Module 29 Self Reading Notes PDF

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Module 29 Concept of Self Reading Notes Concept of Self 

Self can be described as the entirety of an individuals being, including bring, body, sensations, emotions, thoughts, and conscience awareness

Normal Presentation  “Normal” parameters within the psychosocial realm often range along a continuum  Normal is more easily defined as within a physiologic realm where healthy is the term that more readily applies to the psychosocial realm  Finding out what a “normal” is for a patient can help the nurse identify any abnormal findings with the patient  Self Concept is the perception of one’s self that involved and is formed by interactions with others and the environment. It includes: 1. Personal Identity: which is the ideal, real, and public self  “Who I should be”, “who I really am”, “who I believe others think I am”  Some objective factors are age, gender, job  Other factors include cultural background, values, beliefs, and expectations. Congruency in values and how a persona acts can reflect how trustworthy that person will be 2. Body Image: the mental picture that one has of themselves and their perception/reaction to it  Assistive and artificial devices are included  Unrealistic expectations in media play a large role in one’s ideal body image  Elements of body image: Perceptual, cognitive, behavioral, affective, and subjective satisfaction 3. Role Performance: demonstration of behavior associated with a role  Role development  Role ambiguity  Role strain  Role Conflicts  Role mastery – it is okay if you do not reach this 4. Self Esteem this is the individuals opinion about themselves or about their perceptions of themselves  Global verses Specific self esteem  Specific self esteem influences global self esteem  Early parent and child reactions influence self esteem 5. Self Awareness when a person distinguished themselves from others, intense examination of personal perceptions, beliefs, and values  Behaviors and actions are linked to core values  The examination of ones self in the ability to have introspection, how others perceive you plays a major role in this

Development of Personality  Freud developed psychoanalytical theory which refers to unconscious impulses and how they influence behavior and formation of self  Erikson’s themes are o Trust in Society o Identity in society o Preparing for the next generation Concepts related to Self  Motility can effect how a person feels about themselves  Family plays an important role with self esteem  The ANA outlines that nurses must maintain the same self care with themselves as they do patients  Advocacy is being a member of a underserved population  If one misses development stages that will affect their self concept  Ethical to administer and keep high quality self care  Mood can cause self concept to get better or worsen  Stress and coping can cause mental health to decline Health Promotion  Early detection can help early advocacy  School based interventions are important  Promoting good self esteem with a stable home environment, lack of trauma, and thoughtful parenting  Screenings Nursing Assessment  Evaluate that no one is at risk for physical injury  Interview self-concept, self esteem, and self awareness  Realize that some observations may not be visible  Frequently assess vitals  Diagnostic test may help rule out any physiological causes (root cause)  “how do you identify yourself” – for personal identity Independent Interventions  Help patient identify strengths and weaknesses  Display authenticity  Trust and respect are extremely important Collaborative Interventions  Care in consistent and reinforced throughout each part  Confront patients who test or play you against co workers  Follow through on agreements and promises  Limit inappropriate behavior

PHARM THERAPY IS NOT RECOMMENDED Non-pharm Therapy  Counseling and therapy  Help with patient’s thought and development of coping behaviors  Focus on immediate problems...