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Maintaininga
ProfessionalDistance
Caring and Boundaries
Objectives
• Understand the definitionsof professionalboundaries
• Explainhow Maslow’s hierarchy is applicableto identifycaregiver
versus patient needs
• Discuss challenges and possiblescenarios encountered
• Review the impact of social media oncaregiving
• Identifywarning signs ofcrossed boundaries
• Explorestrategies to maintain healthy boundaries
WhatareBoundaries?
“Boundaries are mutually
understood, unspoken physical
and emotional limits of the
relationship between the
patient and the nurse.” (Farber,
1997)
“The limits that allow for a safe
connection based on the
client’s needs. (Peterson, 1992)
Whyare
boundaries
important?
PhysicalCare
EmotionalCare
Whyisit
difficult?
SocialRelationships
WorkRelatedRelationships
Patient/CaregiverRelationships
Goals
Socialization
Companionship
Intimacy
Sharing of ideas
Emotional connection
Meeting workplace and
professional goals and
standards
Patient’s needs are
identified and a plan
is developed and put
into action
Friend
s
Co-
Workers
Patient
s
Outcomes
The mutual need for
socialization and
connection is met
Receive emotional
satisfaction and security
Meets each person’s
need for success and
achievement in the
workplace
Meets patients' physical
and emotional needs
Patient may develop new
coping skills and
successes
Friend
s
Co-
Workers
Patient
s
Remember
A social relationship
meets each person’s
need for companionship
and emotional
connection
A therapeutic
relationship meets the
patient’s needs
TheImportanceofEmpathy
Boundary
Crossing
and
Violations
Distancin
g
Disintere
st
Neglect
LevelOne
LevelTwo
LevelThree
LevelFour
LevelFive
Puttingittouse
Whoseneedisit?
What harm can come from being
friends with our patients ?
Social Media &
Professional
Boundaries
Fired
over
Social
Media
Online
Behavior
and
Risks
Unfavorable
Reviews
Updated 2017
“The
World’s
Elevator”
WarningSigns
Warning
Signs
WarningSigns
GiftsfromPatients
Addressthembythenametheyprefer…
Don’tdiscloseintimatedetails
aboutyourlife
Unsure?
Nonmaleficenc
What personal strategies have
you found that helped you
maintain boundaries?
Retrieve from:
https://www.youtube.com/watch?v=1Evwgu369Jw
http://www.loopa.co.uk/maslows-hierarchy-of-needs/
https://en.wikipedia.org/wiki/House_(TV_series)
https://www.aafp.org/afp/2011/0701/p105.html
https://www.socialworkers.org/LinkClick.aspx?fileticket=ms_ArtLqzeI%
3d&portalid=0
https://www.acog.org/-/media/Committee-Opinions/Committee-on-
Professional-Liability/co622.pdf?dmc=1&ts=20180515T1646561658
https://unsplash.com
http://www.dummies.com/health/basic-principles-of-medical-ethics/
Written by Tracey Gregory, RN and Rachel Murphy,
MSW
Originally for Hospice of Western and Central
Massachusetts

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