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Introduction on human nature
The nature of human nature
Introduction on human nature
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As humans are living entities, one will experience that we constantly strive to achieve balance to be able to function within one’s current environment. One may be aware or unaware of the never-ending changes made in order to achieve homeostasis within our environment, internal or external. In Sister Callista Roy’s Adaptation Theory it is said that, “Between the system and the environment occurs an exchange of information, matter, and energy” (Gonzalo, 2011, para. 1). In Roy’s theory the five major concepts include: the environment, health, person, nursing goals, and adaptation. I feel the most important major concept is the adaptation portion of the theory. Adaptation is the primary bases of the theory and has four parts: physiological, self-concept, role, and interdependence. I have utilized Roy’s theory into my own nursing practice in order to identify stimuli that the patient is experiencing within his/her environment. When a stimulus within the patient’s environment is present the patient will use coping mechanisms in order to gain a sense of balance with in the present changes that they might be experiencing.
As a nurse on an acute behavioral health unit, a majority of my patients come to the hospital on a voluntary status to withdraw from a chemical that one is addicted to. We offer a medically supervised detoxification program for the chemically dependent. Most of my patients are chemically dependent to alcohol, heroin, methamphetamines, marijuana and prescription medication. Upon admission for detoxification, the patient’s environment changes immediately. Environment is the first major concept in Roy’s theory, circumstances and conditions are different in the hospital compared to a patient’s daily living surroundings. Ch...
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...s all that is occurring, to practice gaining insight into their illness. When a patient has insight they will then be open for judgment and learning. Coping in my area of nursing is critical for optimal levels of growth within the patient. Chemically dependent individuals have poor coping skills; it is what has lead them to their addiction. I often ask my patient’s to practice relaxation techniques for coping with daily stressors or acute anxiety from withdrawal. Relaxation techniques include verbalizing thoughts/feelings, journaling, deep breathing techniques, and meditation. As a nurse I give tough love to my chemically dependent patient’s, I want them to know that they have not always been “here”, which is often described by patients as the “the lowest point” of their life, that things are constantly in movement, and to be open for the journey to their freedom.
Depending on their conditions, many people resort to substances to help them cope. These substances are widely abused and are unhealthy. The British Journal of Social Work surveyed three different rehabilitation centers. They came to the conclusion that “There is a very large international body of research on substance use and abuse, ranging from problem etiology to treatment (Valtonen 59)”. This suggests that because of what people are dealing with, they often resort to substance abuse. However, there are many better ways to cope. People use substances to try and figure out their diagnoses. During the surveys of the rehabilitation centers, they found out some other coping mechanisms. Some of these coping mechanisms are sleeping, eating, smoking, and drinking. These mechanisms are not a healthy way to deal with the situation at hand. This study shows that people who avoid substances to cope and instead talk to a therapist have better outcomes. This is also true with people who go to focus groups and verbally discuss their problems rather than resorting to
Johnson’s Behavioral System Model is a model of nursing care that supports the development of efficient and effective behavioral functioning in the patient to prevent illness. The patient is recognized as a behavioral system composed of seven behavioral subsystems including affiliative, dependency, ingestive, eliminative, sexual, aggressive, and achievement. The purposeful requirements for these subsystems include protection from noxious influences, provision for a nurturing environment, and stimulation for growth. When any subsystem is imbalanced, it is the nurse’s role to help the patient return to a state of equilibrium.
A nurse is required to exercise appropriate clinical judgment and respond safely and quickly in order to effectively care for a patient. Substance abuse among nurses is an issue that compromises the delivery of quality care and professional standards of nursing. Many nurses are not recognized as having a problem until a patient has been endangered (Clark and Farnsworth, 2006). It has been estimated that 10-...
