Free Essay

Human Needs Theory Reflection

In:

Submitted By bebop1978
Words 700
Pages 3
There are many situations in the case study of Juan Duran that can be compared to the related theories in which were presented this week. The two theories in which will be most useful in meeting the needs for the patient Juan Duran are Dorothea Orem’s Model in which will look at self care as well as Betty Neuman’s Theory in which will present with the stressors in life and their effects. Mr. Duran has many obstacles to overcome including poor vision, loss of a daughter, wife not able to speak fluent English, and a chronic disease of diabetes to manage. In order to manage all of the many stress and obstacles Mr. Duran is currently facing the two theories mentioned will help in planning care and assisting the family.
Presented in the case study is Mr. Juan Duran a Mexican American from Chula Vista, California. The patient is married and a navy veteran who has been diagnosed with diabetes. Due to his limited eye sight, Mr. Duran has had a difficult time performing self-care by injecting insulin himself. After meeting with the doctor, Mr. Duran was assigned a diabetic counselor at the VA (Veterans Affair Medical Building) to learn how to give himself the medication. His wife was not present in the case study in which would be necessary if she were going to be the person injecting the medication. Also at home Mr. and Mrs. Duran speak Spanish due to Mrs. Duran’s limited English. If the patient and wife were present and the counselor spoke Spanish or had a medical translator available, this would relieve some of the stress and help the patient and family learn about the disease and the medications needs to control diabetes.
Dorothea Orem’s self care deficit theory in nursing encompasses “three nested theories: theories of self-care, self-care deficit, and nursing systems” (McEwen 2014, p. 143). According to the case study Mr. Duran does not like to ask questions and keeps to himself so he may be reluctant to ask for help with his vision or taking his medication. The scenario did not mention how long Mr. Duran has been without medication because he did not ask for help initially. This hesitation incorporates a psychosocial theory in which will be addressed by the nurse, doctors and counselor. Encouraging self-care as mentioned in Orem’s theory will help the patient in wanting to maintain health and improve quality of life.
According to Orem’s theory nursing care should entail wholly compensatory (doing for the patient), partly compensatory (helping the patient do for himself or herself), and supportive- educative (helping patient to learn self care and emphasizing on the importance of nurses’ role.) The supportive education the patient is receiving is the diabetic counselor as well as the information being relayed from the nurse to the medical team to plan care and teach the family about self-care.
Besides the limited eye sight and stress of trying to learn how to give himself injections and test blood sugar, his daughter had just passed away a few weeks prior after being murdered. Now the responsibility of raising her daughter falls on the Duran’s. Neuman’s Theory outlines the role of stress and how stress plays a major role on the five interacting variables in which are necessary for overall wellbeing. The five variables include: physiologic, psychological, sociocultural, developmental and spiritual. Neuman’s model looks at the patient as a whole and how to prevent such stressors. According to McEwen, “Neumans’ model uses a systematic approach that is focused on the human needs of protection or relief from stress”(McEwen 2014 p.150). The two models outlined include Neuman’s model and Orem’s model. Both together will ultimately look at the whole patient and understand the best way to treat the patient internally and externally. The patient Mr. Duran has many obstacles in which are addressed with each of these theories. These early theories are the backbone of current nursing principles and standards and have helped in defining, explaining and describing nursing and its concepts in systematic way.

References
McEwen, M. & Wills, E. (2014). Theoretical basis for nursing (4th ed.). Philadelphia, PA:
Wolter Kluer Health/ Lippincott Williams & Wilkins.

Similar Documents

Premium Essay

Journal Review

...Jackielyn B. De Mesa September 26, 2015 MSSW Dr. Lolita Pablo Journal Review Title of the Book: Human Resource Development Review (Jamie L. Callahan, Editor) Title of the Article: The Role of Self-Reflection, Emotional Management of Feedback and Self- Regulation Processes in Self-Directed Leadership Development Author: Paul L. Nesbit No. of Pages: 18 pages SUMMARY The self- directed leadership development is conceptualized within a framework of emphasizing a self understanding phase and self-change phase that are dependent on the integrated operation of three skills concerning one’s ability to manage emotional reactions to feedback, to carry out effectively the practice of self-reflection, and to enact self regulatory processes for development. It is suggested that the accomplished operation of these skills enable more refined and effective self development efforts allowing leaders to respond to changing work environments in a continuous and productive fashion. However, once learned and incorporated into ones behavioral repertoire, the operation of self development strategies would become self guiding. Given that self-development can be considered as metaskills- skills that allow for the development of other skills. It requires developing self awareness of competency strengths and deficits as a primary focus in leaders self development. This process requires self initiated obtainment of performance feedback and self-reflective analysis...

