Nursing Theorist: Hildegard Peplau (Theory of Interpersonal Relations) – Flashcards
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Where was Peplau born?
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Reading, Pennsylvania
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What did Peplau first start?
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Post Baccalaureate in Nursing
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What book did Peplau publish?
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Interpersonal Relations in Nursing (1952)
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The crux of psychiatric nursing (1968)
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Interpersonal Techniques
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When did Peplau die?
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1999
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What does the nurse strive to do in Peplau's theory?
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Develop nurse-client relationship
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> Understanding of one's behavior > Helping others identify felt difficulties > Applying principles of human relations to the problems that arise at all levels of experiences
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Psychodynamic Nursing
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> Problem-defining phase > The client meets the nurse as a stranger > Defining the problem and deciding the type of service needed > Client seeks: ASSISTANCE, CONVEYS NEEDS, ASKS QUESTIONS, SHARES PRECONCEPTIONS, and EXPECTATIONS FROM PAST EXPERIENCES > Nurse: RESPONDS, EXPLAINS ROLE TO CLIENT, HELPS TO IDENTIFY PROBLEMS and USE AVAILABLE RESOURCES AND SERVICES
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Orientation Phase
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> Selection of appropriate professional assistance > Patient begins to have feelings of BELONGING > Patient has capability of dealing with the problem, decreasing the feelings of HELPLESSNESS and HOPELESSNESS > Patient identifies with those who can help him/her
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Identification Phase (Working Phase)
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> Use of PROFESSIONAL ASSISTANCE for problem-solving alternatives > Advantages of services are used and based on needs and interests of the patients > Individual feels as an integral part of the helping environment >Individual may make minor requests or attention getting techniques > Principles of interview techniques must be used in order to explore, understand and adequately deal with the underlying > Patient may fluctuate on independence > Patient attempts to derive full value from what he/she is offered through the relationship > Nurse must be aware about the various phases of communication > Nurse AIDS the patient in exploiting all avenues of help and progress is made towards the final step
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Exploitation Phase (Working Phase)
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> _______ of professional relationship > Patients needs have been met by collaborative effort of patient and nurse > Terminate therapeutic relationship and dissolve links between them > Sometimes may be difficult for both as psychological dependence persists > Patient drifts away and breaks bond with nurse > Healthier emotional behavior is demonstrated > Both become mature individuals > Patient gradually puts aside old goals and adapts new goals > Process in which the patient frees himself/herself from identification with the nurse
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Termination Phase (Resolution Phase)
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Receives the client in the same way one meets a stranger in other life situations. Provides an accepting climate that build trust.
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Stranger
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Imparts knowledge in reference to a need or interest
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Teacher
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Provides a specific needed information that aids in the understanding of a problem/new situation
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Resource Person
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Helps to understand and integrate the meaning of current circumstances. Provides guidance and encouragement to make changes
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Counselor
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Helps to clarify domains of dependence, interdependence and independence and acts on client's behalf as an advocate
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Surrogate
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Helps client assume maximum responsibility for meeting treatment goals in a mutually satisfying way
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Leader
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> Both are SEQUENTIAL > Both focus on THERAPEUTIC RELATIONSHIP > Both use PROBLEM-SOLVING TECHNIQUES for the nurse and patient to collaborate on; the end purpose of meeting the patients needs > Both use OBSERVATION, COMMUNICATION and RECORDING as basic tools utilized by nursing
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Interpersonal Theory and the Nursing Process
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A developing organism that tries to reduce anxiety caused by needs
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Person
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Existing forces outside the organism and in the context of culture
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Environment
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> Symbol that implies forward movement of personality and other ongoing human processes > Direction of creative, constructive, productive, personal and community living
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Health
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> Significant therapeutic interpersonal process > Functions cooperatively with other human processes that make health possible for individuals in communities > A HEALING ART > Assists an individual who is sick or in need of health care
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Nursing