Over the years, substance abuse in the United States has become a persistent issue affecting many individuals. In 2008, it was estimated that 17.8 million Americans over the age of 18 where substance dependent (Epstein, Burns, & Conlon, 2010). Many of these individuals being affected are nurses. Ponech (2000) stated that "approximately 10% of the nursing population has alcohol or drug abuse problems, and 6% has problems serious enough to interfere with their ability to practice" (as cited in Talbert, 2009, p.17). Studies show that nurses have a 50% higher rate of substance abuse compared to the rest of the public (Epstein et al., 2010). Among the many factors that contribute to the nurse’s issue of substance abuse, accessibility to drugs in the work environment has played a significant role. Substance abuse among nurses is an arising issue in need of attention, it is alarming to know that patient safety and care is in danger when a chemically impaired nurse is in the workplace.
Drug addiction is a complex disease that involves biological, social and environmental factors. Care and support from loved ones are crucial to restoring their health and
This can be an internal and/or external environment. The internal environment is vital to healing, because the patients’ thoughts, emotions, and spirits have a direct effect on their bodies, their choices, and their relationships (Sakallaris, MacAllister, Voss, Smith, & Jonas, 2015). It is imperative that nurses understand and be aware of the connectivity between mind, body, and spirit, as well as its importance in promoting the healing process. The external environment creates a positive physical environment that cohesively supports the mind, body, and spirit to find peace, rest, and vitality (Sakallaris, MacAllister, Voss, Smith, & Jonas, 2015). Nurses should make every effort to create an environment that will aid in alleviating stress or preventing harm as well as a supportive space for proper recovery and healing to occur. Families and communities are another example of the external environment. A community support system can be extremely helpful in improving patient care and managing healthcare costs. Communities can help prevent health problems from happening or re-occurring by implementing educational programs, developing policies, and administering services. It is paramount that a patient to be in an environment that is conducive to his or her
Roy’s adaptation theory has had a significant impact on nursing and the way we view and approach patient care. It is a systemic approach to understanding and addressing the physiological, self-concept, role function and interdependence needs of a patient and helping them adapt to their environment. By addressing each of theses needs we are able to treat them as a whole. It can be compared to the web of causation in that just as there are many factors that influence disease, by understanding addressing each factor individually, nurses can better treat the disease as a whole. Nurses can benefit by utilizing Roy’s adaptation theory during the nursing process to assist them with conducting a more thorough assessment and developing a more effective care plan.
Mary Stewart defines the domain of person in having” the ability to think and conceptualize, the capacity to interact with others, the need for boundaries, and the use of language” (Masters, 2017 pp. 105). I believe the person is the center of the domains within the conceptual model and that they are the receivers of the care. The second domain being environment is the surrounding in which the person domain resides in. Stewart suggests the importance for nurses to look beyond the person but towards the surroundings (Masters, 2017). Reasons to looking beyond the person are because the environment does many times have an influence on the quality of life; with that being said making a difference in a person’s environment can overall create a different outcome. For example, a homeless man who is sick from a cold from having no shelter. Change the environment of that homeless man with a shelter and he has a better chance of not being sick or cold. The third domain being the health domain is a domain that is totally unique and has a subjective meaning depending on the person. One person might describe their health as not being ill but to another having their chronic diabetes under control. There is no one standard of health baseline because everyone’s perception of health is different; so this concept of health is an individualized focused domain of the person’s state. The last domain nursing, Stewart describes the meaning provided by the American Nursing Association as “the protection, promotion, and optimization of health and abilities, preventing illness and injury, alleviation of suffering through the diagnosis and treatment of human response” (Masters, 2017, pp.106). I believe this final domain is the basis and foundation of nursing, so it is the nurse’s action towards the plan of care to the patient’s health
The chances are that we all know or have loved ones with an addictions to either drugs or alcohol. Still today, one of the biggest challenges is being able to talk to that person about their addiction. Even though I personally have not had the opportunity to speak to a loved one or acquaintance about an addiction. Research shows when confronting a person with a problem; it takes preparation, patience, and being totally honest with that individual. Talking to someone with a dependency is something that most people avoid because people like myself would not want others mending in our lives; we, even, tend to believe that it is not our problem how much our f...
