Review of patient's chart or report; keen interpersonal sensitivity before actual meeting
lets you be reflective of professional purposes and possible biases. Peplau's
Interpersonal Nursing Theory: Orientation
The nurse nurtures ease in conversation with your patient, and the trust leading to
deeper levels of communication. Peplau's Interpersonal Nursing Theory: Working Phase
Together work to help them find the best solution or solutions that work for them.
Involve them in deciding what needs to be done to reach therapeutic goals and
participate in carrying out the activities.
reviewing together the patient's responses to treatment and what goals have been
,achieved; reviewing instructions and newly developed skills; identifying support
systems
Erikson's Ego Development Model (1980)
Acceptance of ones life cycle. Nurses can help frame the older adult's illness story and
encourage them to them reflect on the personal meaning of life
Stages of Psychosocial Development
-trust vs mistrust
-autonomy vs shame and doubt
-initiative vs guilt
-industry vs inferiority
-identity vs role confusion
-intimacy vs isolation
-generativity vs stagnation
-integrity vs despair
Increases in complexity
Miller's functional consequences theory
emphasizes those needs specific to the older adult. It states that the older adults ability
to maintain maximal self care is influenced by the interaction of normal age related
changes and additional risk factors encountered by the individual
Elder Abuse and Neglect
-Abuse of older adults, usually by those entrusted to care for them
-Major threat to safety and well being of older adults; a problem which is difficult to both
identify and treat
-Diminished mental capacity compromises an older adult's ability to understand what's
happening or stop the abuse
- If abuse or neglect is suspected the nurse must report it to appropriate social and legal
protective services
Types of Abuse
, Elder abuse may manifest in a variety of ways. These include:
physical abuse - the infliction of physical injury or pain
psychological/ emotional abuse - undermining a person's sense of identity, dignity and
self-worth
sexual abuse - sexual behaviour directed at an older adult without their full knowledge
or consent
financial abuse – misusing of funds and assets without full knowledge or consent or not
in that person's best interests
neglect – intentionally withholding or not providing basic necessities or care, because of
a lack of experience, information or ability
Stress Frameworks: Biological theories
A. Systemic Physiological Response
B. General Adaptation Syndrome (GAS)
C. Allostasis
Stress Frameworks: Psychological
A. Critical Life Events
B. Transactional Model
systemic physiological response
-Stress was described by Walter Cannon 1932 as a systemic physiologic response to a
perceived threat.
-When people feel physically well, emotionally centered and personally secure they are
in a state of dynamic equilibrium or homeostasis.
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