This document discusses establishing a therapeutic relationship between nurses and patients. It begins with a case study example of a nurse effectively building rapport with a nervous pre-operative patient. The key components of an effective nurse-patient relationship are then outlined, including respect, empathy, trust, genuineness, and confidentiality. Specific behaviors to demonstrate each component are provided. The relationship is intended to support the patient's health needs in a caring manner while maintaining professional boundaries. Communication is emphasized as the foundation for developing this relationship.
The document discusses the application of interpersonal relations theory in nursing practice, education, and research. It describes the 4 phases of the theory - orientation, identification, exploitation, and resolution - and how they can be applied through the nursing process. It provides examples of how the theory has been used in different areas of nursing including patient education, counseling, and end-of-life care. It recommends using the theory as a framework for research studies and incorporating it into nursing education and various areas of clinical practice.
Dorothea Orem developed the Self-Care Deficit Nursing Theory, which has three related parts:
1. The Theory of Self Care defines self-care, self-care agency, therapeutic self-care demand, and self-care requisites.
2. The Theory of Self Care Deficit outlines when nursing is needed to help individuals who have limitations in meeting self-care demands.
3. The Theory of Nursing Systems describes three systems nurses use to help patients - wholly compensatory, partly compensatory, and supportive-educative.
Nursing has evolved significantly over history. In ancient times, nursing was informal with caregivers learning through oral tradition. During medieval times in Europe, nursing was primarily done by nuns in monasteries. Modern nursing began in the 19th century led by Florence Nightingale and Elizabeth Fry who established nursing schools. By the late 19th century, nursing schools were being set up in hospitals in Europe and the United States to formally educate nurses. Nursing continued professionalizing in the 20th century with graduate programs being established.
1. Hildegard Peplau was an influential American nursing theorist known for developing the theory of interpersonal relations. 2. Her theory emphasized the nurse-client relationship and established phases to guide the progression of this relationship from stranger to resolution. 3. Peplau was influenced by her experiences as a psychiatric nurse and believed the interpersonal process between nurse and client was therapeutic and essential to treatment.
Hildegard Peplau developed the theory of interpersonal relations, which focuses on the nurse-patient relationship. The theory views nursing as an interpersonal process involving interaction between nurse and patient with a common goal. It outlines 4 phases of the nurse-patient relationship: orientation, identification, exploitation, and resolution. When implemented effectively, the theory aims to help patients learn and grow through improved communication and understanding between nurse and patient.
Imogene King's Goal Attainment Theory views humans as open systems interacting with their environment. It focuses on nurse-client interactions, where the nurse and client perceive each other, communicate, set goals, and work to achieve them. The theory consists of three interacting systems - personal, interpersonal, and social. It emphasizes concepts like perception, communication, roles, and stress. The goal of nursing is to help individuals maintain their health to function in roles. The theory is useful for practice, education, and research in nursing.
Dorothea Orem developed the Self-Care Deficit Theory of Nursing, which has three related parts: the theory of self-care, theory of self-care deficit, and theory of nursing systems. The theory proposes that nursing is needed when an individual is unable to independently meet their self-care needs. Orem identified different types of self-care requisites and proposed systems for how nurses can help meet patient's self-care needs either wholly, partly, or through education. The theory provides a framework for nursing practice, education, and research. It has been widely used and has influenced nursing practice and education.
The document summarizes Rosemarie Rizzo Parse's Theory of Human Becoming. It outlines the key aspects of the theory including its assumptions, principles, and application to nursing practice. The theory posits that human becoming is an intersubjective process of freely choosing meaning and transcending possibilities through language, values, and imagination. It focuses on the lived experience of individuals and their rhythmic patterns of relating with the universe.
The document discusses the application of interpersonal relations theory in nursing practice, education, and research. It describes the 4 phases of the theory - orientation, identification, exploitation, and resolution - and how they can be applied through the nursing process. It provides examples of how the theory has been used in different areas of nursing including patient education, counseling, and end-of-life care. It recommends using the theory as a framework for research studies and incorporating it into nursing education and various areas of clinical practice.
Dorothea Orem developed the Self-Care Deficit Nursing Theory, which has three related parts:
1. The Theory of Self Care defines self-care, self-care agency, therapeutic self-care demand, and self-care requisites.
2. The Theory of Self Care Deficit outlines when nursing is needed to help individuals who have limitations in meeting self-care demands.
