TFN Midterms

Hildegard E. Peplau

born in sept 1, 1909
only american nurse to serve the ANA as executive direction and president
authored the book, "interpersonal relations in nursing"

mother of psychiatric nursing

Hildegard E. Peplau: human

reduce tension generated by needs lives in an unstable equilibrium

Hildegard E. Peplau: unique

man as organism
makes an effort to relieve stress

Hildegard E. Peplau: health

forward movement of personality and other ongoing human processes in the direction of creative, constructive, productive, personal, and community living

signifies progression of one's personality and other processes towa

Hildegard E. Peplau: society

narrow perception of environment

major limitation of peplau's theory. why?
--> since peplau doesnt address the environment, it is the force that exists outside the organism and in relation to culture.

Hildegard E. Peplau: nursing

significant, therapeautic, interpersonal process
functions cooperatively with others to make health possible

Hildegard E. Peplau: purpose of nursing

educate and be a maturing force so the patient gets a new view of himself given the need that he has pr

Hildegard E. Peplau: therapeutic, a healing art

nursing as a relationship between a person who is ill and a nurse who has received training in identifying and responding to those needs

interpersonal relations theory

Hildegard E. Peplau

client relationship
communication
pattern integration
roles of the nurse

Hildegard E. Peplau: phases of nurse-client relationship

orientation
identification
exploitation
resolution

Hildegard E. Peplau: orientation phase

nurse and patient meet as strangers
--> patient seeks for professional assistance
--> nurse helps patient to recognize and understand the problem

Hildegard E. Peplau: identification phase

patient identifies with those who can help them

--> nurse permits exploration of feelings to aid the patient in undergoing illness
--> provides needed satisfaction

Hildegard E. Peplau: exploitation phase

patient attempts to derive full value from what they are offered through the relationship

--> nurse projects new goals to be achieved
--> power shifts from nurse to patient since the patient delays gratification to achieve newly formed goals

Hildegard E. Peplau: resolution phase

patient puts aside old goals & adopts new goals

factors influencing the blending of the nurse-patient relationship (NURSE & PATIENT)

values, culture, race, preconceived ideas, beliefs, past experiences, expectations

resource person

provides answers to questions within a large context

teacher

helps client to learn formally

leader

tech

provides physical care for patient

mild anxiety

positive state of heightened awareness and sha

moderate anxiety

decreased perceptual field
learns a new behavior or solve problems only with assistance

severe anxiety

feelings of dread and terror
cannot be redirected to a task
only focuses on scattered details
has physiologic symptoms of unwnated pain

panic anxiety

loss of rational thought, delusions, hallucination, and complete physical immobility and muteness

implications of hildegard peplau's nursing theory; nursing practice

teaches nurses how to interact with patients in a manner that gives them co-control over care

encourages cooperation between nurse and patient

implications of hildegard peplau's nursing theory; nursing education

encourages nursing students to interact and communicate holistically with both patients and other nursing students

guide for students to understand when to start and end professional relationships

Hildegard E. Peplau: nursing application: orientation

nurse gathers info
makes initial assessment of:
-- patients n familys needs
-- potential interests and patients inclination to experience fear and anxiety

Hildegard E. Peplau: nursing application: identification

pediatric emergency nurse affirms her role
assist the child and parents needs

Hildegard E. Peplau: nursing application: exploitation

parent and childs comfort and trust w the pediatric emergency nurse is established

parent takes advantage of services offered by the pediatric emergency nurse and benefits from it

Hildegard E. Peplau: nursing application: resolution

pediatric emergency nurse summarizes the discharge plan
helps patient organize actions to move towards a new socially interdependent relationship

Virginia Henderson

14 fundamental needs of theory
"The nurse is temporarily the consciousness of the unconscious,
the love of life for the suicidal, the leg of the amputee, the eyes of the newly blind, a means of locomotion for the infant, knowledge and confidence for the mother, the mouthpiece for those too weak or withdrawn to speak and so on.”

Virginia Henderson: man

complete and independent being with biological, sociological, and spiritual components

patient-nurse interaction to promote communication

Virginia Henderson: health

ability to independently perform the 14 basic needs

is basic to human functioning & promotion of health is more important than care of the sick

--> state of health in relation to surroundings

Virginia Henderson: environment

effects of 7 components on life n development of a person

7 components: light, temp, air movement, atmospheric pressure, proper waste disposal, absence of injurious chemicals, cleanliness of surroundings

place where communication takes place

Virginia Henderson: nursing

assist the individual, sick or well, in activities contributing to health or recovery

Virginia Henderson: 3 roles of the nurse

substitutive
supplementary
complementary

Virginia Henderson: subs

Virginia Henderson: supplementary

helping the person

Virginia Henderson: complementary

Virginia Henderson: 14 fundamental needs

emphasizes importance of increasing patient's independence

focusing on basic human needs so progress after hospitalization would not be delayed

Faye Glenn Abdellah

american pioneer in research

1st nurse and woman to serve as deputy surgeon general of US

founder & first dean of graduate school of nursing at the uniformed services university of the health science

when was abdellah inducted into national womens hall of fame?

year 2000 lol

missions & goals of abdellah

importance of long term care planning for elderly

strengthen nursing school infra

necessity of patient centered approach

transformed the practice of nursing