Words: 3811 - Pages: 16

Premium Essay

Nursing

...is where a nurse can apply learning and insights of others into their own work. In nursing courses students learn through lecture and discussion, which is the primary method for teaching theoretical principles, but when you add a more complete understanding of the relationship between theory and practice one may become a more competent nurse. Awareness of issues and analysis of knowledge and feelings are some stages that are involved in reflection but then identification and integration of new learning is needed as well. By consciously engaging in their own and others reflection it is believed that the level of professional interaction will improve. Motivation, one issue bound to crop up in ones work life, as well as leadership and of course managing conflict these are some issues when speaking of personal development. The ability to reflect upon us is a valuable part of human life, insisted Taylor (2000). Reflection and reflective practice are claimed to enhance professional development, link theory and practice, promote critical thinking, lead to self-awareness and understanding, empower practitioners and promote personal, social and political emancipation. According to Schon (1983), reflection in action is a more dynamic process of thinking about and coming to a core understanding of current professional practice at the time. “To be able to reflect one must step outside the experience in order to make the...

Words: 921 - Pages: 4

Free Essay

Practical Reason

...Practical Reason First published Mon Oct 13, 2003; substantive revision Thu Nov 6, 2008 Practical reason is the general human capacity for resolving, through reflection, the question of what one is to do. Deliberation of this kind is practical in at least two senses. First, it is practical in its subject matter, insofar as it is concerned with action. But it is also practical in its consequences or its issue, insofar as reflection about action itself directly moves people to act. Our capacity for deliberative self-determination raises two sets of philosophical problems. First, there are questions about how deliberation can succeed in being practical in its issue. What do we need to assume—both about agents and about the processes of reasoning they engage in—to make sense of the fact that deliberative reflection can directly give rise to action? Can we do justice to this dimension of practical reason while preserving the idea that practical deliberation is genuinely a form of reasoning? Second, there are large issues concerning the content of the standards that are brought to bear in practical reasoning. Which norms for the assessment of action are binding on us as agents? Do these norms provide resources for critical reflection about our ends, or are they exclusively instrumental? Under what conditions do moral norms yield valid standards for reasoning about action? The first set of issues is addressed in sections 1-3 of the present article, while sections 4-5 cover the second...

Words: 7323 - Pages: 30

Premium Essay

Essay

...is where a nurse can apply learning and insights of others into their own work. In nursing courses students learn through lecture and discussion, which is the primary method for teaching theoretical principles, but when you add a more complete understanding of the relationship between theory and practice one may become a more competent nurse. Awareness of issues and analysis of knowledge and feelings are some stages that are involved in reflection but then identification and integration of new learning is needed as well. By consciously engaging in their own and others reflection it is believed that the level of professional interaction will improve. Motivation, one issue bound to crop up in ones work life, as well as leadership and of course managing conflict these are some issues when speaking of personal development. The ability to reflect upon us is a valuable part of human life, insisted Taylor (2000). Reflection and reflective practice are claimed to enhance professional development, link theory and practice, promote critical thinking, lead to self-awareness and understanding, empower practitioners and promote personal, social and political emancipation. According to Schon (1983), reflection in action is a more dynamic process of thinking about and coming to a core understanding of current professional practice at the time. “To be able to reflect one must step outside the experience in order to make the...