3. The Theory of Nursing Systems describes three systems nurses use to help patients - wholly compensatory, partly compensatory, and supportive-educative.
Nursing has evolved significantly over history. In ancient times, nursing was informal with caregivers learning through oral tradition. During medieval times in Europe, nursing was primarily done by nuns in monasteries. Modern nursing began in the 19th century led by Florence Nightingale and Elizabeth Fry who established nursing schools. By the late 19th century, nursing schools were being set up in hospitals in Europe and the United States to formally educate nurses. Nursing continued professionalizing in the 20th century with graduate programs being established.
1. Hildegard Peplau was an influential American nursing theorist known for developing the theory of interpersonal relations. 2. Her theory emphasized the nurse-client relationship and established phases to guide the progression of this relationship from stranger to resolution. 3. Peplau was influenced by her experiences as a psychiatric nurse and believed the interpersonal process between nurse and client was therapeutic and essential to treatment.
Hildegard Peplau developed the theory of interpersonal relations, which focuses on the nurse-patient relationship. The theory views nursing as an interpersonal process involving interaction between nurse and patient with a common goal. It outlines 4 phases of the nurse-patient relationship: orientation, identification, exploitation, and resolution. When implemented effectively, the theory aims to help patients learn and grow through improved communication and understanding between nurse and patient.
Imogene King's Goal Attainment Theory views humans as open systems interacting with their environment. It focuses on nurse-client interactions, where the nurse and client perceive each other, communicate, set goals, and work to achieve them. The theory consists of three interacting systems - personal, interpersonal, and social. It emphasizes concepts like perception, communication, roles, and stress. The goal of nursing is to help individuals maintain their health to function in roles. The theory is useful for practice, education, and research in nursing.
Dorothea Orem developed the Self-Care Deficit Theory of Nursing, which has three related parts: the theory of self-care, theory of self-care deficit, and theory of nursing systems. The theory proposes that nursing is needed when an individual is unable to independently meet their self-care needs. Orem identified different types of self-care requisites and proposed systems for how nurses can help meet patient's self-care needs either wholly, partly, or through education. The theory provides a framework for nursing practice, education, and research. It has been widely used and has influenced nursing practice and education.
The document summarizes Rosemarie Rizzo Parse's Theory of Human Becoming. It outlines the key aspects of the theory including its assumptions, principles, and application to nursing practice. The theory posits that human becoming is an intersubjective process of freely choosing meaning and transcending possibilities through language, values, and imagination. It focuses on the lived experience of individuals and their rhythmic patterns of relating with the universe.
Interpersonal Relations Theory by Hildegard PeplauRendell Baldon
Hildegard Peplau developed the interpersonal relations theory, which describes the phases of the nurse-patient relationship. The theory outlines 4 phases: orientation, identification, exploitation, and resolution. It also identifies key nursing roles to support patients through each phase towards achieving health goals. Peplau's theory emphasizes therapeutic communication between nurses and patients to understand their needs and collaboratively set plans. The theory provides a framework for the nursing process and remains applicable for supporting patients.
Imogene King developed her Theory of Goal Attainment based on her experience as a nurse educator and administrator. The theory views the nurse-patient relationship as an interpersonal system, with the nurse and patient interacting to identify problems, set goals, and take actions to achieve those mutually agreed upon goals. If goals are attained, both the patient's health needs will be met and the nurse and patient will be satisfied with the interaction. The theory focuses on communication and goal-setting between the nurse and patient. It has been applied in nursing education, practice, and research to guide nursing care and evaluate outcomes.
Dorothea Orem developed her Theory of Self Care, which has three main concepts: self-care, self-care deficit, and nursing systems. Self-care refers to one's ability to perform activities to maintain health. Self-care deficit occurs when one is unable to meet self-care needs due to limitations. Nursing systems are the nurse's actions to help meet a person's self-care demands based on their level of self-care ability or deficit. Orem's theory is applied in nursing practice through the nursing process, with self-care informing assessment/evaluation, self-care deficit guiding diagnosis, and nursing systems relating to interventions.
