Psychosocial assessment 24.pdf

Psychosocial Assessment and Care-Planning By Kim Stiles, PhD, RN Self Concept Components Definition: Individual’s view of self both in thoughts and feelings. In general, the more positive the individual’s self concept, the more resilience the individual has to deal with health challenges. Components...

Psychosocial Assessment and Care-Planning By Kim Stiles, PhD, RN Self Concept Components Definition: Individual’s view of self both in thoughts and feelings. In general, the more positive the individual’s self concept, the more resilience the individual has to deal with health challenges. Components of Self-Concept: A. Identity B. Body Image C. Role Performance A: Identity Defined: Internal sense of individuality Identity stressors: and wholeness, experienced consistently Job loss(es), change in marital status, over time and in different situations. Culturally and socially influenced. In the West, implies being distinct and separate from others. abuse or neglect, dependency on others, sexuality concerns, repeated failures, societal attitudes, conflict with others. Life events that make you wonder “Do I matter? Do I mean anything or make a difference? What is success anyway?” Nsg Dx r/t Identity Issues Go to Your Key to Choosing Appropriate Nursing Diagnoses, Self Concept category. What nursing diagnoses would you select as being MOST appropriate for identity disturbances? B. Body Image Definition: Personal attitudes towards one’s body, including physical appearance, structure, or function. Heavily influenced by culture and societal attitudes. Body Image Stressors & Nsg Dx Surgeries Disfiguring accidents Aging Pregnancy Weight gains or losses Assaults i.e. anything that changes perception of physical appearance/function Go to Your Key to Choosing Appropriate Nursing Diagnoses. What nursing diagnoses would you select as being MOST appropriate for identity disturbances? Role Performance Definition: Stressors: How a person perceives their ability New roles: caring for aging parent. to carry out significant roles (ex: parent, partner, supervisor, friend, etc.) Ideal role performance expectations vs. realistic role performance. Transitions: ex: first “career” position after college, major job changes. Loss or change in roles: Empty nest syndrome, becoming income producer to cover disability of partner, etc. Role Stressors Types of Role Stressors: Role Overload Role Conflict Role Ambiguity Role Strain Role Overload “I can’t do it all!” Feeling overwhelmed by the sheer volume of work to be done in the time one has. Ex: Nursing students… What Nursing Dx are relevant? Role Conflict Juggling time and energy between competing role demands. Assuming two or more roles that are contradictory, inconsistent, or mutually exclusive. The more important each role feels, the higher the stress levels. What nursing dx are relevant? Role Ambiguity What is my role now? Confusion about what role is. Typical in fast-changing environments or during role transition. Ex: employee or management rapid turnover, corporate takeovers, etc. What nursing dx are relevant? Teen: Adult, child, both, huh? Role Strain Ex: Dementia at home Key characteristic: Feeling inadequate, guilty, frustrated: “I’m not suited for this.” Role conflict + Role ambiguity = role strain. What nursing diagnoses are relevant? Case Study Exercise Take 5-10 minutes to read the case study, as you read, underline the following: Angela’s roles Angela’s significant others and support systems Case Study Breakout Sessions Each group will write up one of the following nursing diagnoses: 1) Spiritual Distress 2) Powerlessness 3) Disturbed Body Image 4) Self Care Deficit 5) Situational Low Self Esteem 6) Compromised Family Coping 7) Ineffective Role Performance