Cognitive Theory In Nursing

The behavioral theorist I would choose to utilize when confronting a patient that is having difficulty with adhering to their treatment regime, would be Carl Rogers, Counseling Theory: Person-centered perspectives. As described by Meerabeau and Wright (2011), “These core “conditions” are generally referred as empathy, unconditional positive regard (also called ‘acceptance’, ‘respect’, ‘non-possessive warmth’ or ‘prizing’ ) and congruence (also called ‘transparency’, ‘genuineness’ or ‘authenticity’) )Rogers,2001; Mearns, 1994; Mearns and Thorne,(1996). The patient that comes to mind is a 18 year old female who had just started college and recently diagnosed with Type 1 Diabetes. She was not adhering to her diet and treatment regime. She …show more content…
In this step, I need to be mindful of my body language and be genuine and true in regard to my thoughts and verbal cues. I need to be honest with my patient about the seriousness of her monitoring her blood sugar routinely and effects of alcohol on her glucose levels. A strategy that would not work would be, not being aware of my congruence. If I sat with my arms crossed and thinking to myself, “she’s crazy to be drinking at a young age and with diabetes, that's just not appropriate”. Another roadblock to facilitating open conversation is, dictating solutions to her and that she has to change. Allowing the patient to explore solutions that are acceptable to her and that allow her to still have fun with her friends while maintaining self management of her diabetes. It was around this time that insulin pumps were becoming available. This eliminated the interruptions in her daily routine to check her blood sugar and inject insulin. It also gave her better control of her glucose levels. Through further teaching and discussion she was able to realize the importance of diet and self management. She learned she could still have fun with her friends and be responsible for her treatment