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Self-concept 20
Chapter 20 Self-Concept And Sexuality Potter & Perry
| Question | Answer |
|---|---|
| Self Concept | How you view yourself. It is a combination of conscious and unconscious thoughts,attitudes and perceptions |
| Self Concept or how you think about yourself | directly affects your self-esteem or how you feel about yourself |
| Identity- | who do you think you are,What do you bring to the table |
| Body Image | Involves attitudes related to the body including appearance,femininity,and masculinity,youthfulness,health and strength. |
| As you get older the more you think | people should love me for who i am.Body image is less important. |
| Role Performance- | Is a way in which a person views his ability to carry out significant roles |
| Common Roles include | Mother,father,wife,husband daughter,son,sister,brother,employee,employer,nurse.etc. |
| Self Esteem | Is an individuals overall sense of self worth the emotional evaluation of self concept. |
| Self esteem is positive | when one feels capable,worthwhile,and competent |
| Self evaluation- | Is an ongoing mental process |
| A positive sense of self worth,or self esteem | is an important factor in determining how a individual functions in the world |
| Identity Stressors | Stressors throughout life affect an individuals identity,but identity is particularly vulnerable during adolescence,which is a time of great change |
| Adolescents are trying to adjust to | the physical,emotional and mental changes of increasing maturity.which result in insecurity and anxiety. |
| Retirement for some mean | the loss of an important means of achievement |
| Some people at retirement begin to | reevaluate their identities and accomplishments |
| More and more older people are working | past the traditional retirement age or change careers following retirement |
| Body Image Stressors | Changes in the appearance or function of a body part will require an adjustment in body image |
| An individuals perception of the body change and the relative importance placed on the body image in the persons self-concept | will effect the significance of the loss or change. |
| Example-If a woman considers her breast key to her feminiinity,a mastectomy will | negatively affect her body image |
| Role performance Stressors | Throughout life a person undergoes many life changes |
| Normal changes associated with maturation | result in changes in role performance |
| For Example-When a women has a child,she becomes a mother. | The new role of mother will involve many changes in behavior if the women is going to be successful. |
| All people must adapt to two major changes that occur with aging: | changes in the work role and in the role of spouse or partner |
| Self Esteem Stressors | Individuals with high self-esteem are generally better able to cope with demands and stressors than those with low self esteem |
| Low self worth contributes to | feeling unfulfilled and misunderstood and result in depression and anxiety |
| Self esteem stressors vary with developmental stages | If a child believes that he is unable to meet his parents expectations or his parents harshly criticize or inconsistently discipline him,this will reduce his self worth. |
| The self-esteem of an adolescent is also vulnerable because | the adolescent directs so much energy to worrying about appearance,searching for identity,and being overly concerned about what others think. |
| Stressors that affect the self-esteem of an adult are | Failures at work and failures in a relationship |
| As a nurse you have the ability to | positively influence a patients self-concept |
| Your acceptance of a patient with an altered self concept | helps promote positive change |
| How you respond to patients who have experienced changes in body appearance | sets the stage for how they come to see themselves |
| As a nurse-you can affect your patients body image | Ex.you will influence the body image of a woman who has had a mastectomy in a positive way by showing acceptance of the scar. |
| Statements such as | The wound is healing nicely" enhance the body image of the patient |
| Nursing Process Assessment-In assessing self-concept, | you focus on each component of self concept(identify body image, and role performance),behaviors suggestive of altered self concept and actual and potential self concept stressors |
| Behaviors Suggestive of altered self-concept and sexuality | Avoidance of eye contact,slumped posture,unkept appearance,Overly apologetic,Hesitant speech,overly critical or angry,frequent crying |
| Neg. Self evaluation | Excessively dependent,hesitant to express views,lack of interest in what is happening,passive attitude,difficulty making decisions. |
| NURSING DIAGNOSIS | Disturbed body image,personal identity,Ineffective role performance,chronic low self-esteem,Situational low self esteem,Sexual dysfunction,Ineffective sexual pattern,readiness for enhanced self-concept |
| PLANNING-GOALS AND OUTCOMES | MAKE SURE GOALS ARE MET,REALISTIC AND MEASURABLE |
| Setting Priorities- | what is the most important thing for the patient at this time |
| Implementation- | Action |
| Acute Care-In acute care setting you are likely to encounter patients who are | experiencing potential threats to their self-concept because of the nature of the treatment and diagnostic procedures. |
| Threats to a patients self-concept | result in anxiety and/or fear |
| Numerous stressors including unknown diagnosis | the need to make changes in lifestyle,and change in functioning are present,and you need to address them. |
| In Acute Care setting- | There is often more than one stressor,thus increasing the overall stress level for the patient and family |
| You will also care for patients who | are faced with the need to adapt to an altered body image as a result of surgery or other physical change |
| Often a visit by someone | who has experienced similar changes and adapted to them is helpful |
| Body Image | stroke,Blindness,Colostomy,Anorexia Nervosa,Arthritis,Incontinence,obesity,MS,amputation,scaring,aging,pregnancy,mastectomy,rape,assault. |
| Identity | job loss,divorce,neglect,rape,assault,dependent on others sexuality concerns,repeated failures,Societal attitudes,conflict with others. |
| Role performance | Inability to balance role and family,physical,emotional or cognitive deficits preventing role assumption,loss of satisfying role,transition from school to work,promotion,demotion,empty nest,taking care of older parent. |
Created by:
Angela Lacey
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