Words: 921 - Pages: 4

Premium Essay

Watson's Theory of Human Caring

...Watson’s Theory of Human Caring Watson’s Theory of Human Caring Introduction Human caring is what sets nursing apart from other professions. As Watson (1998) stated, “care and love are the most universal, the most tremendous and the most mysterious of cosmic forces: they comprise the primal universal psychic energy. Caring is the essence of nursing and the most central and unifying focus for nursing practice” (p. 32-33). It is important to establish a good nurse-patient relationship in order to create a healing environment that would meet patient’s needs on all levels including physical, mental/emotional and spiritual, promote recovery, maintain health, and create positive outcomes. Jean Watson emphasized the importance of human caring and how it influenced nursing practice. This paper aims to define caring moment, discuss background and major concepts of Watson’s theory of human caring, and describe a clinical experience of a patient-nurse interaction with personal reflection. Caring Moment The caring moment happens when the nurse and patient come together with their unique life histories and enter into the human-to-human transaction in a given focal point in space and time (Caruso, Cisar, & Pipe, 2008). The actual caring occasion has a greater field of its own in a given moment; the process goes beyond itself, yet arises from aspects of itself that become part of the life history of each person, as well as part of some larger, more complex pattern of life (Watson...

Words: 2268 - Pages: 10

Premium Essay

Vulnerable People in the Workplace

...Vulnerable People in the Workplace Vulnerable People in the Workplace Paper Watson is a Nursing theorist who recognizes nursing as the art of caring and the need to treat each patient holistically (Watson, 2007). Leininger is another Nursing theorist who realized caring is unique and the core of nursing. According to Leininger’s Cultural Care Theory as cited by Maier-Lorentz (2008), on Transcultural Nursing, nurses need to be aware of various cultures and how to use this knowledge in their daily practice (Maier-Lorentz, 2008). Leininger’s Cultural Care Theory addresses the need for cultural competency in health care. Communication with a patient can be affected by a patient’s culture. In addition, nurses need to avoid ethnocentric bias. In an effort to achieve a holistic approach to health care one must have an understanding of cultural factors that may affect proposed health care interventions. Leininger’s Cultural Care Theory can be hardwired with Watson’s Theory of Human Care to help achieve holistic care of the patient (Leininger & McFarland, 2002). In this paper I will discuss the design of a teaching program at my workplace to help raise awareness about vulnerable populations. According to De Chesney and Anderson (2008), issues with vulnerability can apply to population groups or individual people. De Chesney and Anderson (2008) discuss vulnerable populations that are at higher risk for health issues related to socioeconomic status, cultural issues, or environmental...

Words: 1187 - Pages: 5

Free Essay

Gestalt Theory Paper

...Gestalt Psychology Reflection April Cage Professor Katrina Ramos 3/16/15 INTRODUCTION Gestalt psychology means unified whole. The three main founders who established the school of gestalt psychology were Max Wertheimer, Kurt Koffka as well as Wolfgang Kohler. The foundations of the Gestalt psychology are perception, memory and learning. Some of the principles of Gestalt psychology are isomorphism, productive thinking as well as reproductive thinking. It refers to theories of visual perception developed by German psychologists in the 1920s. Instead of approaching psychology as atoms or elements according to Wundt’s theory, Gestalt psychology on the other hand, focuses on human experiencing psychological events as a whole. Reflection Max Wertheimer used to study law but his interest soon shifted to philosophy and psychology. He developed a keen interest on perception after observing how the flashing of lights at train station created an illusion of movement. He was at the University of Frankfurt where he worked with Kurt Koffka and Wolfgang Kohler and the three of them established a school of thought known as Gestalt Psychology. He pursued perceptual ideas through his studies with chimpanzees as director of the Canary Island Anthropoid Station in 1913. He became an American citizen and finally became the president of the American Psychological Association in 1959. Kohler contributed substantial literature work to the field of...

Words: 682 - Pages: 3

Free Essay

Reflective Thinking in Education

...resolve the doubt, settle and dispose of the perplexity’. (Dewey, 1933 p.12) Part 1: With this in mind, consider critically and analytically the purpose and value of reflection and reflective practice, supporting your discussion with relevant reading. Chloe Carter-Miles 6th November 2012 Contents Main Body of Text Page 3 References Page 11 Bibliography Page 13 Appendices Page 16 List of Appendices Appendix 1 Kolb’s Cycle of Experiential Learning Appendix 2 Gibbs Model of Reflection (1988) Appendix 3 Moon’s Model of Reflection Appendix 4 Blooms Taxonomy; original and revised This essay will explore the purpose and value of reflective practice as a trainee teacher, and how it supports learning. Dewey (1916) defines education as ‘It is that reconstruction or reorganization of experience which adds to the meaning of experience, and which increases ability to direct the course of subsequent experience.’ The pertinent word to note in this quote is ‘experience’. Since Dewey highlighted the importance of reflective practice in the early part of the 20th Century, many other academics and practitioners have explored and written about it. Many different reflective models have been published, and they all have variations, however the one consistency among all of the models is that the process of reflection has to begin with an experience. Whilst reflective practise can be applied to all aspect of life, Dewey’s definition of education as being inherently based on experience...