Hildegard Peplau was the first nursing theorist published in over a century. She created the nursing theory of Interpersonal Relations, which focused on the nurse-patient relationship and revolutionized nursing as a scholarly discipline. Peplau drew from her experiences as a nurse and student of psychology to develop a theory based on empirical evidence from analyzing nurse-patient interactions. Her theory established concepts of nursing roles, phases of the relationship, and techniques like process recording that are still used in nursing education today.
Hildegard Peplau developed the Interpersonal Relations Theory, which focuses on the nurse-patient relationship and its progression through four phases: orientation, identification, exploitation, and resolution. The theory emphasizes understanding interpersonal processes and developing therapeutic relationships. Peplau identified seven nursing roles to illustrate the dynamic character roles in clinical nursing, and her theory provides a framework for assessment, planning, intervention, and evaluation in caring for patients. Research has found the theory useful for educating oncology patients, ensuring understanding, and developing individualized care plans for families.
Florence Nightingale developed the environmental theory of nursing in the 1850s based on her experiences as a nurse in the Crimean War. She believed the environment strongly influences health outcomes. Her theory outlined 13 canons focusing on ventilation, light, noise, hygiene and other environmental factors. Nightingale viewed the nurse's role as controlling and manipulating the patient's environment to support recovery. Her theory established the foundations of modern nursing by emphasizing the importance of environmental assessment, intervention and evaluation of outcomes.
Fundamentals of Nursing
Definition of Theory
Components of Theory
Phenomenon
Concepts
The Domain of Nursing
Evolution of Nursing Theory
Goals of Theoretical Nursing Models
Types of Theory
Overview Of Select Shared Theories
Overview Of Select Grand and Middle-Range Nursing Theories
Link Between Theory and Knowledge Development in Nursing
Relationship Between Nursing Theory and Nursing Research
Theory Generating Research
Theory Testing Research
1. To be able to differentiate, apply and identify the various models of nursing theories and approaches in all phases of life.
2. To know the essential value of formal nursing conceptual models and understand the provision of a shared view of the metaparadigm concepts (person, environment, health and nursing).
3. Be able to focus on nursing's role: to work with patients to manage their health problems/life processes.
Nursing has long included an educational component, with patient teaching recognized as a core nursing function. The nurse educator role has evolved in several ways, such as through the establishment of standards and mandates requiring patient education. While nurses face barriers to effective teaching like lack of time, their role as educator extends beyond patient teaching to include students, staff and the public. Ongoing issues involve ensuring education is tailored to diverse learners and coordinated between healthcare teams.
Martha Rogers was a pioneering nursing theorist who developed the Science of Unitary Human Beings. Some key concepts of her theory include: viewing humans as irreducible energy fields in constant interaction with the environmental field; health as a unitary human manifestation that cannot be measured physically; and nursing as the study of these unitary human and environmental fields. Rogers proposed principles of homeodynamics to describe the dynamic relationship between humans and their environment. While complex and abstract, Rogers' theory provided a framework for understanding humans as open systems and has influenced nursing practice, education, and research.
This system model provides a comprehensive, flexible, holistic and system based perspective for nursing.
It deals with stress and stress reduction and is primarily concerned with the effects of stress on health.
This model provides a total approach to client problems by providing a multidimensional view of the person as an individual.
This document summarizes several nursing and non-nursing theories. It discusses Faye Glenn Abdellah's 21 nursing problems approach, Jean Watson's caring model, Lydia Hall's Core-Care-Cure model, and Evelyn Adam's conceptual model of nursing which focuses on goals, beneficiaries, roles, sources of difficulty, and consequences. It also explains Dorothea Orem's self-care deficit theory. For non-nursing theories, it outlines Hans Selye's general adaptation syndrome theory of stress and Richard Lazarus's cognitive appraisal theory of psychological stress and coping.
NURSING THEORY Martha Rogers - The Science of Unitary Human BeingsAjeshkumar Tk
- Martha Rogers developed the Science of Unitary Human Beings (SUBH) nursing theory, which views humans as indivisible energy fields that continuously interact with the environmental energy field.
- The major concepts of SUBH are energy fields, openness, pattern, and pandimensionality. The principles of homeodynamics are integrality, resonancy, and helicy.
- SUBH emphasizes assessment of the human-environment energy field pattern, mutual patterning to establish harmony between the fields, and reevaluation of patterns. It informed nursing education, practice using non-invasive modalities, and research.
