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a. Caregiver As a caregiver, nurses are expected to assist the clients physical, psychological, developmental, cultural and spiritual needs.

It involves a full care to a completely dependent client, partial care for the partially dependent client and supportive-educative care, in order to attain the highest possible level of health and wellness. b. Communicator Communication is very important in nursing roles. It is vital to establish nurse-client relationship. Nurses who communicate effectively gets better information about the clients problem either from the client itself or from his family. With better information nurses will be able to identify and implement better interventions and or nursing care that promotes fast recovery, health and wellness. c. Teacher Being a teacher is an important role for a nurse. It is her duty to give health education to the clients, families and community. However, the nurse must be able to assess the knowledge level, learning needs and readiness of the clients, families and community to give appropriate and necessary health care education e.g. diseases, health, wellness, nursing care procedure, etc. they need to do to restore and maintain their health. d. Client Advocate A nurse may act as an advocator. An advocator is the one who expresses and defends the cause of another or acts as representative. Some people who are ill maybe too weak to do on his own and or even to know his rights to health care. In this instance, the nurse may convey is clients wish like change of physician, change of food, upgrade his room or even to refuse a particular type of treatment. e. Counselor A nurse may act as a Counselor. She provides emotional. Intellectual and psychological support. She helps a client to recognize with stressful psychological or social problems, to develop and improved interpersonal relationship and to promote personal growth. f. Change Agent

As a change agent, oftentimes a nurse change or modify nursing care plan based on her assessment on the clients health condition. medication, change of food, etc. g. Leader Nurse often assumes the role of leader. Not all nurses have the ability and capacity to become a leader. It takes confidence, initiative and ability to innovate change, motivate, facilitate and mentor others. As a leader it allows you to participate in and guide teams that assess the effectiveness of care, implement-based practices, and construct process improvement strategies. You may hold a variety of positions like shift team leader, chairperson of a professional organization, ward in-charge, board of directors, sister, matron, etc. h. Manager As a Manager, a nurse has the authority, power, and responsibility for planning, organizing, coordinating and directing work of others. She is responsible for setting goals, make decisions, and solve problems that the organization may encounter. It is also her responsibility to supervise and evaluate the performance of her subordinates. The manager always ensure that nursing care for individuals, families and communities are meet. i. Case Manager In some hospitals, a case manager is a primary nurse who provide direct care to the client or family. For example a case manager for diabetic client. She has the responsibility to give health education, measure the effectiveness of the nursing care plan and monitor the outcomes of intervention whether effective or not. j. Research Consumer Nurses often do research to improve nursing care, define and expand nursing knowledge. This change and modification will only happen when the intervention/s does not help and improve a clients health e.g. caring of the pressure ulcer, change in

. Caregiver/ Care provider the traditional and most essential role functions as nurturer, comforter, provider mothering actions of the nurse provides direct care and promotes comfort of client activities involves knowledge and sensitivity to what matters and what is important to clients shows concern for client welfare and acceptance of the client as a person

2. Teacher provides information and helps the client to learn or acquire new knowledge and technical skills encourages compliance with prescribed therapy.

promotes healthy lifestyle interprets information to the client

3. Counselor- helps client to recognize and cope with stressful psychologic or social problems; to develop an improve interpersonal relationships and to promote personal growth provides emotional, intellectual to and psychologic support focuses on helping a client to develop new attitudes, feelings and behaviors rather thanpromoting intellectual growth. encourages the client to look at alternative behaviors recognize the choices and develop a sense of control. 4. Change agent- initiate changes or assist clients to make modifications in themselves or in the system of care. 5. Client advocate- involves concern for and actions in behalf of the client to bring about a change. promotes what is best for the client, ensuring that the clients needs are met and protecting the clients right. provides explanation in clients language and support clients decisions. 6. Manager makes decisions, coordinates activities of others, allocate resources, evaluate care and personnel plans, give direction, develop staff, monitors operations, give the rewards fairly and represents both staff and administrations as needed . 7. Researcher participates in identifying significant researchable problems participates in scientific investigation and must be a consumer of research findings must be aware of the research process, language of research, a sensitive to issues related to protecting the rights of human subjects. Expanded role of the nurse: 1 Clinical Specialists- is a nurse who has completed a masters degree in specialty and has considerable clinical expertise in that specialty. She provides expert care to individuals, participates in educating health care professionals and ancillary, acts as a clinical consultant and participates in research. 2. Nurse Practitioner- is a nurse who has completed either as certificate program or a masters degree in a specialty and is also certified by the appropriate specialty organization. She is skilled at making nursing assessments, performing P. E., counseling, teaching and treating minor and self- limiting illness. 3. Nurse-midwife- a nurse who has completed a program in midwifery; provides prenatal and postnatal care and delivers babies to woman with uncomplicated pregnancies. 4. Nurse anesthetist- a nurse who completed the course of study in an anesthesia school and carries out pre-operative status of clients. 5. Nurse Educator- A nurse usually with advanced degree, who beaches in clinical or educational settings, teaches theoretical knowledge, clinical skills and conduct research. 6. Nurse Entrepreneur- a nurse who has an advanced degree, and manages health-related business. 7. Nurse administrator- a nurse who functions at various levels of management in health settings; responsible for the management and administration of resources and personnel involved in giving patient care.