Words: 2704 - Pages: 11

Premium Essay

Business

...[pic] |Module Title: |Contemporary Management Practice | |Module No.: |G106431 | |Module Tutor: |Laura Luo | |Submission Details: |Wednesday 21st March 2012 | |Assignment Title: |Contemporary Management Practice | |Assignment No.: |1 of 2 (50%) | |Length: |Between 2000 and 2500 words (not including appendices) | Learning outcomes tested: |No. |Domain |Description | |1 |Knowledge |Demonstrate knowledge and understanding of contemporary management concepts and| | | |thinking; organisational behaviour in modern organisation settings; the role of| | | |manager in terms of: change, team-working, control, structure, power and | | | ...

Words: 852 - Pages: 4

Premium Essay

Psychology

...98 of 1978 section 12 (1) (a)(b) (3), for private study only by students. STUDENT LEARNING GUIDE: COUNSELLING METHODS 1 2 Table of contents How this guide works ........................................................................................................................ 10 Module Readings .............................................................................................................................. 11 Prescribed text book ......................................................................................................................... 11 Prescribed and recommended readings ........................................................................................... 11 Session One: An Overview of Theories of Psychotherapy and Counselling ..................................... 14 Reading for the session ................................................................................................................. 14 Prescribed ..................................................................................................................................... 14 Recommended .............................................................................................................................. 14 Description of the session...

Words: 21776 - Pages: 88

Premium Essay

Leadership

...Nursing Practice Kalli Stilos, RN, MScN, CHCPN(C), Shari L. Moura, RN, MN, CONC(C), CHCPN(C), and Frances Flint, RN, MN Current nursing literature recognizes the need to honor the concept of ambiguity. Nurses experience uncertainty with handling or honoring complexity and ambiguity when confronted with times of struggle. Traditional models of care fall short as patients and families define their expectations of the healthcare system. Nurses bear witness to the discomfort caused by the unknown in their daily practice. They are challenged to address their feelings, unsure of what to anticipate, what to say, or how to respond to their patients. Uncertainty diminishes the opportunity for meaningful dialogue between nurses and other people. Nurses attempting to ease the discomfort of ambiguity by providing patients or families with reassurance, offering advice on how to fix problems, or avoiding talking about situations often express dissatisfaction. Nurses should be invited to explore ambiguity and seek understanding through dialogue and nursing knowledge. Encouraging nurses to define the meaningfulness in nursing practice that embraces human science theory will help relieve some of the ambiguity that exists in current practice. This article will explore the concept of ambiguity, highlight how nursing theory based on human science can support practice, and propose recommendations for practice. urrent trends in the healthcare system call for nurses to build the capacity to practice...

Words: 4106 - Pages: 17

Premium Essay

Customized Learningtheory

...Customized Learning Theory: Reflective-Constructivism Kylie-Anne Noreiga Liberty University EDUC 500: Advanced Educational Psychology Dr. Gary Smith October 8, 2014 Introduction An elementary school first grade classroom teacher has spent the last four months teaching his students concepts of basic addition and subtraction. Students continue to show progress in understanding of both addition and subtraction skills through direct instruction, guided practice, homework practice worksheets, and in-class assessments, both informal and formal. During in class station activities as an alternative to outdoor recess, Mr. Duncan pulls out several games/activities and a timer; students will rotate through game stations every 10 minutes to allow students to experience various stations. Two of the activity stations involve math games such as Monopoly Junior and Candy Land. As students delve into their activity stations, Mr. Duncan observers his students unknowingly performing algorithms, maybe without a true understanding of why they are doing so yet, but still – applying learned skills correctly to real-world activities. Later that same school year, students in Mrs. Robinson’s second grade class are reviewing the value of money. Zayne’s father gives him $1 for each chore completed during the week. Within a few weeks, Zayne earns and saves $30 dollars and decides to spend his money on a Snakeez, a portable cup with a lid that...

