Nursing Theories: Peplau & Orlando

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Questions and Answers

What is essential for creating and maintaining a therapeutic environment in a mental institution?

Communicating with patients from time to time is essential for maintaining a therapeutic environment.

What is the role of social problems in the cause of mental illness?

Social problems can predispose individuals to mental illnesses, indicating that societal factors significantly influence mental health.

How should nurses respect the individual needs of patients in a mental health setting?

Nurses should respect patients' privacy and cater to their varying physical, emotional, and developmental needs.

What categories are used to divide patients' needs?

<p>Patients' needs are categorized into basic, sustenance care, remedial care, and restorative care needs.</p> Signup and view all the answers

What goal should be aimed for a withdrawn patient in a therapeutic setting?

<p>The goal for a withdrawn patient should be to encourage participation to divert their attention.</p> Signup and view all the answers

What therapeutic approach is mentioned for helping withdrawn patients?

<p>Remotivation therapy is mentioned as a therapeutic approach for helping withdrawn patients.</p> Signup and view all the answers

How does Abdellah’s work contribute to nursing practice?

<p>Abdellah's work identifies steps to delineate patient problems and nursing skills required for effective treatment.</p> Signup and view all the answers

Why is understanding societal roles important in nursing care?

<p>Understanding societal roles is important as it helps nurses to recognize and address the underlying social issues affecting mental health.</p> Signup and view all the answers

What is the primary focus of the nursing care circle?

<p>The primary focus is on nurturing patients and providing care that encompasses both physical and emotional support.</p> Signup and view all the answers

Identify and briefly describe the three phases of nursing care as mentioned in the text.

<p>The three phases are caring, curing, and core, which correspond to providing comfort, applying medical treatment, and addressing social and emotional needs respectively.</p> Signup and view all the answers

How does a nurse function as an advocate for patients during the nursing process?

<p>A nurse advocates by ensuring patients receive appropriate care, education, and support in managing their health needs.</p> Signup and view all the answers

In what ways does Abdellah’s theory contribute to the patient-centered approach in nursing?

<p>Abdellah’s theory emphasizes a holistic view of patient care by integrating the art and science of nursing, focusing on human needs.</p> Signup and view all the answers

What role does education play in a nurse's responsibilities towards patients?

<p>Education allows nurses to help patients understand their conditions and treatments, enhancing their ability to manage their health.</p> Signup and view all the answers

Explain the significance of 'hands-on' care in the nursing profession.

<p>Hands-on care is significant as it addresses daily living activities and enhances patient comfort while promoting healing.</p> Signup and view all the answers

Describe the metaphorical use of circles in the context of nursing roles.

<p>The circles represent different aspects of nursing care that may overlap and change in size according to the patient's needs and disease stage.</p> Signup and view all the answers

What factors comprise the concept of nurturing in nursing?

<p>Nurturing involves care, comfort, and supporting the physical and emotional well-being of the patient.</p> Signup and view all the answers

How do nurses promote optimal activity for patients who are deaf and mute?

<p>Nurses use body language to communicate and encourage patients to exercise together through activities like stretching or dance classes.</p> Signup and view all the answers

What precautions are taken to ensure safety in a ward with multiple patients?

<p>Nurses isolate patients with communicable diseases to prevent the spread of infection and maintain safety precautions for patients with mental illness.</p> Signup and view all the answers

What role does the nurse play in maintaining a calming environment for patients?

<p>The nurse keeps the environment calm and quiet to support the patients’ ability to rest and sleep effectively.</p> Signup and view all the answers

How should a psychiatric nurse differentiate between true somatic complaints and malingering?

<p>Through proper assessment and keen observation, the psychiatric nurse can identify genuine complaints versus those that are fabricated.</p> Signup and view all the answers

In what ways can communication be facilitated for patients with emotional and organic illnesses?

<p>Effective verbal and nonverbal communication can be facilitated through therapeutic conversation and an understanding of the patient's condition.</p> Signup and view all the answers

What daily practices are encouraged to promote exercise among patients?

