Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and...
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Transcript of Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and...
![Page 1: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/1.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Chapter 14
Nursing, Healing, and Caring
![Page 2: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/2.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Nursing’s Therapeutic Value
• Nursing– Diagnosis and treatment of human responses to
actual or potential health problems (ANA, 2004)
– Blend of art and science
• Purposes of nursing
• Nursing and healing
![Page 3: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/3.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Theoretical Perspectives of Caring
• Watson– Theory of human caring
• Leininger– Transcultural care theory
• Benner– Novice to expert model
![Page 4: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/4.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Care in the High-Technology Environment
• Clients want caring from nurses
• Prevent depersonalization by:– Checking on client
• Rather than just equipment
– Responding to client promptly
– Communicating interest in what client says
– Spending time with client
![Page 5: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/5.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Nurse-Client Relationship
• Basis of nursing (Peplau, 1952)
• Phases of therapeutic relationship:– Orientation
– Working
– Termination
![Page 6: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/6.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Orientation Phase
• Client behaviors:– Feel anxious
– Test
• Nurse behaviors:– Provide specific information
– Project calm, relaxed attitude
– Answer questions consistently and reliably
![Page 7: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/7.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Working Phase
• Client behaviors:– Ask questions
– Seek clarification
– Behave attentively
– Inquire about own role in recovery
(continued)
![Page 8: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/8.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Working Phase
• Nurse behaviors:– Re-evaluate goals
– Support realistic problem solving
![Page 9: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/9.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Termination Phase
• Client behaviors:– Welcome final phase
– Resist termination
• Nurse behaviors:– Evaluate goals
![Page 10: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/10.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Therapeutic Use of Self
• Deliberate plan of action
• Verbal and nonverbal communication
• Take time to “be” with client
![Page 11: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/11.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Caring and Communication
• Communication– How compassion and caring demonstrated to
client
![Page 12: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/12.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Characteristics of Therapeutic Relationships
• Warmth
• Hope
• Rapport
• Trust
• Empathy
• Acceptance
• Active listening
(continued)
![Page 13: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/13.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Characteristics of Therapeutic Relationships
• Humor
• Compassion
• Self-awareness
• Nonjudgmental approach
• Flexibility
• Risk taking
![Page 14: Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 14 Nursing, Healing, and Caring.](https://reader035.fdocuments.in/reader035/viewer/2022062422/56649f0d5503460f94c21b74/html5/thumbnails/14.jpg)
Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Therapeutic Value of the Nursing Process
• Focuses on client’s response to illness, disease, or disability– Rather than just on problem
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Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Nursing Roles
• Caregiver
• Counselor
• Teacher
• Client advocate
• Change agent
• Team member
• Resource person