Question

1. Your nursing class is debating the issue of the usefulness of grand theories in current practice. Make a case for the applicability of grand theories in modern nursing and describe how nurses can use the original nursing theory—Nightingale's environmental theory—in the following settings: a. Critical Care Unit b. Emergency Department (ED) c. Home Health 2. You are providing care to a patient with chronic obstructive pulmonary disease (COPD) who has been readmitted 3 times within the past month for difficulty breathing. Explain how you would apply Peplau's interpersonal theory to help this patient prevent complications and promote self-management of his disease. 3. For the same patient described previously, how would you apply Orem's self-care deficit theory to help the patient? Compare and contrast the use of Peplau's and Orem's theories for this patient.

Answer 1

Answer :

Q. No.1. Answer :

Florence nightingale environmental theory, according to her given importance to the light and ventilation, adequate nutrition, hydration, clean air and temperature, humidity, quite, during providing care to the clients.

This theory in critical care unit :

* the nurses will provide calm and quiet environment to the clients.

* they maintain aseptic techniques.

* provides fresh air to client by maintaining exhasters.

* provides warmth ness, by providing adequate temperature.

This theory in emergency department :

* they can provide the adequate warmth, cleanliness, fresh air, light.

* quite may be not available because, there is a rush in emergency department, due to all types of cases are emergency .

This theory in home health :

* in the home they can provide fresh air by opening doors and windows.

* warmth ness by providing blankets.

* quite environment by avoiding making noise.

* adequate nutritional supplementation can give according to dietitian order

* cleanliness also they can maintain.

Q. No. 2. Answer :

Papleus interpersonal model or theory like maintain nurse patient relationship.

* it is depending on values, cultures, beliefs, and past experiences of nurse and client.

* according to this theory as a nurse

* I will educate regarding cessation of smoking and avoiding of alcoholism, which may increases the copd.

* explain regarding exposing to cold environment and passive smoking.

* according to their values and cultures I will explain to fallow good dietary habits.

* I will explain regarding previous suffered people due to the bad habits which will cause for cops.

* maintain semifowlers position while sitting to maintain normal breathing pattern.

* breathing and coughing exercises daily.

* taking steam inhalation and mobilization when ever needed.

So like this I will educate to self management of his disease.

Q. No 3. Answer :

* when self care capacity reduced by self care agency the self care demands may come to the clients.

* these self care demands full filled by nursing agency.

* through health care services to the needs and demands of clients.

* services like Fowlers position keeping.

* providing mobilization and steaminhalation.

* encouraging breathing and coughing exercises.

* oxygen administration on demand.

These are the activities done by nursing agency.

When comparing to the paplues interpersonal theory, in that theory we are educating only, but in self care deficit theory providing care also.