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APPLICATION OF

THEORIES
The Medical/Surgical Client with
Complex Health Problems
S. Beydoun MSN RN

Relating principles & concepts of :

Stress theory
Change theory
Learning theory
Caring theory
Culture
Self-awareness

Self-Concept
What is it???
Self-awareness?? Does it play a role on
the patients ability to manage his or her
disease states??
Refer to Berman & Snyder ch. 39 p 1022

Stress theory
Nurses need to assess:
Type & number of stressors
The stage of development
Current stress management techniques

RN Role & Stress


Improving the SCA & overcoming the
SCDs due to stress

Question???
How do nurses assist the client in
improving the SCA?

STRESS

THREAT
ALARM REACTION
STAGE OF RESISTANCE
STAGE OF EXHAUSTATION

Refer to Berman & Snyder ch 42


pp.1079-1082

STRESS
Benefits

Hazards

CHANGE THEORY
3 Stages
Resistance
Adapting to change
Acceptance

Refer to ch. 28 Berman & Snyder pp. 528529

RN IMPLICTIONS & CHANGE


THEORY

Planning is the key to success!!

How?
Allow client to verbalize feelings
Focus on strengths
Focus on benefits of change
Give positive feedback

LEARNING THEORY
What is learning?
How can nurses facilitate learning?
How can learning be affected?? (look at
patient)??????
Refer to nursing 155 M 1.2 and Berman
& Snyder ch. 27 teaching

OVERALL GOAL FOR LEARNING

Increase the SCA (Orem)


How can learning benefit the SCA?

NURSING IMPLICATIONS IN THE


LEARNING PROCESS:
Assess motivation & readiness
Get active ParticipationHow?
Practice makes perfectgive positive
feedback

CARING THEORY
Chapter 3 (Berman & Snyder) p. 47-48
Chapter 25 (Berman & Snyder) p. 449-60)

What does it mean?

TYPES OF CARING
Professional

Personal

Culture
Chapter 3 p. 47 & ch 18 pp.319-332
(Berman & Snyder)
Review nsg 126 content if needed

Can a persons culture impact the way


he/she manages their disease states i.e.
diabetes??? HTN????
What is culture??

Nursing process-Berman &


Snyder Text

Concept Map VS Linear Nursing Care


Plan (chapter 10)
Review Nursing 155 Module 1.1 nursing
process ( chapters 11-14)
Prioritizing
Recognizing the relationships among the
NANDAS

Nursing Process (cont.)


Requires use of critical thinking---need to
interpret data collected
Is there a relationship between concept
mapping and critical thinking???
Read Berman & Snyder ch. 10 pp. 168173

As Always!
Look at chapter reviews related to content
presented