Question

EXPLAIN/DISCUSS THE FOLLOWING CONCEPTS THOROUGHLY.

1. Give the different concepts of nursing according to the Theory of Interpersonal Relations. Discuss.
2. Give the four (4) phases of therapeutic nurse-patient relationship. Discuss each.
3. A theorist believes that the “mind and body are inseparable and are interrelated”. What do you mean by that concept? Explain.
4. What do you mean by patient care theory? Give its significance to environmental health. Explain.

Answer 1

QUESTION-1

DIFFERENT CONCEPTS OF NURSING ACCORDING TO THE THEORY OF INTERPERSONAL RELATIONS

Hildegard Peplau,is is known as MOTHER OF PSYCHIATRIC NURSING and she has developed the interpersonal theoory and the main elements are;

-person

-health

-enviornment

CONCEPTS ARE AS FOLLOWS;

The nurse and patient must work together to acheive the desired goals and nurse can give the comprehensive nursing care or holistic care

CONCEPTS ARE;

-Nurses have the capacity to make a therapeutic relationship with the patients

-Nursing is an art and it is a healing art

-Nursing is the process of assisting the patients who is acute or chronic sick

-Nurse have to help the clients who needs help or assistance

-Interpersonal theory have three phases and the phases are;

-ORIENTATION PHASE-the process of detecting the problems

-IDENTIFICATION-patient have the capacity to face the problems

-EXPLOITATION PHASE-here using problem solving skills

-According to this theory nursing is a type of interpersonal process that help to keep the patients in comfortable situations

-Nursing is the process interaction or therapeutic relations between two or more persons and work together for acheiving the desired goals

-Nursing is the process of working together with the patients and both become matured and may develop their knowledge levels

-For acheiving the goals they have to make a comfortable series of pattern.

QUESTION-2

PHASES OF THERAPEUTIC NURSE PATIENT RELATIONSHIPS

Therapeutic relationship is a type of relationship between the nurse and patients .The nurse have to maintain proper communication with the clients and provide care according to the patients needs

PHASES ARE;

There are FOUR phases

1-PRE-INTERACTION PHASES

-start to develop therapeutic relations

-nurse have to to identify the clients enviornmental staus

-identify the patients needs

-assess the patients strength and weakness

-nurses can explain the professional goals ,guidlines of care,importance of communication etc

-the nurse can collect all the informations from the patients

-encourage the patients to express his or her feelings

-the nurse can realize her own professional strength and limitations

-the barriers in this phases includes andger,depressions,anxiety etc

2-INTRODUCTORY OR ORIENTATION PHASE

-start to establish communication with the patient

-usually there is less conflicts

-start to recognize their roles and responsibilities

-understand the importance of rapport ,trust ,acceptance ,empathy,genuiness etc

-start to work together to meet the goals

-start to develop desired goals according to the clients needs

-set the nursing interventions

-nurses create a supportive enviornment

3-WORKING PHASE

-the process of all the relevant data

-here the nurses can develop constructive coping mechanism skills

-assessing the range of patients behaviour and insight

-

4-TERMINATION PHASE

-most important phase

-start to explaining the goals and plans

-start to develop discharge plans and follow-up care

QUESTION-3

Yes,mind and the body are interrelated and inseparable

The reasons behind as follows;

-mind is the centre code of body and body works according to that

-mind or brain interpret the informations and the prior experiences and knowlege

-the mind have t take decisions according to his or her body strength

-emotional ,mental and physical activities may depends on the active relations between the mind and body relations

-the body mind relationship is depends on ;

-stress

-mental health

-physical health

-dietry habits

-personal and social behaviours

-enviornment

-mind is the functions of the body

-minding is the process of identifying reasoning,judgement,thinking,imaging,orientation,remembering etc

-mind and the body are interrelated ,depends on ;

-anatomical and physiological functions

-neurotransmitters

-body fluids

-muscular activity

QUESTION-4

Patient care theory is a type of theory or ideeas and concepts

-it is a general term used to guide and improve nursing practices

-it is a term used to describe some guidlines and priciples have to follow while giving care to the patients

SIGNIFICANCE TO ENVIORNMENTAL HEALTH

-patient care should be depends on internal or external enviornmental circumstances

-patients care may influence on enviornmetal conditions

the enviornmental factors that influence patients care includes;

-VENTILATION

-NOISE AND AIR

   -NUTRITIONAL STATUS

-HYGEINE AND THE CLEANLINESS OF DRINKING WATER

-CALM AND QUITE ENVIORNMENT

-PROPER DRAINAGE AND SANITATION

   -HOUSING AND HEALTH STATUS

SIGNIFICANCE ARE;

-can provide patient centred care

-can assess the patients physical and mental status

-we can reduce the risk of getting infections or inflammations

-can maintain patients health status and provide sense of well being

-according to the health status plan for patients care