Examining Peplaus Pattern Integrations in Long Term Care, Rehabilitation Nursing - Research Paper Example

 Examining Peplau’s Pattern Integrations in Long Term Care, Rehabilitation Nursing Abstract This paper will seek to illustrate how the application of Peplau’s concept of need-pattern integrations in the long-term care setting has the latent to improve understanding and thereafter guide interactions between caregivers and younger adults. Peplau’s pattern integration in Long Term Care is a hypothesis with a view of examining interpersonal and therapeutic affiliation that tends to arise between a client and a nurse. The interpersonal concentration of Peplau’s theory demands that the professional gets to the interpersonal process happening between a caregiver and a client. Interpersonal process is a growing energy for personality. Interpersonal processes comprise the nurse-client affiliation, communication and the duties of the nurse. Peplau’s theory insists on the value of nurses’ capacity to comprehend own conduct to assist others recognize professed difficulties. This paper will explore on the pattern integrations in Long Term Care facilities. Peplau gives the nursing process the meaning of a purposeful logical action guiding the nursing practice in giving assistance in an organized way. She also acknowledged four chronological parts of the interpersonal relationship. The Orientation Phase Peplau names this to be the part where defining the problem is done and it begins when the client meets the nurse as an unfamiliar person. The nurse gets to describe the problem and to decide the nature of service required. The client then seeks help, expresses wishes and asks several questions, and gets to share preconceptions and the prospect of experiences. The nurse then explains various roles to the client and identifies the problems, and then uses the accessible resources and services to help the client. The Identification Phase Peplau explains this phase to involve choosing the suitable professional support. The client takes part in setting the goal and begins to get a sense of belonging and ability to solve problem. This reduces the sentiment of hopelessness. The Exploitation Phase Peplau explains this phase as involving usage of professional support for other ways of solving the problem. The services employed are based on client’s requirements and interests. The client begins feeling as an important part of the setting and make employs techniques of getting attention. The values of dialogue techniques have to be used to comprehend and deal with the problem effectively. The client might fluctuate if left to be independent. Nurses have to understand the diverse communication phases and aid the patient in trying all means of assistance and ensure that advancement towards the last phase is attained. The resolution phase Peplau explains this to be the phase of withdrawal from professional relationship. The client desires have been attained and so the client and the professional need to end the therapeutic affiliation and break up the relations between them. Occasionally, this may be hard for the client and the nurse as psychological dependence continues, but if achieved and the bond gets broken, a healthier emotional stability is established and parties get mature. With the assistance of the hypothesis of interpersonal relations, the patient's requirements may perhaps be assessed. This application of this theory helps in issuing complete care to the patient. A high number of people bear the belief that Long Term Care facilities belong only to the elderly persons in society. This is a wrong notion as there are young adults who reside in these facilities. They too, require residual care in order to for them to maintain optimal health. Young adults in care facilities also need support to uphold their social association. They are however, likely to have emotional and character challenges if they are cut off by the residents as they may become lonely and thereby lack meaningful social opportunities. The young adult residents in care center facilities constitute a minimal percentage of the nursing home populace and are clinically distinct from aged inhabitants. Issuing of services to the Long Term Care populace involves several tests. In the past, nursing homes have been aiding the elderly. This however, is changing, as even the young adult population is becoming a part of these long-term care facilities. Most of these young adults are diagnosed with multiple sclerosis and other neurological-related conditions. Young people in nursing homes undergo community segregation because the long-term care facilities are planned for the elderly only, and they present inadequate opportunities for the young adults to participate in the society. This is exceptionally different from the culture that is needed for a long-term care facility to be successful. They end up in these facilities while seeking rehabilitation and medication due to their types of disabilities, which include multiple sclerosis, Huntington’s disease or acquired brain injury (Winkler, 2011, 9). Long Term Care facilities have been challenged to respond to the care needs of young adults who find themselves in nursing homes. Those who find themselves in such places usually end up feeling cut off both socially and emotionally. There also lacks privacy in such places with minimal opportunities to any interesting activities, which, anyway, are usually geared towards the elderly populace. Most of the young adult residents are normally isolated and they have minimal chances for leisure. Their placement in the elderly care facilities is unsuitable, and they should reside in alternative care facilities. Community involvement and participation is a basic anticipation for most young adults as those in high-level care facilities are excluded from life in the community (Farnsworth, 2006, 100-108). Young adults in Long Term Care facilities should gain from recreational activities that are age-appropriate so that they can get to develop their emotional well-being. Age-appropriate programs should be structured to support