<p>Patients are encouraged to participate in daily workouts, led by fellow patients, to promote physical activity and engagement.</p> Signup and view all the answers

Why is it important for nurses to monitor the emotional state of patients?

<p>Monitoring emotions is crucial as patients may express feelings that indicate suicidal or harmful behaviors, requiring immediate attention.</p> Signup and view all the answers

What measures can be taken to prevent bed sores in patients?

<p>Maintaining good body mechanics and frequent repositioning of patients can help prevent the development of bed sores.</p> Signup and view all the answers

What are the five stages of the Deliberative Nursing Process?

<p>The five stages are assessment, diagnosis, planning, implementation, and evaluation.</p> Signup and view all the answers

Why is it important for the nurse to explore the patient's reaction?

<p>Exploring the patient's reaction fosters effective communication and understanding of their needs.</p> Signup and view all the answers

What happens if a patient's behavior does not improve after nursing actions?

<p>If there is no improvement, the nurse recycles the process to clarify the patient's behavior and explore new nursing actions.</p> Signup and view all the answers

In the planning stage, what are the components included for each identified problem?

<p>Each problem is given a specific goal or outcome and nursing interventions to help achieve that goal.</p> Signup and view all the answers

How does the evaluation stage influence the nursing care plan?

<p>The evaluation stage assesses progress towards goals and allows for adjustments to the nursing care plan based on patient outcomes.</p> Signup and view all the answers

According to Joyce Travelbee, what is a key aspect of nursing?

<p>A key aspect is the establishment of human-to-human relationships in nursing practice.</p> Signup and view all the answers

What is the purpose of conducting a holistic assessment in the nursing process?

<p>The purpose is to evaluate the patient's needs comprehensively, without bias based on the reason for their visit.</p> Signup and view all the answers

What does Travelbee mean by avoiding ‘using oneself as a yardstick’?

<p>It means that nurses should not evaluate others based on their own experiences or standards.</p> Signup and view all the answers

What is the primary concept underlying Margaret Newman's theory of health?

<p>The primary concept is that health is viewed as an expanding consciousness rather than merely the absence of disease.</p> Signup and view all the answers

How does Newman's theory differ from traditional views of health?

<p>Newman's theory contrasts with traditional views by being relational, patterned, and emergent rather than causal, predictive, and controlling.</p> Signup and view all the answers

According to Newman, what role does pattern play in health?

<p>Pattern is fundamental as it synthesizes health and illness, providing a unified understanding of individual identity.</p> Signup and view all the answers

What does the term 'expanding consciousness' signify in Newman's model?

<p>'Expanding consciousness' signifies the process of becoming more of oneself and finding greater meaning in life.</p> Signup and view all the answers

How does Newman's theory address individuals facing chronic illness?

<p>Newman's theory includes the health of individuals facing chronic illness, viewing their experience as part of the universal process of expanding consciousness.</p> Signup and view all the answers

What does Newman mean by saying health and the evolving pattern of consciousness are the same?

<p>Newman suggests that health is inherently tied to an individual's consciousness and their evolving understanding of themselves.</p> Signup and view all the answers

In what way does Newman's theory assert the significance of connectedness?

<p>Newman's theory emphasizes that reaching new dimensions of connectedness with others and the world is crucial for health.</p> Signup and view all the answers

What is the implication of viewing health as a fusion of states of being?

<p>Viewing health as a fusion of states implies that both health and illness coexist and contribute to a person's overall experience.</p> Signup and view all the answers

How does Newman define health in the context of consciousness?

<p>Newman defines health as a transformative process to more inclusive consciousness.</p> Signup and view all the answers

What conceptual framework does Newman employ to explain the relationship between disease and nondisease?

<p>Newman uses Hegel’s dialectical fusion of opposites to explain how disease fuses with its opposite to create a new concept of health.</p> Signup and view all the answers

What are the key dimensions that Newman emphasizes should be examined together?