This document provides an overview of Sister Callista Roy and her adaptation model of nursing. It discusses her background and career, the development and components of her theory, and applications of the model to nursing practice, research, and education. The adaptation model views the person as an adaptive system who is constantly interacting with a changing environment. Nursing aims to promote the person's adaptation through four modes: physiological, self-concept, role function, and interdependence. The theory has been widely implemented in nursing curriculum and has generated testable hypotheses for research.
In her model of nursing, she explains that nursing is the practice of identification of a patient’s need for help through the observation of presenting behaviors and symptoms, exploration of the meaning of those symptoms with the patient, determining the cause of discomfort, and determining the patient’s ability to resolve the discomfort or if the patient has a need for help from the nurse or other health care professionals. The goal of nursing consists primarily of identifying a patient’s need for help.
The need for help is defined as “any measure desired by the patient that has the potential to restore or extend the ability to cope with various life situations that affect health and wellness.” Need-for-help must be based on the individual patient’s perception of his or her own situation.
Wiedenbach’s theory identifies the patient as “any individual who is receiving help of some kind, be it care, instruction or advice from a member of the health profession or from a worker in the field of health.” A patient is any person who has entered the healthcare system and is receiving help, which means he or she does not need to be ill. A person receiving health-related education would qualify as a patient.
The document provides an overview of several nursing theories and their application in nursing process. It discusses Lydia Hall's core-care-cure model which focuses on care, core development of self-identity, and cure of disease. It also summarizes Betty Neuman's systems model which views the client as an open system affected by stressors and the environment. Further, it explains Hildegarde Peplau's theory of interpersonal relations and the four phases of the nurse-patient relationship. Lastly, it discusses Faye Abdellah's 21 nursing problems categorized into physiological, safety, belonging and esteem needs that can be assessed and addressed in nursing care. The theories provide frameworks for holistic assessment, planning, implementation
Mr. Sy, a 74-year-old man, was admitted to the hospital with an indirect inguinal hernia and underwent hernia repair surgery. The nurse addressed areas like the patient's perceptions and needs, gathered health history, and identified nursing diagnoses of acute pain, risk of infection, and risk of constipation. Goals were set to improve the patient's comfort and knowledge as well as prevent complications. The nurse's actions aligned with the mutually agreed upon goals and the patient responded positively, though family involvement in care could be further emphasized.
The theory of Nursing as Caring was developed by Anne Boykin and Savina Schoenhofer. The theory views nursing as caring for persons by nurturing their innate capacity to care for themselves and others. The theory assumes that caring is fundamental to being human and that nursing aims to enhance a person's humanity through caring relationships. Key elements of the theory include the nursing situation, call for nursing, nursing response, and the caring interactions between nurse and patient. The theory emphasizes holistic, individualized care and has influenced nursing practice, education, research and administration.
This document discusses the doctor-patient relationship and communication. It covers:
1) The core of medicine is the doctor-patient relationship, with patients expecting both a good relationship and cure. The relationship itself can be part of the therapeutic process.
2) Patients want to trust their doctor's competence, navigate the healthcare system effectively, be treated with dignity and respect, understand how illness/treatment affects their lives, discuss impacts on family/finances, and learn self-care.
3) Effective communication is unique due to the immediate trust and vulnerability patients have with doctors during examinations. Respect, empathy, objectivity, and understanding patient autonomy and values are important.
Professional practice level 4 assignment finalDave Manriquez
This document discusses ethical decision making and cultural considerations in healthcare using the case of a Korean patient, Mr. K.S. It notes that in Korean culture, the family does not want the patient to know their diagnosis due to beliefs that it could negatively impact their health. It analyzes this case using the CLPNBC Professional Standards and identifies both issues like lack of informed consent and potential solutions like providing interpreter services to overcome language and cultural barriers in patient care.
Interpersonal Relations Theory by Hildegard PeplauRendell Baldon
Hildegard Peplau developed the interpersonal relations theory, which describes the phases of the nurse-patient relationship. The theory outlines 4 phases: orientation, identification, exploitation, and resolution. It also identifies key nursing roles to support patients through each phase towards achieving health goals. Peplau's theory emphasizes therapeutic communication between nurses and patients to understand their needs and collaboratively set plans. The theory provides a framework for the nursing process and remains applicable for supporting patients.
