APPLICATION OF THEORIESThe Medical/Surgical Client with Complex Health ProblemsS. Beydoun MSN RN

Relating principles & concepts of :Stress theoryChange theoryLearning theoryCaring theoryCultureSelf-awareness

Self-ConceptWhat is it???Self-awareness?? Does it play a role on the patients ability to manage his or her disease states??Refer to Berman & Snyder ch. 39 p 1022

Stress theoryNurses need to assess:

Type & number of stressorsThe stage of developmentCurrent stress management techniques

RN Role & Stress

Improving the SCA & overcoming the SCDs due to stress

Question???How do nurses assist the client in improving the SCA?

STRESSTHREATALARM REACTIONSTAGE OF RESISTANCESTAGE OF EXHAUSTATION

Refer to Berman & Snyder ch 42 pp.1079-1082

STRESSBenefits

Hazards

CHANGE THEORY3 Stages

ResistanceAdapting to changeAcceptance

Refer to ch. 28 Berman & Snyder pp. 528-529

RN IMPLICTIONS & CHANGE THEORY

Planning is the key to success!!

How?

Allow client to verbalize feelings

Focus on strengths

Focus on benefits of change

Give positive feedback

LEARNING THEORYWhat is learning?

How can nurses facilitate learning?

How can learning be affected?? (look at patient)??????Refer to nursing 155 M 1.2 and Berman & Snyder ch. 27 teaching

OVERALL GOAL FOR LEARNING

Increase the SCA (Orem)How can learning benefit the SCA?

NURSING IMPLICATIONS IN THE LEARNING PROCESS:Assess motivation & readiness

Get active ParticipationHow?

Practice makes perfectgive positive feedback

CARING THEORYChapter 3 (Berman & Snyder) p. 47-48Chapter 25 (Berman & Snyder) p. 449-60)

What does it mean?

TYPES OF CARINGProfessional

Personal

CultureChapter 3 p. 47 & ch 18 pp.319-332 (Berman & Snyder)Review nsg 126 content if needed

Can a persons culture impact the way he/she manages their disease states i.e. diabetes??? HTN????What is culture??

Nursing process-Berman & Snyder Text Concept Map VS Linear Nursing Care Plan (chapter 10)Review Nursing 155 Module 1.1 nursing process ( chapters 11-14)Prioritizing Recognizing the relationships among the NANDAS

Nursing Process (cont.)Requires use of critical thinking---need to interpret data collectedIs there a relationship between concept mapping and critical thinking???

Read Berman & Snyder ch. 10 pp. 168-173

As Always!

Look at chapter reviews related to content presented