<p>Newman emphasizes examining movement-space-time together as dimensions of emerging patterns of consciousness.</p> Signup and view all the answers

What is the primary focus of Rosemarie Parse's Human Becoming Theory?

<p>The primary focus is on the quality of life from each person’s perspective as the goal of nursing.</p> Signup and view all the answers

When was the Human Becoming Theory first published and what was its original title?

<p>It was first published in 1981 under the title 'Man-living-health.'</p> Signup and view all the answers

What are the assumptions regarding human coexistence in Parse's theory?

<p>One assumption is that humans are coexisting while co-constituting rhythmical patterns with the universe.</p> Signup and view all the answers

According to Parse's theory, what role does freedom play in human experience?

<p>The theory posits that humans are open and freely choosing meaning in a situation, while bearing responsibility for their decisions.</p> Signup and view all the answers

How does Parse's theory differ from traditional nursing theories?

<p>Parse's theory presents an alternative focus on quality of life rather than adhering strictly to a biomedical or bio-psycho-social-spiritual approach.</p> Signup and view all the answers

Flashcards

Deliberative Nursing Process stages

Assessment, diagnosis, planning, implementation, and evaluation are the five stages of the Deliberative Nursing Process.

Nursing Assessment Stage

A holistic assessment of the patient's needs, without considering the reason for the encounter.

Nursing Diagnosis Stage

Identifying patient needs using links to defining characteristics, related factors, and risk factors.

Nursing Planning Stage

Creating a nursing care plan with specific goals and interventions for each problem identified.

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Nursing Implementation Stage

Putting the nursing care plan into action.

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Nursing Evaluation Stage

Assessing how well patient goals are met and making adjustments to the nursing plan.

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Successful Nursing Action

Nursing actions that result in improved patient behavior.

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Human-to-human relationships (Nursing)

Joyce Travelbee's view of nursing focuses on building relationships with patients to achieve well-being.

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Nursing Care Circle

A model that highlights the nurse's role in patient care, encompassing three interconnected areas: curing, caring, and core. This framework helps nurses understand their various responsibilities in patient management.

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Curing Phase

In the nursing care circle, this phase focuses on the medical interventions and treatments directed towards the patient's illness or disease. Nurses actively advocate for the patient during this stage.

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Caring Phase

Part of the nursing care circle, this phase emphasizes providing comfort and basic care to patients. It involves helping them with daily activities like eating, bathing, and dressing.

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Core Phase

Within the nursing care circle, this phase targets the patient's emotional and social well-being. Nurses create an environment that promotes effective communication and comfort.

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Faye Abdellah’s Nursing Theory

A patient-centered approach to nursing based on the idea that nursing is both an art and a science. The theory focuses on meeting the patient's human needs.

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Patient-Centered Nursing

This approach to nursing emphasizes the patient's individual needs and preferences. It requires understanding the patient's unique situation and tailoring care to meet their specific requirements.

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Human Needs Theory

A nursing theory that prioritizes addressing the fundamental needs of patients, placing emphasis on holistic care and addressing both physical and psychological well-being.

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Abdellah's Theory: Art and Science

Faye Abdellah's theory acknowledges that nursing involves both the practical application of knowledge and the compassionate approach to patient care. It emphasizes the importance of individual nurses' skills and attitudes.

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Therapeutic Environment

A safe and supportive space that promotes mental well-being and healing.

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Ventilation of Emotions

The process of expressing and processing feelings in a safe and healthy way.

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Social Problems & Mental Illness

How societal issues can contribute to and worsen mental health challenges.

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Restorative Care Needs

A focus on promoting overall well-being and recovery after illness or injury.

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Individualized Needs

Each patient has unique needs based on their physical, emotional, and developmental state.

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Optimum Goals

The best possible outcome for each patient, taking into account limitations.

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Abdellah's Problem-Solving Method

A structured approach to identify and address patient problems, leading to better outcomes.

