Question

you are providing care to a patient with COPD who has been readmitted 3 times within the past month for difficulty breathing , explain how you would apply peplaus interpersonal theory to help this patient prevent complications and promite self management of his disease

for the same patient described previously, how would you apply oreme self care deficit theory to help the patient? compare and contrast the use of peplaus and orems theories for this patient

Answer 1

Peplaus theory on interpersonal relationship starts from orientation, identification, exploitation and finally termination from Health care professionals (nurses) and patients are able to manage by self

• Maintain a good,friendly professional relationship with the patient ,so that the patient actually comes out with the problems to be discussed and funding a solution.
• Identify the key factors for this patients repeated admissions (medication, triggers, comorbid conditions, family support,lifestyle smoking, alcohol, substance abuse,age,knowledge about the disease conditions and its prognosis, care  )This helps the nurse to identify where the patient lacks and support needed
• Exploit the patient by health educating on the management of acute symptoms or attacks.This can modify the patient's behaviour and get used with the treatment and self care
• Here at this stage the patient shoukd be completely aware of managing the COPD.There comes the termination or end of relationship with the nurse.

Oreme's self care deficit theory is one of the part which describes the need of a nurse to a patient who is unable to care for self.It acts in 5 ways and can be used for this patient in the following way

• Helping patient to breath easily (oxygen,mefication,nebulization)
• Guiding them to use the inhaler in the right way, monitoring and teaching the breathing exercises
• Support them psychologically and physically
• Make sure the environment is comfortable and will ease patient's respiratory status
• Teach or health educate the patient and family member in regards to care and support

Both the theory states how a patient has to be cared and this improving the quality of care delivered and enhancing patient recovery

The main contrast is in Peplau"s theory patient is able to self manage where as in Oreme's theory a support of a nurse is required.