Hildegard Only Flashcards
Who said that, “nursing is therapeutic because it is a healing art, assisting an individual who is sick or in need of health care”?
Hildegard Peplau
This theory emphasized the nurse-client relationship as the foundation of nursing practice. It gave emphasis on the give-and- take of nurse-client relationships that was seen by many as revolutionary.
Interpersonal Relations Theory
This theory emphasize the need for a partnership between nurse and client as opposed to the client passively receiving treatment and the nurse passively acting out doctor’s orders
Interpersonal Relations Theory
When was Peplau born?
September 1, 1909
What motivates Peplau?
she witnessed the devastating flu epidemic that greatly influenced her understanding of the impact of illness and death on families
She was an American nurse who is the only one to serve the American Nurses Association
Hildegard Peplau
She was known as the “Mother of Psychiatric Nursing” and the “Nurse of the Century.”
Hildegard Peplau
When did Hildegard Peplau died?
March 17, 1999
Cause of death of Peplau?
She died on her sleep
This theory explains the purpose of nursing is to help others identify their felt difficulties and that nurses should apply principles of human relations to the problems that arise at all levels of experience.
Interpersonal Relations
an organism that “strives in its own way to reduce tension generated by needs.” The client is an individual with a felt need. person, which is a developing organism that tries to reduce anxiety caused by needs.
man
defined as “a word symbol that implies forward movement of personality and other ongoing human processes in the direction of creative, constructive, productive, personal, and community living.”
health
a “significant, therapeutic, interpersonal process.” She defines it as a “human relationship between an individual who is sick, or in need of health services, and a nurse specially educated to recognize and to respond to the need for help.”
nursing
A professional and planned relationship between client and nurse that focuses on the client’s needs, feelings, problems, and ideas. It involves interaction between two or more individuals with a common goal. The attainment of this goal, or any goal, is achieved through a series of steps following a sequential pattern.
Therapeutic nurse-client relationship
This phase defines the problem. It starts when the nurse meets the patient, and the two are strangers.
Orientation phase
This phase identifies the type of service needed by the patient.
orientation phase
It is the nurse’s assessment of the patient’s health and situation.
Orientation Phase
This phase includes the selection of the appropriate assistance by a professional. In this phase, the patient begins to feel as if he or she belongs, and feels capable of dealing with the problem which decreases the feeling of helplessness and hopelessness.
Identification phase
This phase is the development of a nursing care plan based on the patient’s situation and goals.
Identification phase
This phase uses professional assistance for problem-solving alternatives. The advantages of the professional services used are based on the needs and interests of the patients.
Exploitation phase
Phase where the patient feels like an integral part of the helping environment, and may make minor requests or use attention-getting techniques.
exploitation phase
This phase is the implementation of the nursing plan, taking actions toward meeting the goals set in the identification phase.
Exploitation phase
It is the termination of the professional relationship since the patient’s needs have been met through the collaboration of patient and nurse.
Resolution phase
This is the evaluation of the nursing process. The nurse and patient evaluate the situation based on the goals set and whether or not they were met.
Resolution phase
the nurse receives the patient in the same way the patient meets a stranger in other life situations. The nurse should create an environment that builds trust.
stranger
the nurse imparts knowledge in reference to the needs or interests of the patient.
teacher
providing specific information needed by the patient that helps the patient understand a problem or situation.
resource person
helps the patient understand and integrate the meaning of current life situations, as well as provide guidance and encouragement in order to make changes.
counselor
the nurse helps the patient clarify the domains of dependence, interdependence, and independence, and acts as an advocate for the patient.
surrogate
the nurse helps the patient take on maximum responsibility for meeting his or her treatment goals.
leader
was defined as the initial response to a psychic threat.
Anxiety
positive state of heightened awareness and sharpened senses, allowing the person to learn new behaviors and solve problems. The person can take in all available stimuli (perceptual field).
Mild Anxiety
involves a decreased perceptual field (focus on immediate task only); the person can learn a new behavior or solve problems only with assistance. Another person can redirect the person to the task.
Moderate Anxiety
involves feelings of dread and terror. The person cannot be redirected to a task; he or she focuses only on scattered details and has physiologic symptoms of tachycardia, diaphoresis, and chest pain.
Severe Anxiety
can involve loss of rational thought, delusions, hallucinations, and complete physical immobility and muteness. The person may bolt and run aimlessly, often exposing himself or herself to injury.
Panic Anxiety
