally and equitably shared by the adults within the family unit. Like leadership styles, parenting styles also differ among members of the family when the family has one or more children.
For example, parents can be permissive, democratic, participative, laissez faire and authoritarian. Assessing the Impact of Change on the Family System Families, like all other open systems within the environment including individual clients, are impacted with changes. Some of these changes are expected and developmentally normal and other changes are unexpected and often disruptive to the homeostasis of the family.
For example, a family system can be impacted with the empty nest syndrome which is an expected and developmentally normal change; and the death of a child or a spouse is an unexpected and often disruptive change for members of the family. Families, therefore, just like individual clients, often need the care and services of the health care team to cope with any disruptive changes.
Some major life changes that can significantly affect and impact on the family unit are things like poverty, homelessness, divorce, chronic illnesses and legal concerns. Families, like individual clients, often need the assistance of the nurse to cope with these changes.
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Recognizing Cultural and Religious influences That May Impact Family Functioning Similar to individual clients, families also have their own beliefs, practices, perspectives, values and views, some of which are present as the result of their culture, while others may be related to their religion and still more may just simply result from the family's personal preferences.
Culture impacts on virtually all aspects of the client-nurse relationship. For example, communication patterns, beliefs about illness, who is the major family decision maker, family dynamics, perspectives about health and health care, space orientation, time orientation, nutritional patterns, beliefs about elders and the elderly, parenting, family size, and even death and death vigils are often driven by the family's culture, as passed on from generation to generation.
Religious influences may also impact on the family and its functioning. Some of the same impacts that culture has, religion also has.
Religion may impact on the family's beliefs about illness, nutritional patterns, beliefs about elders and the elderly, parenting, birth control, family size, and even death and death vigils are often driven by the family's religion.
For example, in terms of the perideath period, some religious practices include a clergy person like a Catholic priest to perform that religion's Sacrament of the Sick.
Assisting the Client to Cope With Life Transitions Throughout the life span, there are several significant expected life transitions that require the person to cope and adjust.