Imogene King developed her Theory of Goal Attainment based on her experience as a nurse educator and administrator. The theory views the nurse-patient relationship as an interpersonal system, with the nurse and patient interacting to identify problems, set goals, and take actions to achieve those mutually agreed upon goals. If goals are attained, both the patient's health needs will be met and the nurse and patient will be satisfied with the interaction. The theory focuses on communication and goal-setting between the nurse and patient. It has been applied in nursing education, practice, and research to guide nursing care and evaluate outcomes.
Dorothea Orem developed her Theory of Self Care, which has three main concepts: self-care, self-care deficit, and nursing systems. Self-care refers to one's ability to perform activities to maintain health. Self-care deficit occurs when one is unable to meet self-care needs due to limitations. Nursing systems are the nurse's actions to help meet a person's self-care demands based on their level of self-care ability or deficit. Orem's theory is applied in nursing practice through the nursing process, with self-care informing assessment/evaluation, self-care deficit guiding diagnosis, and nursing systems relating to interventions.
Hildegard Peplau was the first nursing theorist published in over a century. She created the nursing theory of Interpersonal Relations, which focused on the nurse-patient relationship and revolutionized nursing as a scholarly discipline. Peplau drew from her experiences as a nurse and student of psychology to develop a theory based on empirical evidence from analyzing nurse-patient interactions. Her theory established concepts of nursing roles, phases of the relationship, and techniques like process recording that are still used in nursing education today.
Hildegard Peplau developed the Interpersonal Relations Theory, which focuses on the nurse-patient relationship and its progression through four phases: orientation, identification, exploitation, and resolution. The theory emphasizes understanding interpersonal processes and developing therapeutic relationships. Peplau identified seven nursing roles to illustrate the dynamic character roles in clinical nursing, and her theory provides a framework for assessment, planning, intervention, and evaluation in caring for patients. Research has found the theory useful for educating oncology patients, ensuring understanding, and developing individualized care plans for families.
Florence Nightingale developed the environmental theory of nursing in the 1850s based on her experiences as a nurse in the Crimean War. She believed the environment strongly influences health outcomes. Her theory outlined 13 canons focusing on ventilation, light, noise, hygiene and other environmental factors. Nightingale viewed the nurse's role as controlling and manipulating the patient's environment to support recovery. Her theory established the foundations of modern nursing by emphasizing the importance of environmental assessment, intervention and evaluation of outcomes.
Fundamentals of Nursing
Definition of Theory
Components of Theory
Phenomenon
Concepts
The Domain of Nursing
Evolution of Nursing Theory
Goals of Theoretical Nursing Models
Types of Theory
Overview Of Select Shared Theories
Overview Of Select Grand and Middle-Range Nursing Theories
Link Between Theory and Knowledge Development in Nursing
Relationship Between Nursing Theory and Nursing Research
Theory Generating Research
Theory Testing Research
1. To be able to differentiate, apply and identify the various models of nursing theories and approaches in all phases of life.
2. To know the essential value of formal nursing conceptual models and understand the provision of a shared view of the metaparadigm concepts (person, environment, health and nursing).
3. Be able to focus on nursing's role: to work with patients to manage their health problems/life processes.
Nursing has long included an educational component, with patient teaching recognized as a core nursing function. The nurse educator role has evolved in several ways, such as through the establishment of standards and mandates requiring patient education. While nurses face barriers to effective teaching like lack of time, their role as educator extends beyond patient teaching to include students, staff and the public. Ongoing issues involve ensuring education is tailored to diverse learners and coordinated between healthcare teams.
Martha Rogers was a pioneering nursing theorist who developed the Science of Unitary Human Beings. Some key concepts of her theory include: viewing humans as irreducible energy fields in constant interaction with the environmental field; health as a unitary human manifestation that cannot be measured physically; and nursing as the study of these unitary human and environmental fields. Rogers proposed principles of homeodynamics to describe the dynamic relationship between humans and their environment. While complex and abstract, Rogers' theory provided a framework for understanding humans as open systems and has influenced nursing practice, education, and research.
This system model provides a comprehensive, flexible, holistic and system based perspective for nursing.
It deals with stress and stress reduction and is primarily concerned with the effects of stress on health.
This model provides a total approach to client problems by providing a multidimensional view of the person as an individual.
