HILDEGARD PEPLAU Flashcards
1
Q
THEORY OF INTERPERSONAL RELATIONSHIP
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HILDEGARD PEPLAU
2
Q
“the kind of person that the nurse becomes makes a substantial difference in what each patient will learn as he or she receives nursing care”
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HILDEGARD PEPLAU
3
Q
Born in Reading, Pennsylvania in September 1, 1909
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HILDEGARD PEPLAU
4
Q
Time when women were taught to believe that they have to choose between marriage and work
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HILDEGARD PEPLAU
5
Q
Her leadership skills saved ANA from bankruptcy
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HILDEGARD PEPLAU
6
Q
Became a member of the Army Nurse Corps and worked in a neuropsychiatric hospital in London
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HILDEGARD PEPLAU
7
Q
Author of “Interpersonal Relations in Nursing”
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HILDEGARD PEPLAU
8
Q
Died peacefully on March 7, 1999 at the age of 89
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HILDEGARD PEPLAU
9
Q
Psychiatric Nurse of the Century
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HILDEGARD PEPLAU
10
Q
Mother of Psychiatric Nursing
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HILDEGARD PEPLAU
11
Q
Focus on nurse client relationship
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HILDEGARD PEPLAU
12
Q
Nurse serves as a resource person, counselor, surrogate
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HILDEGARD PEPLAU
13
Q
Identified 4 phases of the nurse patient interaction
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HILDEGARD PEPLAU
14
Q
- Orientation Phase
- Identification Phase
- Exploitation Phase
- Resolution Phase
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4 PHASES OF NURSE-CLIENT INTERACTION
15
Q
• Problem defining phase
A
Orientation Phase
16
Q
• Starts when client meets a stranger
A
Orientation Phase
17
Q
• The individual has a felt need and seeks professional assistance
A
Orientation Phase
18
Q
• Get acquainted phase of the nurse-patient relationship
A
Orientation Phase
19
Q
• Preconceptions are worked through
A
Orientation Phase
20
Q
• Parameters are established and met
A
Orientation Phase
21
Q
• Early levels of trust are developed
A
Orientation Phase
22
Q
• Roles begin to be understood
A
Orientation Phase
23
Q
Values (N and P)
A
Factor Affecting Orientation Phase
24
Q
Cultural Race (N and P)
A
Factor Affecting Orientation Phase
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Beliefs (N and P)
Factor Affecting Orientation Phase
26
Past Experiences ( N and P)
Factor Affecting Orientation Phase
27
Expectations (N and P)
Factor Affecting Orientation Phase
28
Pre-conceived Ideas (N and P)
Factor Affecting Orientation Phase
29
• Patient have a feeling of belonging and capability of dealing with the problem
Identification Phase
30
• Nurse permits exploration of feelings
Identification Phase
31
• Patient identifies with those who can help him or her
Identification Phase
32
• The client begins to identify problems to be worked on within relationship
Identification Phase
33
• The goal of the nurse: to help the patient recognize his or her own interdependent or participation role and promote responsibility for self
Identification Phase
34
help the patient recognize his or her own interdependent or participation role and promote responsibility for self
The goal of the nurse
35
• Use of professional assistance for problem solving alternatives
Exploitation Phase
36
• Principle of interview and communication techniques must be used
Exploitation Phase
37
• Patient attempts to derive full value from what he or she is offered
Exploitation Phase
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• Client’s trust of nurse reached full potential
Exploitation Phase
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• Client making full use of nursing services
Exploitation Phase
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• Solving immediate problems
Exploitation Phase
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• Identifying and orienting self (discharge) goals
Exploitation Phase
42
• Also known as termination phase
Resolution Phase
43
• Patient’s needs have already been met
Resolution Phase
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• Sometimes may be difficult
Resolution Phase
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• Patient frees himself from identification with the nurse
Resolution Phase
46
Person, Environment, Health, Nursing
CONCEPTS
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A developing organism that tries to reduce anxiety caused by needs
Person
48
An individual is made of physiological, psychological and social spheres striving towards equilibrium in life
Person
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Man lives in an unstable balance of a given system
