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When adapting nursing care for particular clients, it is important to consider applicable theories used in guiding practice. Hans Selye's theory of general adaptation syndrome or stress response for instance, is helpful to consider when caring for patients whose challenges may be partially caused or exacerbated by many overlapping factors within both the internal and external environments. Important also to nursing is the metaparadigm which forms the framework of nursing theories. The metaparadigm for nursing revolves around the concepts of the client as recipient, the environment, health, and nursing, all of which can be used in discussing any nursing endeavor (Berman and Snyder, 2012, Chapter 3, p. 41).
Selye's study of stress and the body's natural responses to factors which cause “stress” or “stressors”, led to his establishment of the theory of “general adaptation syndrome” due to an observed pattern of responses common to exposure to any form of stress (Selye, 1950). Within Selye's idea of general adaptation syndrome he differentiates three stages of response undergone when encountering a stressor (alarm, resistance and exhaustion) as well as some of the physical symptoms which have come to be associated with experiencing general adaptation syndrome (Selye, 1950). The physiological changes occurring in the body are due to the effects of sympathetic nervous system activation and the release of hormones which prepare the body to take action, or to “fight or flight”. This process occurs regardless of the stressor encountered. Since the effects of general adaptation syndrome are so widespread in the body, they can be responsible for many different degrees of illness.
As one can imagine, the clients seen by nurses all ex...
... middle of paper ...
...sing interventions are based on assessment of the client and are enacted to promote the health of the client and help prevent future progression of cardiovascular complications.
References
Berman, A., & Snyder, S. (2012). Kozier & Erb's Fundamentals of nursing Concepts, process, and practice (9th ed.). Upper Saddle River, NJ: Pearson Education, Inc.
Franco, G. P., De Barros, A. L. B. L., Noguiera-Martins, L. A., & Michel J. L. M., (2003). Stress influence on genesis, onset and maintenance of cardiovascular diseases: Literature review. Blackwell Publishing Ltd. Journal of Advanced Nursing 43(6), 548–554
Selye, H. (1950). Stress and the general adaptation syndrome. June 17, 1950, British Medical
Journal, 1383-1392.
VanMeter, K. C., & Hubert, R. J. (2014). Gould's pathophysiology for the health professions
(5thed.). St. Louis, Mo: Saunders, Elsevier Inc.
The term ‘stress’ was generally thought to have been a concept created by Robert Hooke in the 17th century. He worked on the design of physical structures, such as bridges; his concept of stress came from how much pressure a structure could withstand. However, Lazarus (1993) pointed out that the term ‘stress’ has been used as far back as the 14th century, when it meant hardship or adversity. Back then it referred to the external stressor, such as the death of a spouse or financial worry; in the 20th century, there are many different schools of thought on this area. Hans Selye (1956), brought together the work of Cannon and Bernard and devised a comprehensive system of physiological stress; which he termed the ‘General Adaptation Syndrome’, and is a 3-stage process. He theorised that a certain level of stress called ‘eustress’ (Cox, 1978) could actually be beneficial to our overall performance. Later In 1976, Cox & Mackay devised another model called the ‘Transactional model’. This model takes into account the individual differences in the perception of the amount of stress experienced by the person. The main difference between these two models is that Selye’s model only accounts for the physiological side of stress, whereas Cox’s model takes into account both the physiological and psychological aspects of stress. Therefore, both models will have slight similarities and differences in their explanation for how stress occurs in individuals, which is the main focus of this essay.
These four concepts play a very important role throughout the care in every single patient we are in contact with. The concept of person is used to represent each individual patient, such as a man or a woman (Chitty & Black, 2014). In the nursing profession, we know that every person is different in their own way from many different factors such as, genetics and environment. As a nurse, we incorporate the different factors that make a person who they are today. According to Chitty & Black (2014), the concept of environment includes all the influences or factors that impact the individual. The environment plays an important role in either promoting or interfering with the patient’s health. The environment can consist of many different systems, such as family, cultural, social and community systems. All these different systems can play a role in the patient’s health. The third major concept of the metaparadigm is health. The concept of health varies from person to person and day-to-day with many different factors included (Chitty & Black, 2014). Health includes every part that makes a person whole, which includes being able to perform their everyday tasks in life effectively. The last concept of the metaparadigm is nursing. Nursing, being the final concept includes all the previous concepts of person, environment and health to create a holistic approach (Chitty & Black, 2014). The holistic approach promotes the well-being of the mind, body and spirit in our
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).
A metaparadigm is an overarching framework that provides a comprehensive perspective of a discipline. In nursing, this framework serves to distinguish the profession intellectually, comprising of four concepts which provide a foundation to the content and context of nursing theory and scope of practice (Lee & Fawcett, 2013; Masters, 2014; Schim, Benkert, Bell, Walker, & Danford, 2007). Namely, these foundational concepts are: person, environment, health, and nursing. Hence, the intent of this essay is to describe the four main concepts that make up nursing’s metaparadigm and discuss how they are used in practice, education and research.
Patton, D. (2004). An analysis of Roy’s Adaptation Model of nursing as used within acute psychiatric nursing. Journal of Psychiatric & Mental Health Nursing, 11(2), 221-228.
