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Lect13 Self Concept, Stress and Coping.ppt
- 1. Self -Concept M.AdnanAkbar Mental Health Nursing
- 2. At the end of this presentation learner will be able to; Define Self Concept. Discuss relation between self concept, self esteem, and body image. Describe Roles Self-Actualization. Discuss Factors Affecting Self-concept. Describe Assessing Self-concept. Discuss Self-Concept Questionnaire. Discuss nursing diagnosis and nursing interventions and nursing evaluation.
- 3. Self -Concept Self-concept : self image Each individual is unique with own self-concept View of self affects one’s ability to function as well as health components: self-knowledge self-esteem self-actualization
- 4. Identity An internal sense of individuality and wholeness. Who are you? Name, gender, race, religion, occupation, role, +++so much more Begins during childhood as parents provide role models Continues during adolescence as teens establish own identity
- 5. Self-Esteem The emotional appraisal of self- concept. How do you regard yourself?????? Feel about self? Sense of worth or value?? This appraisal is an on-going process so…levels of self-esteem can change.
- 6. Body Image What do you think you look like physically? ????? What do you think about your appearance?????? Body image is dynamic: the body changes thru normal growth and development. Cultural and societal attitudes affect body image
- 7. Roles What is your role????????? What are the expected behaviors you perform???? Simultaneously hold many roles and they change Who do you want to be???? What do you want your role to be???
- 8. Roles Self-Actualization A part of self-concept is the way a person perceives their ability to carry out significant roles Health self-concept can distinguish between: Ideal role expectations AND Realistic possibilities
- 9. Factors Affecting Self-concept Health status: illness, injury, body chg, loss of control, dependency on others Role stressors; overload, strained, feelings of inadequacy Developmental transitions – aging in our culture Personal “success” or failure history Crisis and/or life events: personal and/or global Internal and external resources Individual perception of crisis
- 10. Self-concept: psychosocial dimension How one develops and grows can have an affect on self-concept & health Therefore nurses need to understand normal stages of growth (physical changes) & development (psychosocial changes).
- 11. Assessing Self-concept Developmental and chronological age Assessing includes questions on identity… body image…self esteem…roles… Patient’s strengths/weaknesses
- 12. Self-Concept Questionnaire Describe yourself. What are your personal characteristics? What are your strengths? What are your fears or weaknesses? Describe your body. What do you like most about your body? What do you like least about your body? Tell me about some things you do or have done in the past that give you a sense of achievement or accomplishment. Describe the primary roles you fill. How do you feel about your ability to perform these roles? Are these roles satisfying to you?
- 13. Nursing Diagnoses Disturbed body image Low self-esteem; chronic or situational Other Dx in which low self-concept is the etiology: Ineffective health maintenance r/t … Self care deficit r/t … Risk for self-directed violence r/t…
- 14. Nursing Interventions Nurse is a role model Can a nurse NEGATIVELY affect a client’s self- concept? Form helping relationship: Focus on client strengths; praise achievements Meet physiological and psychological needs Reduce pain Decrease anxiety Promote positive self-esteem Encourage participation in care Encourage socialization
- 15. Nursing Interventions Encourage client to recognize and discuss thoughts and feelings Assist client to: Realize everyone is unique Realize impact of illness on self-concept Be aware of negative self-statements and modify them Gain more control Identify positive attributes of self Identify and use personal strengths
- 16. Nursing Evaluation Outcome criteria addressed???? Behavior and attitude changes will indicate altered self-esteem Long term outcome –can take many months or years
- 17. Evaluation Client should be able to meet the following outcomes: Be comfortable with body image Be able to describe self positively Be able to meet realistic goals Be capable of interacting appropriately with environment and others
- 18. “Know Thyself” Socrates Nurses need to reflect on their OWN self- concept in order to effectively assist OTHERs. Ask yourself these questions: How do I perceive myself? How do I think others see me? What are my strengths and weaknesses? What are my goals for self-improvement? What does ALL THIS have to do with my professional practice?
- 19. Summary Self-concept based on 3 components Need to understand how various factors affect self-concept Interventions to promote self-concept Evaluate outcome criteria
- 20. “No one can make you feel inferior without your consent” - Eleanor Roosevelt