EXTENDED AND EXPANDED ROLE OF

NURSE IN RENDRING CARE TO

EMOTIONALLY DISTRESSED FAMILY
MEMBERS

ASSO.PROF. T.K.SHESHAADHIRI M.Sc (N)

ASIA HEART FOUNDATION
COLLEGE OF NURSING
De we really need to take care of
family members of ICU patients?
If ,yes why?
 Evidence-Anxiety and depression
symptoms in family members of ICU
patients
WHAT
 DEFINITION
EXTENDED ROLE OF NURSE EXPANDED ROLE OF NURSE

• IT IS THE RESPONSIBILITY • IT IS THE RESPONSIBILITY

ASSUMED BY THE NURSE ASSUMED WITHIN THE
BEYOND THE TRADITIONAL FIELD OF PRACTICE.
FUNCTIONING.
• OUTSIDE THE HOSPITAL • LIMITED TO THE HOSPITAL

• TO REACH OUT TO • IT IS THE ONE THE NURSE

COMMUNITY AND EXTENED ASSUMES BY VIRTUE OF
THE SERVICE TO PEOPLE EDUCATION AND
EXPERIENCE
 ROLE OF NURSE
EXTENDED EXPANDED

• SCHOOL HEALTH
• OCCUPATIONAL • FAMILY ADVOCATE
• FORENSIC • FAMILY HEALTH COUNSELLOR
• DISASTER • COLLABORATOR
• TELE • EMOTIONAL CARE GIVER
• AEROSPACE
• FAMILY HEALTH EDUCATOR
• REHABILITATION
• CASE MANAGER
• EPIDEMIOLOGY
• RESEARCHER
• HOSPICE
• NURSE CONSULTANT
• HOME CARE
• PRIVATE DUTY
• FAMILY NURSE PRACTITIONER
• EXTENDED AND EXPANDED ROLE OF NURSE IN
RENDRING CARE TO EMOTIONALLY
DISTRESSED ( EXTREMLY
ANXIOUS, SAD,DEPRESSED,POST
TRAUMATIC STRESS DISORDER
PAINFUL) FAMILY MEMBERS
 NEEDS OF FAMILY MEMBERS

ASSURANCE INFORMATION

EMOTIONAL SUPPORT
PROXIMITY

EXPECTED OUTCOMES
 NEEDS OF FAMILY MEMBERS
QUESTIONS
COMMUNICATION
ANSWERED

EMPATHY FACTS

HOPE PARTICIPATION

SUPPORT IN
DECISION MAKING
 NURSING STRTERGIES

DEMONTRTING BUILDING DEMONSTRATING

CONCERN RAPPORT PROFESSIONALISM

PROVIDING
SUPPORTING
FACTUAL
DECISION MAKING
INFORMATION
 DEMONSTRATING CONCERN
• :Assure patient is comfortable
PHYSICAL • Concern for the family member needs

• Acknowledge family member feelings

• Empathy for patient and family member
EMOTIONAL • optimistic
• Reassure

• Bend the rules

PSYCHOLOGICAL • Encourage family member to participate in care
• Encourage family members to care for them selves

• Acknowledge faith
SPIRITUAL
 BUILDING RAPPORT

DEMONSTRATING APPROCHABLE AFFABLE

HIGH SELF • Acknowledge • Personable
ESTEEM family member • Physical touch and
• Affirm • Encourage to ask cleanliness
• Encourage to talk questions • Make small talk
about patient • Call frequently
• Listen and hear • Use humor
with
• Willing to engage
DEMONSTRATING PROFESSIONALISM

• Calm presence confident and

competent
Demeanor • Morale
• Professional ethics

Collaboration • Express confidence in plan

collaboration with others

• Confidentiality
• Respectful
Respect • Respect patient dignity
 PROVIDING FACTUAL INFORMATION
Explain environment
• Answer question
• Explain equipment
• Explain the treatment plan
• Use lay terminology
Present findings
• Avoid rendering a prognosis
• Describe positive findings
• Keep appraised of patients condition
 SUPPORTING DECISION MAKING

Interpretation Discuss nature Remain

of findings of discussion unbiased
Avoid false hope Describe what to expect
Accept decision
Make comparison Discuss option
Avoid unsolicited
Describe the severity of Say do not want to inflict
illnes pain on patient

Hint the prognosis Discuss trade offs Recommendation or

advice
Honesty Explore values
Leave decision to family
Verbalize uncertainty Reframe hope member
NURSING STRATEGIES

PRO-ACTIVE COMMUNICATION STRATEGY

NEED BASED EDUCATION PROGRAMME

INSERVICE EDUCATION

REHABILITATION PROGRAMME
 Innovative strategies
Comfort car brochure
 videos of sharing experiences by
family members of discharged Extended hours
ICU patients
Open visitation Family centered care
Family leaflets Providing interpreter
Video calls Guest support cell
Thank you for letting me talk
without the fear of
disassociation.