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Nursing Skills for Treatment

Specific techniques and actions nurses use to provide care based on individual patient needs.

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Active Care Needs

These are the nursing actions taken to promote optimal activity for patients, such as encouraging exercise, providing rest, and ensuring a peaceful sleep environment. These actions are crucial for maintaining patients' physical and mental well-being.

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Safety Precautions for Mental Illness

Patients with mental illness often require specific safety precautions, such as monitoring for suicidal thoughts, preventing escape attempts, and protecting them from potential harm. Nurses are trained to assess and implement appropriate safety measures.

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Communicative Challenges

Some patients, such as those who are deaf and mute, may require alternative methods of communication, such as body language or sign language. Nurses must adapt their approach to ensure effective interaction with these patients.

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Therapeutic Communication

Nurses use therapeutic communication techniques to help patients express their feelings, both positive and negative. This helps them process their emotions and progress towards a healthier state.

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Somatic Complaints

Patients with mental illness sometimes present with physical symptoms, which may or may not be directly related to their mental health. Nurses must assess these complaints carefully to determine their true nature.

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Body Mechanics Importance

For patients confined to bed, maintaining proper body mechanics is essential to prevent bed sores and deformities. Nurses help patients move and position themselves correctly to ensure their physical well-being.

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Interrelatedness of Emotions and Illness

A patient's mental health can significantly impact their physical health, and vice-versa. Nurses should be aware of this connection and consider both aspects when providing care.

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Effective Communication Skills

Nurses use both verbal and nonverbal communication to build relationships with their patients and ensure effective communication. These skills are crucial for understanding the patient's needs and providing appropriate care.

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Newman's Theory of Health

This theory views health as a process of expanding consciousness, where individuals grow in awareness and find deeper meaning in life.

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Expanding Consciousness

This refers to an individual's continuous evolution towards greater self-awareness, meaning, and connection with others and the world.

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Pattern in Health and Illness

This theory emphasizes patterns, a fundamental concept in understanding the interconnectedness of health and illness. Patterns reveal the whole person and the meaning of their experiences.

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Health and Illness as One

Newman's theory suggests that health and illness are not separate entities but rather integrated into a single state of being.

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Traditional vs. Emerging Health Paradigm

Traditional views of health focus on linear, predictable aspects, while Newman's theory proposes an emergent, unpredictable, and holistic understanding of health.

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Unity in Diversity

In Newman's theory, patterns reveal unity within diversity, recognizing the uniqueness of each person while emphasizing interconnectedness.

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Progression Toward Higher Consciousness

Newman's theory describes life as a journey of progress towards higher levels of consciousness, which is characterized by deeper understanding and connection.

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Meaningful Relationships

Newman's theory emphasizes the importance of fostering relationships that contribute to a person's expanding consciousness and overall well-being.

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Newman's Health Theory

A concept that views health as an expanding consciousness, emphasizing the ability to perceive alternatives and respond in diverse ways. It also portrays health as a process of evolving towards inclusivity in consciousness.

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Dialectical Fusion of Opposites

Newman uses Hegel's philosophy to explain health as a fusion between disease and non-disease. This creates a new concept of health that goes beyond simply the absence of illness.

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Movement-Space-Time

Newman emphasizes the importance of analyzing these three concepts together as dimensions of consciousness, rather than viewing them in isolation.

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Parse's Human Becoming Theory

This theory guides nurses to focus on the quality of life from each individual's perspective, aiming to support their unique journey of becoming.

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Co-existing & Co-constituting

Parse's theory claims that humans exist and shape patterns simultaneously with the universe, suggesting an interconnected and dynamic relationship.

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Situational Freedom

Parse argues that humans have the freedom to choose their own meaning in each situation, acknowledging their responsibility for their decisions.

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Quality of Life

Parse's Human Becoming Theory emphasizes the importance of supporting individuals in achieving their own unique and personal quality of life.