Words: 4346 - Pages: 18

Premium Essay

Training and Development

...School of Psychology 2013 Paper Outline  Faculty of Arts and Social Sciences   PSYC573-13A (HAM) Personnel Training & Development Lecture times/rooms: Thursdays, 09:00am – 10:50am. Room I1.08. Lecturer/Convenor: Donald Cable, Room K1.01. Extn: 8296. Email: dcable@waikato.ac.nz Student consultation hours: Thursdays 14:00-15:00. Other times by appointment. Paper Description The aim of this paper is for you to develop an understanding of the theory, research, and practice relating to training and development (including career development) in organizations. Upon successfully completing this course, you should be able to:     understand, and apply personnel training and development psychology theory and research, and bridge the gap between this and the practice, conduct training needs analyses and evaluate training and development (including career and professional development) initiatives, identify or develop training programs which incorporate sound principles of learning and training transfer, identify and develop the competencies that will support you in pursuing a career as an organizational psychology (or HR) practitioner with a focus on the training and development of individuals in organizations. Blending the exploratory learning aspect of Active Learning with proceduralized instruction, and creating a learning environment within which students are actively encouraged to construct knowledge, this paper includes lectures with associated readings, student seminars...

Words: 2943 - Pages: 12

Free Essay

Case Study

...A Harvard university psychologist Ellen langer argues that we are mostly unaware of the assumptions that underlie our thinking and behaviour.as a result our behaviour for most part is largely automatic. We tend to react to situations unthinkingly; it is as if our behaviour is mindless. She suggests 3 manifestations of mindlessness: 1) we tend to get trapped by the categories we create. When we construct a mental model of the world around us, we create categories and make distinctions b/w them. 2) as the experiment above indicates, automatic behaviour is another reflection of mindlessness. Habit or any repetitive behaviour is more likely to lead to mindlessness. 3) actions from a single perspective is a reflection of mindlessness. What are the roots of mindlessness? 1- whenever we perform any task repeatedly, we become expert at it. In psychological terms we overlearn the task. 2- we tend to form a mindset when we first encounter something. Subsequently we have a tendency to cling to it when we reencounter the same thing. Langer calls this premature cognitive commitment. 3- when we believe that the resources we require are limited, we are more likely to be trapped by the categories that we create. 4- we may think of time as a linear entity when in fact under some conditions it may make more sense to think of it as a cyclical entity. 5- both in education and at work we tend to be outcome oriented. We are focused on results rather than the processfor achieving...

Words: 2822 - Pages: 12

Premium Essay

Mmhoa

...University of redlands school of business MGMT 631: Management and organizational theory Instructor: Elijah Levy, Ph.D. Email: elijah_levy@redlands.edu thelevylaunch@yahoo.com Cell number: 562-2230-3334 I have been teaching at University of Redlands since 1992 in the school of business—teaching in the undergraduate and graduate MBA and Masters of Arts in Management program (MAM). My doctorate degree is in clinical psychology and I am an interdisciplinary thinker—enjoying the synthesis of philosophy, psychology, sociology and comparative religion to theorize about human behavior. I am the director of Founders Outreach, a nonprofit agency providing psychosocial/psychiatric rehabilitation services to mentally ill residents residing at Founders House of Hope. In addition, I am the director of The Levy Launch a center providing corporate education, management training, strategy consultation and start-up support and training to nonprofit agencies. I have written two books-- one on intercultural awareness titled You, Me and Them in addition to a book of poetry titled Crisis in Meaning, and with a colleague, directed/produced a documentary on mental illness titled Beyond the Shadow of Mental Illness and a documentary on my Veterans Legacy Project group. If you anticipate being absent from class, please make arrangements to contact me to submit assignments. CLASS SCHEDULE: March 5, 12, 19, 26 April 2, 9, 16, 23 Tuesdays...

Words: 3020 - Pages: 13