the needs of the young adults in the Long Term Care facilities. Participation in the community recreation may however be limited due to the physical abilities one possesses (Winkler, 2007, 38). Young adults residing in Long Term Care facilities are more likely to gain if they remain in contact with the society, as this will give them the chance to partake in both community and recreational experiences. Professional assistance is important to support the young adult to find activities that are more imperative in society. Fiscal assistance is also an important requirement to aid their inclusion. Such inclusion will help them deviate from disempowerment and boredom which are usually caused by minimal or no company or the limited chances to engage in communal participation and experiences. Verbal oriented young adults in Long Term Care facilities may consider themselves as being better than those with dementia are. On the other hand, while the community inhabitants may evaluate themselves with other healthy adults, they may see their quality of life as being lower. One therefore cannot answer whether living in Long Term Care facilities is advantageous or not. Research carried out on the growth of the psychiatric caregiver-patient affiliation has generated evidence of the significance of psychiatric caregiver-patient affiliation to the patients, the interpersonal association hypothesis to medical practice, and the significance of nursing acquaintance with regard to the advancement of the orientation phase of the affiliation to patient care. Acquaintance of the affiliation conveyed between psychiatric caregivers and the patients is crucial to the nursing progression in psychiatric mental health settings. Putting into application Peplau’s conception of need-pattern incorporation in the long-term care facility may improve understanding, and thereby steer relations between the young adults and caregivers. The latent is greatest if the relation is to be guided. The association between the young adult populace in Long Term Care facilities and the caregivers may develop into familial relationships as opposed to professional. As a result, the interpersonal prototype relations can be healthy or harmful and as a result form opportunities for growth or breakdown patterns. Such private yet professional expertise of caregivers may be improved by providing training in relations and guided interactions. Acquaintance is usually minimal regarding the progress between the caregiver and patient during the phases of the psychiatric caregiver-patient relationship. The progress is an indication of the patient’s improvement in the recovery process. In any rehabilitation or Long Term Care facility, enhanced occupational therapy is essential. Comfort and independence among other factors would significantly help in reducing the cost and increase the quality of life. Programs flexibility is also vital in order to attain effectively the singular demands and compound challenges presented by each young adult residing in a Long Term Care facility. To engage more in the care process, family counseling activities and various development strategies should be enhanced. Quite a number of young adults end up feeling segregated from their families or the community due to behavioral problems. Indulging the family is beneficial to both the Long Term Care facility and the inhabitants as long as there is effective dialogue. The patients should be placed as close as possible to their family members or friends or even frequent visits by family and friends. Due to behavioral problems, it should be encouraged that each young adult ought to have his or her own private room. This is important because the environment should provide them the chance to make their own decisions while at the same time exercise their personal option. Programs that are provided should be focused on the age of the patient so effective and appropriate assistance is provided together with inclusion of the community. An elaborate training for the workers should be issued to give them an understanding of behavioral management and enable them to handle the complex factors affecting the young adult population. Care models should also address clinical complexities of the young adults. It is vital to any Long Term Care facility that the staff matches the care requirements of the young adults. A highly proficient staff is also important in order to attain the care demands of the young adults who present complex behavioral symptoms. The staff in long-term care facilities requires expert training to meet the challenging demands of the young adults. A multidisciplinary advance system aimed towards the development of behavioral strategies to deal with mental health and particularly, challenging behavioral concern is imperative for the target persons. This may include in-depth training on the values of mental health and behavioral supervision for all the care team members. Finally, in order to succeed in maintaining functional independence, many more Long Term Care facilities and rehabilitation services should be provided. In order to achieve these findings it is important that the key factors presented above be enhance and implemented so as to ensure quality of life for the young adults who are living in the Long Term Care facilities. Nurses should be educated and equipped with the relevant means so that they can effectively serve the young adult in these facilities. It is also of utmost importance that both the decision makers the friends and family members do work together with the Long Term Care facilities in aiding the process of rehabilitation of the young adults. References Farnsworth, L., Winkler, D., & Sloan, S. (2006). People under 60 living in aged facilities in Victoria. Australian Health Review, 30(1), 100-108. Winkler, D., Farnsworth, L., Sloan, S, Stringer, K. & Callaway, L. (2011). Young people in nursing home: White paper. Monash: Summer Foundation. Winkler, D., Sloan, S., & Callaway, L. (2007). Young people in residential aged care: Support needs, preferences and future directions. Australia: Summer Foundation. Read More