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Man-living-health

Parse's initial theory, published in 1981, focused on the interconnectedness of human beings, their experiences, and their health, emphasizing a holistic perspective.

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Study Notes

Hildegard Peplau's Interpersonal Relationship Theory

  • Nursing is a therapeutic interpersonal process involving interaction between nurse and client
  • Focuses on the nurse-client relationship as the foundation of nursing practice
  • Four phases of the therapeutic relationship:
    • Orientation: Introduction, explanation of roles, identifying problems, and resource utilization
    • Identification: Client working interdependently with the nurse, expressing feelings, strong sense of belonging
    • Exploitation: Client making full use of services, exploring and understanding problems
    • Resolution: Client no longer needing services, termination of the relationship

Ida Jean Orlando's Deliberative Nursing Process Theory

  • Nursing is a reciprocal relationship between nurse and client
  • Emphasizes patient participation in the nursing process
  • Focuses on the nurse's response to the patient's presenting behavior
  • Five stages of the deliberative nursing process: Assessment, diagnosis, planning, implementation, and evaluation.
  • Automatic Actions vs Deliberative Actions
    • Automatic actions are actions decided upon for other reasons than the patient's immediate needs
    • Deliberative actions are selected after understanding a need and meeting it.

Joyce Travelbee's Human-to-Human Relationship Theory

  • Nursing is an interpersonal process assisting individuals, families, or communities to prevent or cope with illness and suffering, and finding meaning in experiences.
  • 5 phases of the interactional process:
    • Original Encounter: Nurse and patient meeting as strangers, establishing initial perception
    • Emerging Identities: Identification of individual qualities, fostering a bond between nurse and patient
    • Empathy: Ability to sense or predict the behavior of another, understanding patient through perception sharing.
    • Sympathy: Emotional involvement, extending empathy to include feelings, transcending the boundary to share as a human being
    • Rapport: Trust and confidence are shown between nurse and patient

Lydia Hall's Care, Cure, Core Nursing Theory

  • Nursing is participation in care, cure, and core aspects of patient care.
  • Care circle: Nurturing patients, providing physical care, and aiding in daily living activities
  • Core circle: Patient's needs, values, concerns, and personal motivations
  • Cure circle: Nursing involving disease treatment given with other health professionals.

Faye Glenn Abdellah's 21 Nursing Problems Theory

  • Nursing is an art and science empowering individuals to cope with health needs.
  • Focuses on 21 patient needs: physical, psychospiritual, psychosocial and interpersonal needs that affect patient well-being.

Virginia Henderson's Nursing Need Theory

  • A holistic framework for nursing care based on 14 fundamental needs.
  • Nurses meet these needs, promoting patient independence for healing.

Nola Pender's Health Promotion Model

  • Focuses on health behaviors influenced by perceived benefits, barriers, self-efficacy, and interpersonal and situational factors.
  • Promoting positive health actions

Madeleine Leininger's Transcultural Nursing Theory

  • Emphasizes the need to understand and respect cultural factors to provide effective nursing care.
  • Includes cultural care preservation/maintenance, cultural care accommodation/negotiation, and cultural care repatterning/restructuring.

Margaret Newman's Theory of Health as Expanding Consciousness

  • Health is an evolving pattern of consciousness.
  • Focuses on the expansion of awareness and interconnectedness of individuals and their surroundings.

Rosemarie Parse's Theory of Human Becoming

  • Emphasizes the quality of life as the goal of nursing.
  • Focuses on the meaning, rhythmicity, and transcendence in human existence.

Ernestine Wiedenbach's Helping Art of Clinical Nursing Theory

  • Nursing is about identifying patients' needs for help
  • Recognises the important interplay involving philosophy, purpose, practice, and skills.

Katharine Kolcaba's Comfort Theory

  • Aims to meet comfort needs: physical, psychospiritual, sociocultural and environmental.
  • Emphasizes the need for holistic comfort management for better patient outcomes.

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