Sunday, May 26, 2019
Compare and Contrast of a Two Grand Theories Essay
Virginia Henderson (1897-1996) is a Nursing Grand Theorist who was often referred to as the first lady of nursing. In the article by Nicely (2011) it depicts how she developed a nursing model which is based on activities of daily living. She believed that nursing as a profession stood separately from medicine. In this article, I was able to decipher how Hendersons theory is applied to the specialized area of organ donation for transplantation. It is reflected that although organ coordinators are from different backgrounds such as assort health professions, physicians assistants, and paramedics, most of them are registered nurses. Nicely (2011) portrays 14 different activities that Henderson identified for patient role assistance which would allow patients to return back to independence eating and drinking, excrement of body waste, desirable posture/sleep and rest, select suitable clothing dress and undress, avoiding dangers in the environment and avoid injuring others, maintaining body temperature within normal range, prep/protecting the integument, communication with others, worship according to onenesss faith, play and recreation, learn and discover (Nicely, 2011, p.73).Hendersons activities reflect on how nurses notify provide a good foundation in which they can become more proficient in their abilities to provide care for their patients. She stressed the importance for including the patients family. In her theory, Henderson states the the complexity and quality of the service is limited only by the imagination and the competence of the nurse who interprets it (Nicely, 2011, p. 77). The article extrapolates very good points ab disclose how equally primal it is for the nurse to work with the family, as vigorous as the patient. The second article I chose by Merritt and Procter is entitled, Conceptualizing the functional role of rational health consultation occasion nurse in multi-morbidity, using Peplaus theory. This article surmises the role of the m ental health consultation liaison (MHCLN) and how it can be integrated to Peplaus surmise of Interpersonal Relations. In the introduction of the article, it focuses on the importance of mentally ill patients being involved actively in their treatment and care planning. This article describes that it is a global consensus that mental health care should be undertakencollaboratively, no matter where the patients live, and in the least restrictive environment (World Psychiatric Association, 2009, p.159).I agree with the in a higher place statement, as I work as a mental health consultant and psychiatric nurse. There is not enough being done to serve the patients and their families in seeking psychiatric care and providing a continuum of care. It continues to be a disfigurement that needs to be addressed globally, so that the patients who are in cessation need of care are able to receive it. This includes medication, behavioral management, and psychotherapy by specialists in the fie ld. Throughout my many years of practice in the mental health field, I have witnessed so much neglect instilled on the mentally ill patients. Many facilities have closed down, and in particular one research facility called the Lafayette Clinic which was linked to Wayne State University in MI, closed due to the government not prioritizing mental health in their budget. As a result, thither are more homeless residents living on the streets and not being treated for their mental illness until whateverthing happens. At times, people who are living on the streets become loud, argumentative, and combative, hallucinate, injure someone, or themselves before any action is taken. I firmly believe in the stand of the MHCLN in helping to decrease the stigma of mental illness, as well as reducing patients symptoms by providing a means for treatment.Education and research are a tonality source, as well as funding for the above to happen. Merritts paper represents a stepping stone in my opinion to many patients that are out there suffering and being belittled by their mental illness. The use of Peplaus interpersonal relations theory if placed fully into practice can help patients adjust to their mental illness, and through education they would be able to have somewhat of a grasp on their illness, the importance of taking their medications, and perceive a psychiatrist and/or psychologist on a regular basis. Once stabilized, the mental health patient can reap the benefits of engaging in a more normalized lifestyle and have a smash chance of adjusting to the roles that are not always able to participate in. This paper provides good insight into Peplaus interpersonal relations theory. The methodologies utilized provide patients with an avenue to work through their psychological distress, and adjustment to changes that occur as a result of their illness.More research and education is necessary to provide the interventions that arenecessary in stabilizing the patients who suf fer from mental illness. The nurse is of key importance in facilitating this process with the patient and their families, as well as the psychiatrist, psychologist, social worker, recreational therapist, and mental health worker. In comparing Hendersons article to Peplaus article there is some correlation as to the importance in working with families, as well as the patient who is also stressed. In Nicelys article, the donor patient is usually deceased, or if not deceased, the nurse works with twain the patient and the family. Hendersons theory allows the nurse to be patient as well as family focused.In Merritts article, it is both important for the nurse to work with the patient and family as well. In both articles, I feel that the nurse serves as an advocate in different ways, one from a medical perspective, and the other from a psychological perspective, however these can be intertwined as the families who lost a loved one due to brain death and a transplantation will occur, al so need emotional support. Nurse-patient relationship encompasses many strategies throughout both articles. In Peplaus psychodynamic nursing theory four phases of a nurse-patient relationship are identified orientation, identification, exploitation, and resolution. By utilizing these phases, it will allow a nurse to better identify, respond to patients need, and build trust. Both articles stress the importance of nurses in different types of roles, one as an organ donation coordinator, and the other as a mental health liaison or consultant providing psychological and emotional support to families.ReferencesMerritt, M. K. & Procter, N. (2010). Conceptualizing the functional role of mental health consultation-liaison nurse in multi-morbidity, using Peplaus nursing theory. Contemporary Nurse 34(2). 158-166. https//lmscontent.embanet.com/MVU/NURS600/Readings/W3_Peplau.pdfNicely, B., & DeLario, G. T. (2011). Virginia Hendersons principles and practice of nursing applied to organ donation after brain death. Progress in transplantation, 21(1), 72-77. https//lmscontent.embanet.com/MVU/NURS600/Readings/W3_Nicely2011.pdf
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