Hildegard Peplau Case Study

Decent Essays
Introduction
Health care has changed in a sense that now health care providers want patients to be a part of their healing and disease process. Health care providers include patients more in their health, and nurses have begun educating patients so that they have full understanding of their situation. This wouldn’t have been accomplished if it wasn’t for Hildegard Peplau. Peplau was born September 1, 1909, and passed March 17, 1999. Peplau was an American nurse, and the first published nursing theorist since Florence Nightingale. Peplau created the Theory of Interpersonal Relations, and is known as the “mother of psychiatric nursing” (American nurses Association, 2015). According to Rhodora Cruz Peplau’s theory “marked the first nursing theoretical
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Peplau’s theory of Interpersonal Relations increases patients’ understanding of their circumstances, and empowers them to make changes. Peplau came up with four phases of interpersonal process. The first one is orientation, which is when the patient recognizes the need for help and begins the initiation of nurse-patient relationship. The second one is identification, which is when the patent identifies a problem that needs to be worked on, and the trust level with the nurse is in early stages. The patient will selectively begin to assimilate knowledge and accept interactions with the nurse. Exploration is when the comfort and trust level is established. The patient begins to take advantage of the nurse’s knowledge and services and a relationship with the nurse begins to form. The last phase is resolution, this is when the patient will feel a sense of security because their needs have been met; also, the patient’s self-reliance will be increased and a decrease reliance and identification with the urologic nurse will take place. Along with the phases, Peplau also came up with six nursing roles which the nurse may fulfill within a nurse/patent relationship. These roles include stranger, resource person, teacher, leader, surrogate, and counselor (Understanding the Work of Nurse …show more content…
Even though she wrote her theory over 50 years ago, it is astonishing to see how health care providers are still using the theory of inter personal relations. Working as a certified nursing assistant (CNA) at home health, I had a patient who was very sick. He had no real family to take of him, and home health came in twice a week and helped him with his care. This was not enough because he needed full time care. He was depleting fast. After reading Peplau’s theory I discovered that when the nurse talked to the patient she was using Peplau’s theory. The nurse helped the patient to understand his circumstance which helped him decide on how he would like to continue and what actions he would like to take. The patient became responsible for his own health which then empowered him to make the choices that needed to be made which was moving into an assisted living center with 24/7 care. The patient had built a personal relationship with the nurse, and the patient knew that he could use the nurse as a resource person to help him. It took some time for him to come to this decision, but in that time a trust between him, the nurse, and the CNAs had formed, and I could tell that the patient felt a true relief knowing that his needs were

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