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OBJECTIVES,

At the end of this presentation the learner will be able to;

Define role and relationship,

Explain family and its types.

Explore terms of managing the rolesElaborate nursing diagnosis, questions and nursing

intervention.


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Assessment is focused on the person's roles in

the world and relationships with others.Satisfaction with roles, role strain, or

dysfunctional relationships may be further

evaluated.


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Family is a group based on kinship, rearingchildren and fulfilling other needs of life.simply

it is any collection of people, which the law of

the country designates as family.


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1.Nuclear family/conjugal family

This type of family is very common in urban

areas. The nuclear family consists of husband,

wife and their unmarried children.

2.Extended family

This type of family consists of husband, wife

and their two or more married children, along

with their spouses and children.


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3.Joint family

It is also known as consanguine family. This type of

family is extended clan of blood relatives togetherwith their spouses and children. They maintain acommon residence and share common social,economic and religious regulation.

4Stem familyIn thistype of family, only one child continues tolives with his parents after marriage. In Pakistanthis type of family is also very common where

parents live with any of their children.


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1.Family provides economic security to its members.

2.Family provides affection to the children..3.Family provides protection to its members at the time of

need,e.g child

4.It provides education to its members, including both

formal as well as informal education.

5.It provides religious instruction and guidance to its

members

6.It is responsible for transmission of culture to thechildren. respect for elders, love for youngsters,bieng

honest in dealing with other,etc


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Definition

social role is a set of connectedbehaviors,rights and

obligations as conceptualized by actors in a social

situation. It is an expected behavior in a givenindividual social status andsocial position.
http://en.wikipedia.org/wiki/Behaviorhttp://en.wikipedia.org/wiki/Righthttp://en.wikipedia.org/wiki/Obligationhttp://en.wikipedia.org/wiki/Social_statushttp://en.wikipedia.org/wiki/Social_positionhttp://en.wikipedia.org/wiki/Social_positionhttp://en.wikipedia.org/wiki/Social_statushttp://en.wikipedia.org/wiki/Obligationhttp://en.wikipedia.org/wiki/Righthttp://en.wikipedia.org/wiki/Behavior


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1.Achieved role.

Achieved role is a position that a person

assumes voluntarily which reflects personalskills, abilities, and efforts.

Roles are not forced upon the individual,

a choice is involved.


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2.Ascribed status

Ascribed status is the social status a person is

given from birth or assumes involuntarily later

in life.

For example, a person born into a wealthy

family has a high ascribed status.
http://70.25.18.144/wiki/index.php?title=Social_statushttp://70.25.18.144/wiki/index.php?title=Social_status


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Definition,

It is state of being related by birth or marriage.

It shows the link, contacts and dealing betweenpeople ,group or communities.

Professional relationship are created through the

nurses application of knowladge,understanding

of human behaviour and communication.


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Nurse-client helping relationship

A helping relationship between nurse andclient does not just happen, it is created withcare and skill and is built on the clients trustin the nurse.

Nurse family relationship

the client is family unit, althoughcommunication within families requires

additional understanding of the complexitiesof family dyanamics,needs and relationship.


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Nurse-health team relationship

Nurse health team interaction are needed

between the nurse and health team members

to build morale and strength relation shipwithin the work setting.


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1.Role conflict

Role conflict is a special form of social conflictthat takes place when one is forced to take on

two different and incompatible roles at thesame time. Consider the example of a doctorwho is himself a patient, or who must decidewhether he should be present for his daughter's

birthday party (in his role as "father") or attendan ailing patient (as "doctor").


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2.Role Ambiguity

Norms for a specific position are vague, unclearand ill-defined. Actors disagree on role

expectations, not because there is role conflict

but because role expectations are unclear.Examples: job descriptions, clinical objectiveste

in a specific social situation.


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3.Role strain

Role strain may be expressed as a feeling offrustration when a person feels inadequate orfeels unsituated to a role.

Role strain is often associated with gender rolestereotypes (sundeen and others 1998)

Women in position typically held by men may

be perceived by others as less competent, lessobjective or less knowledgeable than theirmale counterparts. thus they may feel that theymust must work harder and be better to

compete.


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4.Role overload

Involves having more responsibilies within a rolethan is manageable. often during periods of illness

or change, those involve-either the one who is illor significant others-find them in role overload.

5.Role stress

Role involve expected behaviour paterns associatedwith one individual's function in various socialgroups(sunden and others,1998)situationaltransition occur when parents, or close friend die

or people move,marry,divorce or change job.


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5.Role Incompetence

Role Incompetence is the inability to perform;

lack ofcompetence; lack of essential knowledgeor skill to meet role expectation.

6.Role bargaining

It is the discusion which aims to reach an

agreement.it is give and take process between

individuals and group to work out differentopinion regarding the best solution to an issue..
http://en.wikipedia.org/wiki/Competencehttp://en.wikipedia.org/wiki/Competence


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care giver role strain for family

A stat in which an individual is experiencing

physical,emotional.social and financial

burdens in the process of care giving to

another.


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Care giver role strainImpaired social interaction

Impaired verbal communication

Ineffective role performanceInterrupted family processes

Risk for impaired parent/infant/child attachment

Social isolation


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How does this person describe her/ his variousroles in life?Has, or does this person now have positive

role models for these roles?Which relationships are most important to thisperson at present?Is this person currently going though any big

changes in role or relationship? What are they?

Nursing Intervention


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Nursing Intervention

1.Provide social support,eg emotional, appraisal.

2.Communicate and counlling provide.3.Provide empathy and promote sense of

competency.

4.Improve coping skill.5.Maintain good sense of humor.

6.Advise to initiate phone contact or visit with

friends or relatives rather than waiting.7.Teach about health promotion activity like,

supportive social network, rest and exercise

balance.


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References

Jull Lynda (6th ed) nursing diagnosis application of

clinical practice

www.wikipadia.
http://www.wikipadia/http://www.wikipadia/

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