Nursing’s metaparadigm consists of four concepts. These concepts include the person, health, environment and nursing. The concept of person refers to the recipient of care, which may include a person, their family or even the community. Nurses must respect the unique qualities of each patient, family and community and should provide individualized care to meet those needs. Health refers to an individual’s state of health being a balance between their developmental and behavioral wellness to the fullest extent possible. Since health is dynamic and constantly changing one must constantly adapt to change, which may lead to stressors that can have a negative affect on health if not addressed. Environment refers to all the outside conditions that affect the patient within the setting where health care needs occur. These may include health care needs that are being influenced by factors at home, in school or at the workplace. Finally nursing is the diagnosis and treatment of the current or potential health problems....
These tools are helpful in framing my practice into interventions that are evidenced based and effective. However, I’ve found that allowing patients and their families to be the guide for the treatment plan gives then much needed control over their lives as a uncertainty and lack of control have become the norm for them. It also keeps me honestly engaged in intentional and active listening to the patient. I am always looking to them for cues on ways to join them on their journey. Listening to my patient from a person-centered perspective cures my need to solve everything for the patient. Many of them have the solutions and we are partners in discovering the road to those solutions. Even when a patient may be full of despair and feeling low, they continually express that they are more than a diagnosis. They are a person who has many influences that may greatly impact their illness experience. As their therapist, my role is to respect their desires and goals, and help them maintain optimal functioning in this
This interactive grand theory is grounded in humanist philosophy, which expresses the belief that humans are unitary beings and energy fields in constant interaction with the universal energy field. This model guides the nurse who is interested in “physiologic” and “psychological” adoptions (McEwen & Wills, 2014, p. 177). This model views the nurse as holistic adaptive system constantly interacting with different stimuli. And also explains how different sets of interrelated systems maintain a balance between various stimuli to promote individual and environmental transformation (Alkrisat & Dee, 2014). This model creates a framework to provide care for individuals in health and “in acute, chronic, or terminal illness” (Shah, Abdullah, & Khan, 2015, p. 1834). It focuses on improving basic life processes of individuals, families, groups of people; nurses see communities as holistic adaptive systems. It consists of three basic assumptions: philosophical, scientific, and cultural. And it also contains many defined concepts about the environment, health, person, goal of nursing, adaptation, focal, contextual, and residual stimuli, cognator and regulator subsystem, and stabilizer and innovator control processes (McEwen & Wills, 2014, p.
A theory I can relate to is Nightingales theory, I found her theory to be extremely interesting. A patient health is affected by the environment that they are in, whether it is at the hospital or at their house. Once a patient is discharged the nurse should be aware of the patient home environment, what they have access to, and what they don’t have.
In The Genetic Theory of Adaptation: A Brief History by H. Allen Orr the article discusses adaptation and how it was affected by micromutationism, phenotypic evolution, and sequence evolution and various models that arose through the years. Prior to getting into detail the article explains that “adaptation is not natural selection,” as emphasized in the 1930s by Ronald A. Fisher (Orr 1). It glosses over how evolutionary geneticists define and distinguish between the two terms and how the recent models on adaptation characterize evolutional patterns and fitness.
Healthcare professionals must remember that although their following a proven set of guidelines, it is important to treat each patient as an individual as well. The nursing theorists have taken individuality in care into account and mentioned the importance of structuring nursing based on each individual’s needs, (Wadensten and Carlsson, 2003). Diiferent theorists have come up with different points on view on the practice of nursing. For example, Martha Rogers and Betty Neuman are both theorists that developed different theories to describe human-environment interaction. Martha Rogers believed in using three principles; reasonancy, helicy, and integrality to predict human behavior influencing healing. Reasonancy, which relates to wave patterns; helicy, which is concerned with non-repeating rhythmicities; and integrality, which is the continuous mutual human field and environmental field process (Chapman, 1987). Rogers also believed that a patient environment has a direct effect on the healing process. Betty Neuman believed in a holistic view and that we must treat patients as a whole. Neuman also describe nursing interventions as three principles primary, secondary and tertiary preventions. Primary referring to the protection and strengthening of the line of defense, secondary prevention refers to increased resistance factors and reduction in reaction. Tertiary prevention refers to the patients