This document summarizes several nursing and non-nursing theories. It discusses Faye Glenn Abdellah's 21 nursing problems approach, Jean Watson's caring model, Lydia Hall's Core-Care-Cure model, and Evelyn Adam's conceptual model of nursing which focuses on goals, beneficiaries, roles, sources of difficulty, and consequences. It also explains Dorothea Orem's self-care deficit theory. For non-nursing theories, it outlines Hans Selye's general adaptation syndrome theory of stress and Richard Lazarus's cognitive appraisal theory of psychological stress and coping.
NURSING THEORY Martha Rogers - The Science of Unitary Human BeingsAjeshkumar Tk
- Martha Rogers developed the Science of Unitary Human Beings (SUBH) nursing theory, which views humans as indivisible energy fields that continuously interact with the environmental energy field.
- The major concepts of SUBH are energy fields, openness, pattern, and pandimensionality. The principles of homeodynamics are integrality, resonancy, and helicy.
- SUBH emphasizes assessment of the human-environment energy field pattern, mutual patterning to establish harmony between the fields, and reevaluation of patterns. It informed nursing education, practice using non-invasive modalities, and research.
This document provides an overview of Sister Callista Roy and her adaptation model of nursing. It discusses her background and career, the development and components of her theory, and applications of the model to nursing practice, research, and education. The adaptation model views the person as an adaptive system who is constantly interacting with a changing environment. Nursing aims to promote the person's adaptation through four modes: physiological, self-concept, role function, and interdependence. The theory has been widely implemented in nursing curriculum and has generated testable hypotheses for research.
In her model of nursing, she explains that nursing is the practice of identification of a patient’s need for help through the observation of presenting behaviors and symptoms, exploration of the meaning of those symptoms with the patient, determining the cause of discomfort, and determining the patient’s ability to resolve the discomfort or if the patient has a need for help from the nurse or other health care professionals. The goal of nursing consists primarily of identifying a patient’s need for help.
The need for help is defined as “any measure desired by the patient that has the potential to restore or extend the ability to cope with various life situations that affect health and wellness.” Need-for-help must be based on the individual patient’s perception of his or her own situation.
Wiedenbach’s theory identifies the patient as “any individual who is receiving help of some kind, be it care, instruction or advice from a member of the health profession or from a worker in the field of health.” A patient is any person who has entered the healthcare system and is receiving help, which means he or she does not need to be ill. A person receiving health-related education would qualify as a patient.
The document provides an overview of several nursing theories and their application in nursing process. It discusses Lydia Hall's core-care-cure model which focuses on care, core development of self-identity, and cure of disease. It also summarizes Betty Neuman's systems model which views the client as an open system affected by stressors and the environment. Further, it explains Hildegarde Peplau's theory of interpersonal relations and the four phases of the nurse-patient relationship. Lastly, it discusses Faye Abdellah's 21 nursing problems categorized into physiological, safety, belonging and esteem needs that can be assessed and addressed in nursing care. The theories provide frameworks for holistic assessment, planning, implementation
Mr. Sy, a 74-year-old man, was admitted to the hospital with an indirect inguinal hernia and underwent hernia repair surgery. The nurse addressed areas like the patient's perceptions and needs, gathered health history, and identified nursing diagnoses of acute pain, risk of infection, and risk of constipation. Goals were set to improve the patient's comfort and knowledge as well as prevent complications. The nurse's actions aligned with the mutually agreed upon goals and the patient responded positively, though family involvement in care could be further emphasized.
The theory of Nursing as Caring was developed by Anne Boykin and Savina Schoenhofer. The theory views nursing as caring for persons by nurturing their innate capacity to care for themselves and others. The theory assumes that caring is fundamental to being human and that nursing aims to enhance a person's humanity through caring relationships. Key elements of the theory include the nursing situation, call for nursing, nursing response, and the caring interactions between nurse and patient. The theory emphasizes holistic, individualized care and has influenced nursing practice, education, research and administration.
This document discusses the doctor-patient relationship and communication. It covers:
1) The core of medicine is the doctor-patient relationship, with patients expecting both a good relationship and cure. The relationship itself can be part of the therapeutic process.
2) Patients want to trust their doctor's competence, navigate the healthcare system effectively, be treated with dignity and respect, understand how illness/treatment affects their lives, discuss impacts on family/finances, and learn self-care.
