NursingCare
NursingCare
Actualizationof Parse`s Theory of Human Becoming
Parse`s Theory of Human Becoming reiterates the obligation of nursesto put emphasis on the quality of life as it has been described andlived. The theory presents an alternative to the conventional methodsof nursing which are the bio-medical approaches and thebio-physico-social-spiritual perspective (Fawcett &Desanto-Madeya, 2012). The quality of life is viewed from everyindividual’s perspective. In the case presented, the nurse canactualize the theory by enabling Ann to find meaning in her life.Particularly, there is the aspect of finding value in everything thatsurrounds Ann. For example, they used to enjoy horse riding and wasengaged in different activities. Parse’s theory assumes that bothhuman and becoming is unitary (Fawcett & Desanto-Madeya, 2012).Because of the same, it is essential to have the nurse create theenvironment where the patient can have the experience that shedesires to have. For example, Ben is noticed taking Ann’s handsinto his as they recall they period they used to enjoy together. Itis essential for the nurse to encourage the same through theactualization of Parse’s theory of human becoming.
Understanding of Transcendence
The knowledge of the concept of transcendence is essential in guidingthe nurse as the death of Ann becomes a reality to Ben. For example,as Ann is passing on, she tends to speak with Ben and inform her afew words of wisdom. The knowledge of transcendence enables the nurseto comprehend the entire process. Also, the understanding is helpfulin making the nurse acknowledge the reality of Ann having to come toterms with the fact that death is inevitable and it is right for herto accept the same. Ann has accepted death as part of life. Becauseof the same, it is essential that the nurse acknowledges the same andinstead support the patient in her dying wishes. The understanding isa vital aspect that ensures Ann’s transition is smooth.
TheFocus of the Nurse as Ann`s Body was Transitioned to the Mortuary
The focus of the nurse is to ensure that they provide support to Benand any other family member who will be present at the scene.Further, the nurse will take the initiative of ensuring that thewishes of Ann are met. It will be up to the nurse to honor the wishesof Ann but after consulting with the husband. Notably, if there wereany legal obligations to be met, the focus of the nurse is to ensurethat they are met to avoid any issues emanating. The objective is tosee to it that the death of Ann is honored by respecting all of herwishes. Additionally, the nurse will focus on ensuring that thedignity of Ann is respected throughout the entire process as she istransferred to the mortuary. Finally, if there were any belongingsfor Ann, it is the duty of the nurse to ensure that they arereturned, in this case to Ben.
Self-careTheory
The case presented negates the need to apply the self-care theory. Itis a grand theory that reiterates the need for patients to beself-reliant and independent. The theory which is applicable in aprimary or rehabilitation setting is essential in emphasizing thatpatients are in-charge of the condition that surrounds them(Alligood, 2014). In the case presented. Ann could be encouraged totake responsibility for her life and fight towards getting better.The nurse would take the responsibility of guiding the patient andempowering her to be independent and focus toward her recovery. Thetheory, proposed by Dorothea Orem is applicable in the case presented(George, 2011). It bestows the patient with the responsibility ofensuring that they recover from the condition that is affecting them.The guidance provided by the nurse will supplement the independentapproach adopted by the patient in working toward her recovery.
Planof Care
NursingDiagnosis
The patient has been diagnosed with acute pain.
SupportiveData
The patient reports pain that is in the range of 8-10 on a scale of0-10. The patient encounters pain with an increase in the bloodpressure. Patient has a problem focusing on other aspects except forthe pain.
Goals
To help the patient encounter a reduction in pain. The report on ascale should reduce to 2-4 on a scale of 0-10.
GoalAttainment
There was a partial improvement especially with the administration ofintravenous medication.
NursingIntervention
The provision of IV medication periodically to help the patient inreducing the pain. The pain was discussed with the patient as a wayof monitoring the condition and progress on the same. Administrationof the prescribed medicine to help in the improvement of thepatient’s condition. Instruct the patient on how to manage the painthrough self-care.
ScientificRationale
The pain can be attributed to the damage that has happened to thenerves. Signals that are sent to the brain make the patient feel thepain as being real. The administration of IV medication will beessential in helping manage the pain.
Evaluation ofIntervention
The patient reported a reduction in pain with the introduction of theintervention. The self-care management approach was instrumental inhelping the patient manage the condition on a personal level.
HarryStack Sullivan
Harry Stack Sullivan has contributed to the advancement of knowledgein multidisciplinary teams through the Sullivan theory. The theoryreiterates the significance of developing interpersonal relationshipswith the people around. The theorist insists the importance ofinterpersonal relationships and the social experiences in definingpersonality. It is vital to acknowledge the importance ofinterpersonal relationships in advancing knowledge in themultidisciplinary teams. The relationships created are essential inmotivating the execution of goals that have been set bymultidisciplinary teams.
The theory is particularly useful when it comes to enhancing theentire concept of communication. For example, when a particular teamis dealing with patients suffering from a given condition, it isessential that they work in unison to ensure that they achieve thebest patient outcomes. Sullivan (2013) acknowledges the significanceof the theory in improving communication between teams which isessential for the attainment of the identified goals.Multidisciplinary teams focus on the need to build cohesion amongstthe different groups. The theory has been applicable in improvingcommunication by encouraging self-disclosure amongst betweenindividuals. Derlaga and Berg (2013) reiterate the need to haveself-disclosure which is essential in building cohesion and enhancecommunication among different groups. Sullivan’s theory has beenapplied in ensuring that the multidisciplinary teams work in unisonby open to each other. The need to develop interpersonalrelationships is essential in helping the multidisciplinary teams towork together.
For example, in a practice setting, there is a patient who isadmitted to the ICU. The patient is attended to by different medicalprofessionals. The communication between the team is vital for therecovery of the patient. The nurses and team of doctors attending tothe patient must communicate effectively for the attainment of thebest patient outcome in the ICU.
References
Alligood, M. R. (2014). Nursing theorists and their work.Elsevier Health Sciences.
Derlaga, V. J., & Berg, J. H. (Eds.). (2013). Self-disclosure:Theory, research, and therapy. Springer Science & BusinessMedia.
Fawcett, J., & Desanto-Madeya, S. (2012). Contemporary nursingknowledge: Analysis and evaluation of nursing models and theories.FA Davis.
George, J.B. (2011). Nursing Theories: the base for professionalnursing practice. (6th ed.). Upper Saddle River, NJ: Pearson.
Sullivan, H. S. (2013). The interpersonal theory of psychiatry.Routledge.
By