Discussion Using Complexity Theory
Self-Organization
Mr. A, through the lens of the Complexity Theory, does not seem to create any new positive behaviors or patterns during his transition (Geary & Schumacher, 2012). The patient’s conduct revolves around normalcy and sustaining pre-illness behaviors. His aforementioned disengagement and contrary manner are negative coping skills that protect him from the change in independence that he fears. Mr. A’s daughter, however, is developing new behavioral patterns to supplement and support her father during this transition. She is noted as taking care of household responsibilities in the patient’s absence, assuming a key role within the interdisciplinary meetings that discuss his care, and planning …show more content…
A’s transition home is shaky at best. The patient’s care transition is high risk. Even though there was a great deal of quality preparation, especially in the areas of diabetes management and PT, the patient has several gaps in compliance. These gaps in compliance, related to his premorbid personality and moderate cognitive impairment, made for a challenging roadblock to the development of trust (EMR, February 23, 2016). This inability of the care team and the patient to establish a collaborative relationship lead to friction not harmony during …show more content…
A’s transition was problematic. Many of the issues arose from his mentality and lack of motivation. Taking this into account, there is a potential gap in current transition theories within nursing. The frameworks used to assess this patient’s transition were useful but lacked greatly in addressing his most troubling issues. Nature of Transitions dealt the most with his lack of connection to the transition but addressed it without consideration of a patient who denies the reality of a change (Meleis et al., 2000). Of the frameworks utilized only the Complexity theory touches on the importance of human connection (Geary & Schumacher, 2012). Establishing a strong trusting relationship in the context of care is key in patient involvement and the success of desired outcomes. In the case of Mr. A two main aspects of his transition planning were not fully considered within this context: his lack of motivation and engagement, and the difficulty forming the necessary therapeutic
Self-Organization
Mr. A, through the lens of the Complexity Theory, does not seem to create any new positive behaviors or patterns during his transition (Geary & Schumacher, 2012). The patient’s conduct revolves around normalcy and sustaining pre-illness behaviors. His aforementioned disengagement and contrary manner are negative coping skills that protect him from the change in independence that he fears. Mr. A’s daughter, however, is developing new behavioral patterns to supplement and support her father during this transition. She is noted as taking care of household responsibilities in the patient’s absence, assuming a key role within the interdisciplinary meetings that discuss his care, and planning …show more content…
A’s transition home is shaky at best. The patient’s care transition is high risk. Even though there was a great deal of quality preparation, especially in the areas of diabetes management and PT, the patient has several gaps in compliance. These gaps in compliance, related to his premorbid personality and moderate cognitive impairment, made for a challenging roadblock to the development of trust (EMR, February 23, 2016). This inability of the care team and the patient to establish a collaborative relationship lead to friction not harmony during …show more content…
A’s transition was problematic. Many of the issues arose from his mentality and lack of motivation. Taking this into account, there is a potential gap in current transition theories within nursing. The frameworks used to assess this patient’s transition were useful but lacked greatly in addressing his most troubling issues. Nature of Transitions dealt the most with his lack of connection to the transition but addressed it without consideration of a patient who denies the reality of a change (Meleis et al., 2000). Of the frameworks utilized only the Complexity theory touches on the importance of human connection (Geary & Schumacher, 2012). Establishing a strong trusting relationship in the context of care is key in patient involvement and the success of desired outcomes. In the case of Mr. A two main aspects of his transition planning were not fully considered within this context: his lack of motivation and engagement, and the difficulty forming the necessary therapeutic