3) Effective communication is unique due to the immediate trust and vulnerability patients have with doctors during examinations. Respect, empathy, objectivity, and understanding patient autonomy and values are important.
Professional practice level 4 assignment finalDave Manriquez
This document discusses ethical decision making and cultural considerations in healthcare using the case of a Korean patient, Mr. K.S. It notes that in Korean culture, the family does not want the patient to know their diagnosis due to beliefs that it could negatively impact their health. It analyzes this case using the CLPNBC Professional Standards and identifies both issues like lack of informed consent and potential solutions like providing interpreter services to overcome language and cultural barriers in patient care.
Physician-patient communication is important for improving patient satisfaction and health outcomes. Good communication involves listening to the patient, understanding their perspective on their illness, and discussing treatment options empathetically. It also requires providing information to patients about their diagnosis, prognosis, and recommended tests or procedures. Formal training in communication skills can help physicians communicate more effectively with patients.
The document discusses nursing in general practice in Australia. It notes that the number of nurses working in general practices has increased in recent years due to factors like the GP shortage and changing healthcare needs. Nursing in general practice is evolving and influenced by both opportunities and challenges. The role of practice nurses encompasses clinical care, clinical organization, practice administration, and integration or liaison. Their role differs from hospital nurses in focusing more on primary care, health promotion, and working in partnership with patients and communities.
Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...Kaiser Permanente
Kaiser Permanente, Northern California - Patient Care Services developed a Caritas in Action campaign to encourage caregivers to reflect authentic expressions of Jean Watson's Caring Science in their daily practice and within their medical center.
This document is the author's nursing philosophy paper. It discusses the author's views on caring, definitions of nursing, assumptions in nursing practice, and principles for practice. The key points are:
1) The author's views on caring have evolved to incorporate treating patients with honesty, building relationships, and remembering what it is like to be a patient.
2) The author agrees with the American Nursing Association and Sentara hospital definitions of nursing which emphasize health promotion, building relationships, evidence-based practice, and patient education.
3) The author discusses assumptions around caring for culturally diverse patients, the role of community in health, and relationships with other healthcare professionals.
4) The author's principles focus
The document discusses communication strategies for difficult patient interactions. It provides a framework called NURS to improve communication by naming the patient's emotions, understanding and validating them, respecting their experience, and supporting partnership. Specific types of difficult patients are described such as angry, non-compliant, seductive, and manipulative patients. Strategies are outlined for each type, emphasizing active listening, validating concerns, and setting clear boundaries. The goal is to de-escalate conflicts and establish trust and shared understanding to improve the patient-provider relationship.
The document discusses building partnerships between clinicians, patients, and families in family medicine. It emphasizes the importance of developing rapport, organizing interviews effectively, and converting resistance into cooperation. It provides guidance on using open-ended questions, active listening, emphasizing strengths, and assessing motivation for change.
This document provides guidance on effective patient interviewing skills for physicians. It discusses the importance of professionalism, ethics, using a biopsychosocial model, and patient-centered care. The four core ethical principles are autonomy, beneficence, non-maleficence, and justice. Effective communication involves actively listening, establishing rapport, asking open-ended questions to understand the patient's perspective, and using closed-ended questions to obtain specific details. The goal is to collaborate with patients to understand their health issues and concerns in a holistic manner.
The document discusses the doctor-patient relationship (DPR) and its evolution over time. It outlines four historical models of the DPR: paternalistic, informative, interpretive, and deliberative. Traditionally, the paternalistic model placed doctors in a dominant role, but more recent models emphasize patient autonomy and a mutual relationship through communication and trust. Properly establishing the DPR requires both parties to understand expectations and negotiate needs, while avoiding overstepping professional boundaries.
Hildegard Peplau developed the interpersonal relations theory of nursing, which focuses on the nurse-patient relationship and its phases. Peplau identified four phases of the relationship: orientation, identification, exploitation, and resolution. She also described six nursing roles that emerge in the relationship: stranger, resource person, teacher, counselor, leader, and surrogate mother. Peplau's theory views nursing as a significant therapeutic process where the nurse helps the patient through communication to reduce anxiety and move toward productive health.
