Peplaus Theory Application in Nursing Process

Name
Age
Sex
Religion
Occupation
Diagnosis
Theory Applied

Patients Profile
: Patient Bapa Datu
: 56 Years Old
: Male
: Islam
: Jeepney Driver
: Pneumonia
: Peplaus Interpersonal
Relationship Theory

Nursing Diagnoses & Planning:

Ineffective Airway clearance related to presence of secretions secondary
to Pneumonia.
Goal: To minimize secretions, clear the airway, maintain normal airway,
improve breathing pattern and relieve dyspnea.
Nursing Implementation:

Established rapport to gain trust and cooperation.

Monitored and recorded Vital signs for base line data
Assessed patients condition to determine patients need.
Encouraged to increase oral fluid intake to liquefy the phlegm for easier
secretion.
Encouraged steam inhalation to moisten secretions.
Assisted patient to change position every 30 minutes to mobilize
secretions.
Provided health teachings with effective coughing and deep breathing
exercises.
Administered medications as ordered to reduce bronchospasm and
mobilize secretions.
Kept environment allergen free like dust, feather, and smoke to prevent
further increase of mucus secretions.
Encouraged patient to eat nutritious foods to increase resistance and
feeling of comfort.

Evaluation:

After 4-5 hours of nursing interventions, Bapa Datus respirations was

improved and difficulty of breathing have been relieved.
Bapa Datu verbalized awareness and demonstrated proper deep
breathing technique to alleviate difficulty of breathing.
Bapa Datu was able to maintain patent airway.
Peplaus Theory Application
Orientation Phase
Patient Bapa Datu was initially reluctant to talk because of
difficulty in breathing.
Patient Bapa Datu expressed that his health condition is poor.
Nurse established therapeutic relationship with the patient Bapa
Datu.

Identification Phase

Bapa Datu participates and interdependent with nurse.

Patient Bapa Datu expresses the needs to get relief from breathing
problem, needs for improving the health condition and needs to
know more about home care and follow up.
Exploitation
Patient Bapa Datu actively cooperates and participates in
performing breathing exercise.
Bapa Datu cooperates in nursing interventions (eating nutritious
foods, drinking plenty of water, performs breathing and coughing
techniques, etc.).
Bapa Datu explains that he gets relief breathing difficulty.

Resolution

Bapa Datu expressed that difficulty of breathing has reduced and

able to breath normally.
He also expressed that he will come for regular checkup after
discharge and will continue healthy lifestyle to prevent recurrence
of pneumonia.

Conclusion

The nurse-patient relationship was really a great help. We must study every
individual's behavior so that we can help them from what they are experiencing. The
four phases of relationship from orientation to resolution must be done successfully
for better outcome of the interaction. I believe that to become an effective nurse you
should interact to your patient to give an appropriate cure to him. So Hildegard
Peplau's Psychodynamic in nursing which includes the nurse-patient interaction is
very applicable in nursing practice nowadays. Like Environmental theory,
Psychodynamic Nursing can easily understood because of its simplicity and being
consistent. So the readers may easily understood the theory. I am truly amazed on
her uncommon intellect. She conceptualized the four phases of relationship. The
orientation, identification, exploitation and resolution. I like Peplau and her work very
much. Without psychodynamic theory, there is no nurse-patient relationship. The
nurses will spend a hard time in assessing their patients. Sometimes it may result in
errors and complications to the patient. If Florence Nightingales theory emphasized
on the environmental management that is important to patients recovery, Hildegard
Peplaus theory of nurse-patient relationship involves the stress management. Unlike
Nightingale's theory which focuses on the environment, because of her status, she
lack one factor in attaining patient's recovery which is the nurse-patient relationship,
while Peplau's theory focuses on this aspect. For nurses to be successful, they
should establish good relationship with their patient. And in establishing good
relationship, the nurse should pass the four phases of relationship according to the
theory of Peplau. Peplau's theory helped us how to handle and how to analyze
different situations as we encounter different patient's personality. We can pick out
many benefits in this theory it include improving our social interaction, it practice the
stress management and also we can apply it to anyone. This theory help me realize
one of the important things that nurses should know to help patient as well as his or
her approach to the patient. Before helping other people we should first
communicate to them because without understanding, we cannot help them. It only
tells us that we should be part of our patients life as we render our care and
accomplish our mission successfully.