“Elaine” is a 34-year-old white female patient with an extensive medical history. She has a history of seizures, uncontrolled diabetes since the age of fourteen, neuropathy, fibromyalgia, COPD, Sleep Apnea, and is currently suffering from two venous ulcers on her feet. She came to the ER one week ago with nausea and vomiting and was found to be in Diabetic Ketoacidosis and her wounds had become infected. She spent three days in the ICU and for one day was ventilated. She was then sent out to the Medical/ Surgical for further management 3 days ago.
After several days of working with me the patient’s states “I know I haven’t taken very good care of my body, but I would like to start doing that now. I have not even tried to manage my diabetes
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The whole patient is worth more than the sum of the parts. Furthermore Frisch says that the Modeling and Role Modeling theory includes several different theories. One such theory that is used is Maslow’s Hierarchy of needs. Maslow’s Hierarchy is a triangle that implies that one must meet the basic physiological needs before one and move the triangle and ultimately satisfy their spiritual self. This model has five tiers, physiological needs, Safety, belonging, esteem, and self-actualization. If the patient’s physical needs are not being met, then the patient is unable to feel safe and secure (Frisch 2013). If the patient does not feel safe and secure then a trusting and therapeutic relationship cannot be made with the nurse; therefore, education and goal setting cannot …show more content…
Erikson’s theory is a psychoanalytic theory, which identifies eight stages through which a healthy developed person should pass through from infancy to late adulthood. Each stage requires that a person confront and master new challenges. The nursing process demands that an interactive and trusting relationship exist between the nurse and the client. The Modeling and Remodeling Theory states that a pathway should be followed when caring for the patient. First a nurse must build a positive and trusting relationship with the patient. Secondly the nurse should allow the patient 's to control and to promote the strengths that the patient feels they are most comfortable with. Finally, when all of these steps have been met the patient and nurse can set mutual goals that direct the patient’s health in a positive direction (Frisch
A pyramid was proposed by an American psychologist, which came to be know as “Maslow’s Hierarchy of Needs.” This concept that he brings through this theory is that to move up in human existence, in consciousness, we must first fulfill our needs based in order of their importance for our survival. If we are lacking security and safety we will not seek out, maybe even be unable to recognize, possess, or reciprocate, love.
Maslow’s theory is simple, if your basic needs our met you will strive to achieve your next level of need. As you achieve human needs you will desire greater needs until you reach self- actualization or transcendence. Throughout this paper first I will be discussing Maslow’s theory and the different levels of achievement. As well as the changes he made to his theory in the 70’s. I will talk about the grouping for these achievements and where they fit in the hierarchy of needs. Secondly, we will talk about how Maslow’s theory motivates and how we use it in our careers. Lastly, I will bring up how this theory fits into the fire service. I will also show how to use it as a motivational tool as a manager. In my conclusion I will discuss the differences we can make just by fallowing this platform of motivation to create the most motivated firefighters.
Many theorist throughout the nursing history have provided concrete ideas to improve patient outcomes by providing quality of care. One theorist used is the Maslow’s Hierarchy; which focuses that an individual basic needs must be met before any other need.
During one of my rotations, I was assigned a young adult patient who had run out of insulin and had been admitted to the hospital following a Diabetes Ketoacidosis (DKA) episode. I realized that my patient was probably torn between buying insulin and buying healthy food because her chart showed several admissions in the past following the same problems. This particular patient was in her room, isolated in a corner, and she was irritable. As her student nurse, I was actively involved in her care; I was her advocate for the day. The patient lived with her single mother and worked at a fast food restaurant. Since this was my first time dealing with a patient with DKA, it became a definite challenge for me.
My philosophy of nursing is based on Erickson’s Theory of Modeling and Role-Modeling, which allows me to incorporate the patients’ needs into my plan of care. In order to have an effective and thorough plan of care, I must take the time to get to know the patient. Once I have built a rapport and trusting relationship, I can help meet the patients’ needs by implementing a plan of care with reachable goals. These reachable goals will be set and agreed upon by the nurse and patient. Not only is it important for the nurse and patient to establish individualized reachable goals, but it is important for the nurse to also have goals. The nurse may have personal and professional goals. My goals are to continually find, propose, and implement ways to make the
From the time of birth to the time of death, every single thing that happens in all creatures is based on cause and effect. For every action there is a reaction. Life itself is the domino effect. When something happens, there are various things to follow. When one possesses bad moral qualities, it can lead to bad behaviors that are often called vices. No matter what one believes in, he or she most definitely has a moral code. Whether it may be the "Ten Commandments", "Al Kaba 'r", or one 's own personal set of rules, there is always something to follow. Envy, in many instances considered the least profitable vice, seems to be one everyone succumbs to. Through idleness and an excess of curiosity, envy continuously infiltrates life today.