The document discusses the importance of the patient-physician relationship to quality healthcare. It notes that the relationship is central to medical practice and ethics. Factors that influence the relationship include mutual respect, trust, communication and time spent together. A good relationship leads to more accurate diagnoses and greater patient understanding/compliance with treatment. The relationship can be complicated by power imbalances and patient vulnerability due to illness. Physicians should aim to establish rapport, optimize communication and empower patients. Key elements of the relationship include patients' rights to information, decision making, respect and confidentiality. Maintaining a good relationship through empathy, listening and cultural competence contributes to diagnostic accuracy and patient satisfaction.
This document provides guidance on communicating with difficult patients. It discusses different types of difficult patients, including angry, non-compliant, seductive, and manipulative patients. It also presents two clinical cases and discusses challenges and strategies for each. For the first case of a child with pneumonia, the goals are to provide information to address cognitive needs and show interpersonal sensitivity and partnership to address affective needs. For the second case of an upset mother, negative factors include the mother's demanding nature and the provider's frustration, while the goal is to alleviate concerns through active listening and validation using the NURS mnemonic.
The document discusses the nurse-patient relationship and the therapeutic relationship. It defines the nurse-patient relationship as the foundation of nursing care and one where both parties see each other as unique individuals. The therapeutic relationship is goal-oriented and aims to help the patient regain inner strength and cope with life challenges. The summary describes the different types of relationships, phases of the nurse-patient relationship including pre-orientation, orientation, working, and termination phases, and conditions needed for a therapeutic relationship like trust, empathy and respect.
This document outlines Tracee Pockett's personal philosophy of nursing. It discusses how a nursing philosophy guides a nurse's practice and interactions with patients. Pockett believes nursing requires both clinical skills and understanding patients' experiences. She discusses the importance of being fully present with patients, embracing change to improve care, and facing life and death realities in nursing. Jean Watson's caring theory also influences Pockett's view that nurses and patients influence each other through caring relationships.
This document outlines Tracee Pockett's personal nursing philosophy. It discusses how a nursing philosophy guides a nurse's practice and interactions with patients. Pockett believes nursing requires both clinical skills and understanding patients' experiences. She discusses how her views have developed through experiences at her workplace, including embracing changes to improve care. Pockett's philosophy is informed by Jean Watson's theory of caring, which emphasizes the reciprocal relationship between nurses and patients.
attitudeethicscommunicationaetcom3-201226185123 (1).pdfNevil Shah
This document discusses the importance of the doctor-patient relationship and ethics in medicine. It is presented as a learning module with the following key points:
1. Professional qualities of doctors include empathy, communication skills, and maintaining patient dignity. Maintaining a good relationship with patients can help reduce litigation against doctors.
2. Factors that are important for a strong doctor-patient relationship include having a benevolent attitude, competency, evidence-based practice, obtaining informed consent, and effective communication.
3. Case studies are provided as examples of how poor communication and lack of shared decision-making can damage the relationship between doctors and patients. Maintaining trust and discussing treatment options are emphasized as important ethical components of medical
Attitude, ethics & communication (aetcom)3 Module 1.3: Doctor-Patient Rel...DRRAJNEE
This document discusses the importance of the doctor-patient relationship and maintaining proper attitudes and communication. It is presented by Dr. Rajnee and addresses competencies for Indian Medical Graduates. The learning objectives are to describe professional qualities of doctors, demonstrate empathy, and discuss fundamentals of the doctor-patient relationship and medical ethics. The document outlines factors that impact the relationship like attitude, benevolence, communication skills, evidence-based practice, and maintaining competency. It emphasizes treating patients with dignity and respecting diversity. Case studies are also provided to facilitate discussion of relationship issues.
The document discusses the experience of a student nurse serving as the charge nurse for a clinical day. It was very different than just caring for assigned patients as it involved responsibility for all patients and students on the floor. As charge nurse, familiarization with most patients and being available to assist was required. It also required patience, knowledge of everything happening in the unit, rounding in each room, and helping students learn. Effectively communicating with the team was important as the charge nurse.
This document discusses important aspects of patient care that patients and caregivers should know. It outlines 4 key recommendations from a hospice physician: 1) Do not wait for doctors to recommend hospice and communicate needs for palliative care sooner, 2) Understand that palliative care is not just for dying patients, 3) Laugh more and enjoy life despite illness, 4) It's okay for caregivers to occasionally leave patients alone in their room. The importance of communication between doctors and patients is also highlighted.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.