Person
50
Existing forces outside the organism and in the context of culture or socially approved way of living (norms, customs, beliefs)
Environment
51
Forward movement of personality and other ongoing human processes in the direction of creative, constructive, productive, personal and community living. Needs to be meet – physiological demands and interpersonal conditions
Health
52
Significant therapeutic interpersonal process
Nursing
53
The nurse with the health care team offer health services and project health holistically
Nursing
54
Stranger
Resource Person
Teacher
Leadership Role
Surrogate Role
Counselling Role
ROLES OF NURSING
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the nurse treat patient with utmost courtesy which includes acceptance as a person and due respect over his individuality
Role of the Stranger
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provides specific answers to his queries, which includes health information, advice, and a simple explanation of healthcare team’s course of care
Resource Person
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assumes a teaching role when helping patient understand the therapeutic plan
Teacher
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the nurse as a leader must act in behalf of the patient’s best interest and at the same time enable him to make decisions over his own care
Leadership Role
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the patient’s dependency for care gives the nurse a surrogate (temporary care giver) role
Surrogate Role
60
the greatest importance and emphasis in nursing
Counselling Role
61
Strengthen nurse patient relationship as the nurse becomes a listener, empathic adviser
ROLES OF NURSING
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The nurse must develop her discussion around the interest of the patient and his ability of using the information provided
Teacher
63
Response must appropriate to client’s level of understanding
Resource Person
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easily understood, basic assumptions and key concept were clearly given, explained, broken down and outlined
Simplicity
65
Logical and applicable in general
Analysis of Peplau's
66
limited to situation that communication can occur between nurse and client
Generality
67
Impossible to apply in senile, comatose, newborn group
Analysis of Peplau's
68
This evaluative standard is not met
Analysis of Peplau's
69
theory based on reality
Empirical precision
70
Can be tested and observed using pure observation
Analysis of Peplau's
71
Can be validated and verified
Analysis of Peplau's
72
The degree of precision could be more increased but with continued research
Analysis of Peplau's
73
Derivable consequences
Analysis of Peplau's
74
Ideas have greatly touched the lives of many patients, nurses, from students to practitioner
Analysis of Peplau's
75
It gives direction to nursing practice, education and research
Analysis of Peplau's
76
Client is reluctant to talk about the pain
OP IN CAPSULE TO THE CLIENT”S PROBLEM
77
Client expressed that more pain is felt while in standing position
OP IN CAPSULE TO THE CLIENT”S PROBLEM
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Without movement and supine position gave her relief from pain
OP IN CAPSULE TO THE CLIENT”S PROBLEM
79
Client participates and is interdependent with the nurse
IP IN CAPSULE TO THE CLIENT”S PROBLEM
80
Expresses need for measures to get relief from pain
IP IN CAPSULE TO THE CLIENT”S PROBLEM
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Expresses the need for improving mobility
IP IN CAPSULE TO THE CLIENT”S PROBLEM
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Expresses need to know more about prognosis
IP IN CAPSULE TO THE CLIENT”S PROBLEM
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Cooperates and participates actively in performing exercises
EP IN CAPSULE TO THE CLIENT”S PROBLEM
84
Client mobilizes, changes position and cooperates during position changes
EP IN CAPSULE TO THE CLIENT”S PROBLEM
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Expressed that pain has reduced a lot
RP IN CAPSULE TO THE CLIENT”S PROBLEM
86
Agreed to continue exercise at home
RP IN CAPSULE TO THE CLIENT”S PROBLEM
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Expressed that she would come for regular follow up after discharge
RP IN CAPSULE TO THE CLIENT”S PROBLEM
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Empirical knowing
Personal knowing
Ethical knowing
Aesthetic knowing
CARPER’S PATTERNS OF NURSING KNOWLEDGE
89
Although the client shows outward signals now, the nurse has sensed previously the client’s jumpiness and subtle differences in the client’s demeanor and behavior
Aesthetic knowing
90
Although the nurse patient’s shift has ended, she remains with the client
Ethical knowing
91
Client’s face shows the panic
Personal knowing
92
Client with panic disorder begins to attack. Panic attack will raise pulse rate
Empirical knowing