Nursing in this theory is described as an art that helps individuals who are in need of health care, and goals are attained threw following a series of steps in a pattern. The nurse and the patient have to work together threw this process to achieve said goals. The Theory of Interpersonal Relations is a process that starts with the roles of the nurse, and those roles began with the nurse as a stranger, teacher, resource person, counselor, surrogate and leader (Nursing Theories, 2012). The theory begins with the role of the stranger, which is defined as the introductory phase and is an environment where about the patient is meeting the nurse and developing a trusting relationship. The nurse as a teacher allows the nurse to provide knowledge and information on a particular interest while the resource person provides specific information to a problem or situation. As counselors the nurses help to make life decisions and provides guidance. The surrogate role acts as an advocate on the patients’ behalf, while the role of the leader has the nurse assuming most of the responsibility to help patients meet treatment
According to Robbins et al; (Robbins et al, pg 296) motivation refers to the process by which a persons efforts are energized, sustained, and directed towards a goal. This definition has three key elements: energy, direction, and persistence. Motivation is a complex and important subject, has historically been given a great deal of attention by Psychologists, who have proposed theories to explain it. (Riggio, pg 188),
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
Virginia Henderson developed the nursing need theory, which focuses on increasing the patient’s independence to speed up the recovery process (Alligood and Tomey, 2009). This is where my theory begins to connect with hers. Our main duty as nurses is to provide care for the patient while they are unable to care for themselves and facilitate them to be the best individual they can be. For this reason nursing is both a science and an art. It is a science in that nurses must understand the disease processes that are affecting the patient’s health, they must also practice based on evidence that is defended by science, and know how to operate equipment and machines. However, it is an art because it requires unique care for each patient, and each nurse is going to provide care in a slightly different way. The nurse is responsible for following the health care providers plan of care, but the nurse provides the creativity that provides the individualized care. The ultimate goal of nursing is to provide care to facilitate the patient in retaining or maintaining their maximal level of
It adds to both the patients’ well being and their health. Conflict can hinder these collaborative nurse- patient relations by not permitting the nurse to wholly support the patient in achieving the patient’s health goals. It necessitates individuals to work closely with others who have diverse backgrounds or philosophies and, hold diverse principles that can potentially result in conflict. Accordingly, Imogene King 's theory, the theory of goal attainment and nursing process focuses on assisting patients to attain and sustain their goal health. King 's theory suggests an "individual touch" within itself. Nurses always speak with patients for the assessment and evaluation of the perceived problem, developing a communication towards a mutually decided upon goals. These goals will be accomplished by the patient through the support of a nurse that will restore the patient 's well-being and will later on result in the patient 's ability to function and sustain "goal”
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
Many persons go into the healthcare ground because they want to work with people. For these nurses, it is the nurse-patient relationship that is one of the most significant things. By understanding the nurse-patient relationship, nurses can be better furnished to work with their patients and, eventually, deliver superior care for them. Hildegard Peplau's model of nursing emphases on that nurse-patient relationship and recognizes the diverse roles nurses take on when working with patients.
Maslow’s Hierarchy of Needs Theory can explain the manager’s actions. Specifically, the lower-order need Safety. The manager acted out in order to protect the stability of the company and prevent employees from eating food for free. Under Alderfer’s ERG Theory the manager was acting out of protecting his growth needs. As he was attempting to stop a behavior that tarnishes his work record and prevents him from receiving a bonus. Subject to McClelland’s Acquired Needs Theory the manager catered to the Need for Achievement. The manager was attempting to solve a problem with his workers by enacting a new rule. Motivator Factors under Herzberg’s Two-Factor Theory explains the manager’s decision as well. He took action in order to receive recognition
Abraham H. Maslow developed the Hierarchy of Needs model between 1943-54 in USA, and this theory remains valid even today for understanding human motivation, management training and personal development. (4) A. H. Maslow first introduced his idea of hierarchy of needs in his paper “A Theory of Human Motivation” and his succeeding book Motivation and Personality in 1943. He stated that people are motivated to achieve certain needs and they are intended to fulfil basic needs before moving on to other, more advanced needs and when one need is fulfilled they move on the next one, and so on. Maslow’s Hierarchy of Needs includes five motivational needs, often displayed as a hierarchical pyramid with five levels. This five level model can be divided into basic needs or deficiency needs and growth needs. The four lower levels are considered basic needs and the top level is considered growth needs. The five different level of hierarchy of needs are: