What is the difference between therapeutic and social relationship

May last a lifetime. Location of relationship Professional Relationship: Location is limited to where nursing care is required or provided. Social Relationship: May occur anywhere. Purpose of relationship Professional Relationship: To meet the therapeutic needs of the client. Social Relationship: Directed by pleasure or self-interest. Social Relationship: Relatively equal power which may shift. Responsibility for relationship Professional Relationship: The nurse is responsible for establishing the therapeutic relationship and maintaining professional boundaries.

Social Relationship: Equal responsibility to establish and maintain relationship. Remuneration Professional Relationship: May be paid or unpaid. Trust Professional Relationship: Critical to the therapeutic relationship. May be fragile at first and requires continual effort to maintain. Professional Relationship: Critical to the therapeutic relationship. May be fragile at first and requires continual effort to maintain. Professional Relationship: Inherent to the therapeutic relationship.

Social Relationship: May or may not be present. May change depending on the type of relationship. Professional Relationship: Inherent in the type of care and services that nurses provide. Professional Relationship: Required to help patients meet their care goals and maintain the nurse-client relationship. May change depending on the type of relationship and situational factors. Leading in regulatory excellence.

Regulating nursing in the public interest. Home Login. People who exhibit either may be experiencing a low self-concept or feelings of anxiety, depression, or loneliness. The client with mania may dress in brightly colored clothes with several items of jewelry and excessive make-up. People with a positive self-concept may communicate such a feeling by appearing neat, clean, and well dressed.

Box These four zones include the intimate, personal, social, and public zones Box Actions that involve touching another body, such as lovemaking and wrestling, occur in the intimate zone. Physical contact, such as hand holding, still can occur in this zone. This is the zone in which therapeutic communication occurs. The social zone, in which formal business and social discourse occurs, occupies a space of 4 to 12 feet.

The public zone, in which no physical contact and little eye contact occurs, ranges from 12 to 25 feet. People who maintain communication in this zone remain strangers. Position or Posture The position one assumes can designate authority, cowardice, boredom, or indifference. A nurse slumped in a chair, doodling on a pad, gives the appearance of boredom. Conversely, a nurse sitting in a chair, leaning forward slightly, and maintaining eye contact with a client gives the impression that the nurse is interested in what the client says or does Fig.

Touch Reactions to touch depend on age, sex, cultural background, interpretation of the gesture, and appropriateness of the touch.

The nurse should always exercise caution when touching people. For example, hand shaking, hugging, holding hands, and kissing typically denote positive feelings for another person. The client with depression or who is grieving may respond to touch as a gesture of concern, whereas the client who is sexually promiscuous may consider touching an invitation to sexual advances.

A psychotic client may misinterpret touch as a threat or an attack and may react accordingly. For example, the client with depression seldom smiles. Clients experiencing dementia often present with apprehensive expressions because of confusion and disorientation. Clients experiencing pain may grimace if they do not receive pain medication or other interventions to reduce their pain.

Social and Therapeutic Communication Two types of communication—social and therapeutic—may occur when the nurse works with clients or families who seek help for physical or emotional needs. During a therapeutic communication, the nurse helps or encourages the client to communicate perceptions, fears, anxieties, frustrations, expectations, and increased dependency needs.

Would you like to share your feelings with someone? Table compares social and therapeutic communication as discussed by Purtilo and Haddad Clarify and restate any instructions or information given. Clients usually do not ask doctors or nurses to repeat themselves. Display a caring attitude. Exercise effective listening. Do not overload the listener with information.

Table A personal or intimate relationship occurs. A personal, but not intimate, relationship occurs. The identification of needs may not occur. Needs are identified by the client with the help of the nurse if necessary. Personal goals may or may not be discussed. Personal goals are set by the client. Constructive or destructive dependency may occur. Constructive dependency, interdependency, and independence, are promoted. A variety of resources may be used during socialization.

Specialized professional skills are used while employing nursing interventions. Health professionals and patient interaction 2nd ed. Philadelphia: W.