The development of nursing theories has provided a perspective in which one can define the purpose of nursing, when nursing is required, and establish the parameters and goals of therapeutic nursing activities (Ahmed,2001). A nursing theory is defined "as concepts, definitions, relationships, and assumptions derived from nursing models or from other disciplines and project a purposive, systematic view of phenomena by designing specific inter-relationships among concepts for the purposes of describing, explaining and predicting the phenomena of nursing” (Boxer & Jones, 2010). In addition, nursing theories provide frameworks through which nurses can examine various situations. As nurses encounter new situations, these frameworks provide a structure for organization, analysis, decision making and communication (Ahmed, 2001). The following paper will discuss the middle range nursing theory of Family Stress and Adaptation by Geri LoBiondo-Wood, and how it relates to patient care and guides nursing practice.
The metaparadigm encompasses the major philosophical orientations of a discipline, the models and theories that guide research, and the empirical indicators that operationalize theoretical concepts. The purpose or function of the metaparadigm is to summarize the intellectual and social mission of the nursing discipline and place boundaries on the subject matter of that discipline (McEwen & Wills, 2014). The four metaparadigm of the discipline of nursing are person or client, environment, health, and nursing (Parker, 2001). A person or client is the recipient of nursing care. The environment is the internal or external surroundings that affect the client. Health is the degree of wellness or well-being that the client experiences. The nursing concept refers to the attributes and actions
Stressors initiate a response within the organism and causes changes in the body, specifically responses in the body’s autonomic nervous system. The autonomic nervous system has two branches: the sympathetic and parasympathetic autonomic nervous system. The sympathetic autonomic nervous system helps the body deal with the stress it encounters, initiating the ‘fight or flight’ response. Once the threat has passed, the parasympathetic autonomic nervous system will take over, relaxing the body. There is a balance between these two in a healthy person. However, when someone stays on guard, using the sympathetic autonomic nervous system, all sorts of physical effects can
Hans Selye’s General Adaptation Syndrome Model was created by Hans Selye in 1936. The Hans Selye’s General Adaptation Model states that when a stressful event occurs, it acts as a stressor causing one’s body to react to it through three stages if it is not removed. The three stages are alarm stage, resistance stage and exhaustion stage.
The nursing metaparadigm consist of the person, environment, health/illness, and nursing (Creasia &Frieberg, 2011). Persons are those individuals receiving nursing care, such as patients, families and communities (Creasia &Frieberg, 2011). Environment refers to the setting where nursing care is provided, as well as the surroundings and internal factors affecting the client (Creasia &Frieberg, 2011). Health and illness refer to the state of well being of the person and nursing refers to the actions taken to provide care for the person (Creasia &Frieberg, 2011).
The nursing profession has develop gradually and greatly over time, moving from one concept to another dependence upon total medical direction providing basic care into an independent practice modality with its own nursing theory practice, nursing models, and distinct nursing interventions. Nursing theories have been developed by a large number of leaders in the nursing field; Ms Roy is a major contributor to the development of professional nursing practice, she is famous for the adaption theory.
In health care, there are many different approaches throughout the field of nursing. When considering the field of family nursing, there are four different approaches to caring for patients. This paper will discuss the different approaches along with a scenario that covers that approach. The approaches that will be discussed include family as a context, family as a client, family as a system, and family as a component to society. Each of these scenarios are approach differently within the field of nursing.
The Theory of Caregiver Stress was a significant breakthrough for the reasoning of why caregivers are so deeply affected by this job. “The Theory of Caregiver Stress was derived from the Roy Adaptation Model to use as basis in understanding the relationships among caregivers and the stress faced when caring for a chronically ill relative” (Tsai, 2003). The Theory of Caregiver stress is a middle-range theory used to predict the outcome for stress and other various side effects (Dobratz, 2011). These adverse effects are predicted by: Demographic Characteristics, Burden in Caregiving, Stressful life events, Social Support and Social Roles. Also, because of the multitude of different scenarios and background for both the patient and the caregiver, these categories are necessary to compare and effectively use the results. The theory makes four main assumptions regarding adaption: “environmental change; the caregivers’ perceptions will determine how they will respond to the environmental stimuli; the caregivers’ adaptation is a function of their environmental stimuli and adaptation level, and lastly the caregivers’ effectors are results of chronic caregiving such examples include marital satisfaction and self-...
The phenomenon of stress is presented in our lives more and more strongly. In the media, on the internet or at the doctor, we hear about it constantly. But what exactly is this phenomenon? “A large number of studies during the past several decades have explored relationships among environmental stimuli, psychological processes and organismic responses. Those studies that have investigated the various ways in which environmental changes or the perceived threat of such changes lead organisms to make specific adaptive responses are often subsumed under the rubric of stress research.”( Field, Mccabe, Schneiderman, 1985).
Stress is a normal physical response to events that make one feel threatened or upset one’s balance in some way. It comes to us naturally, when we need it. When working properly, it helps one stay focused, energetic, and alert. In emergency situations, stress can save people’s lives; such as with the fight to flight response. So in situations it comes upon us to benefit us and to be helpful. The stress response also helps one rise to meet challenges, and also helps keep one’s concentration. Although stress can be good, beyond a certain point, stress stops being helpful and starts causing major damage to a person’s health, mood, productivity, relationships, and their overall quality of life (www.helpg...