SUBJECT| PSYCHOLOGICAL SCIENCES |
SUBJECT CODE| ABCPX4B|
TOPIC| AS A NURSE THE PATIENT ASSUMING A SICK ROLE IS A CHALLENGE FOR YOUR EXPRESSIVE AND INSTRUMENTAL ROLE. VERIFY OR DISPUTE THIS CLAIM.| DUE DATE| 3 SEPTEMBER 2012|
LECTURER| DR. M.PINKOANE|
TABLE OF CONTENTS
1. INTRODUCTION| 3|
2. BODY2.1 THE IDENTICAL PHASE2.2 EXPRESSIVE ROLE OF A NURSE2.3 THE INSTRUMENTAL ROLE2.4 CONFLICT IN SICK ROLE| 4455| 3. CONCLUSION| 7|
4. REFERENCE| 7|
The patient and nurse meet as two strangers. The patent/family have a need for help therefore professional assistance is needed and the nurse in this phase needs to assist the patient and family in healing what’s happening with or to the patient. It’s important that the nurse works together with the patient in analyzing the situations so that the can clarify and recognize the condition.
2.1 The identical phase
The patient reacts or responds selectively to people who can meet his or her needs so each patient responds differently to the sick role. The patient might actively need the nurse out or wait until the nurse professional seeks him/her out so the patient response is three folded so she may participate with and be independent with the nurses (ii) be autonomous and independent from the nurse (iii) be passive and dependant on the nurse. Throughout the identification phase, both the patient and nurse must clarify each other’s perceptions and expectations, post experiences of both the patient and nurse will have a bearing on what their expectations will be during this interpersonal process. The initial attitude of the patient and nurse are important in building a working relationship for identifying the problem and deciding on the appropriate assistance. (PEPLAUI’S PHASES IN NURSING) 2.2 Expressive role of a nurse
During the illness role, the patients may make more demands than when they were seriously ill. They apply minor requests as other attention seeking techniques depending on their individual needs. These actions become difficult if not impossible for the nurse to completely understand. The nurse must deal with the unconscious forces causing the patient’s actions. The principle of interviewing techniques must then be used in order to explore, understand and adequately deal with the underling problems. It is very important that the nurse explores the possible causes for the patient’s behaviour. A therapeutic relationship must be maintained by practicing an attitude of acceptance, concern and trust. (HENDERSON V) The nurse should encourage the patient to recognize and explore feelings, thoughts, emotions and behaviours by providing a non-judgemental atmosphere and a therapeutic emotional climate. The expressive role is more concerned with the establishment and maintenance of any extensive and effective therapeutic environment and assisting the patient to become receptive to therapeutic intervention. As a nurse, you should accept the person as if he/she is with full recognition of his/her individuality, fears, hopes and recovery potential. Supporting him/her through basic nursing care demonstrates the concern of the nurse for the patient (GOLDSMITH J & JOHNSON E). 2.3 The instrumental role
This role is more concerned about practical involvement of the nurse to the patient, her knowledge and skills, the evaluation of such knowledge and the utilisation of this knowledge. It involves observation, diagnosis, therapeutic planning and intervention and the selection on scientific grounds. The role of the nurse is primarily expressive and to a lesser extent instrumental except where she functions in the role of the doctor or pharmacist n the absence of one or both. (CHARLOTE SEARLE) The instrumental role involves the training of student nursing professionals; delegation of administrative aspects of patient care also monitor the patient holistically and be involved in...