Understand the definitions of professional boundaries • Explain how Maslow’s hierarchy is applicable to identify caregiver versus patient needs • Discuss challenges and possible scenarios encountered • Review the impact of social media on caregiving • Identify warning signs of crossed boundaries • Explore strategies to maintain healthy boundaries Speaking points are in note section once downloaded

1. Maintaininga
ProfessionalDistance
Caring and Boundaries

2. 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

3. WhatareBoundaries?

4. “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)

5. Whyare
boundaries
important?

6. PhysicalCare

7. EmotionalCare

8. Whyisit
difficult?

9. SocialRelationships

10. WorkRelatedRelationships

11. Patient/CaregiverRelationships

12. 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

13. 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

14. Remember
A social relationship
meets each person’s
need for companionship
and emotional
connection
A therapeutic
relationship meets the
patient’s needs

15. TheImportanceofEmpathy

16. Boundary
Crossing
and
Violations
Distancin
g
Disintere
st
Neglect

18. LevelOne

19. LevelTwo

20. LevelThree

21. LevelFour

22. LevelFive

23. Puttingittouse

24. Whoseneedisit?

25. What harm can come from being
friends with our patients ?

26. Social Media &
Professional
Boundaries

27. Fired
over
Social
Media

28. Online
Behavior
and
Risks

29. Unfavorable
Reviews

30. Updated 2017

31. “The
World’s
Elevator”

32. WarningSigns

33. Warning
Signs

34. WarningSigns

35. GiftsfromPatients

36. Addressthembythenametheyprefer…

37. Don’tdiscloseintimatedetails
aboutyourlife

38. Unsure?

39. Nonmaleficenc

40. What personal strategies have
you found that helped you
maintain boundaries?

41. 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