Peplau was responsible for developing a protocol for use
in nursing practice for patients experiencing severe anxiety.
The anxiety protocol identifies a specific criterion that was
derived from her theory. The nurse observes for anxietyrelated
behaviors such as crying, yelling or hyperventilating
as displayed by the patient. Consequently, the nurse should
focus efforts on maintaining the patient’s awareness of the
anxiety and connect it to the anxiety-relieving behaviors
(Fawcett, 2010). The emergency nurse continues to interact
with the patient in the working phase through counseling and
clarifying information. The patient realizes through the
nurse-patient relationship and self-examination that she is
having a panic attack. She also recalls she has medicine prescribed
in the event of reoccurrences. The patient discloses
that the reason she was fired from her job was that she was
intoxicated and did not show up for work. She assumes
responsibility for this and makes an outpatient appointment
for the substance abuse program that she had attended in the
past. She remembers how this was helpful for her. The
patient also makes an appointment with her therapist on her
own before she is discharged from the emergency department.
The exploitation phase is seen here when the patient
takes responsibility and acts on her own without the nurse.
Finally, the nurse and patient review the discharge plan
including: feelings that led to panic attacks, medications, and
follow-up appointments. They reviewed signs and symptoms
requiring return to the emergency department. This is the
phase of in the nurse-patient relationship where termination
occurs and the relationship ends.
Peplau was responsible for developing a protocol for usein nursing practice for patients experiencing severe anxiety.The anxiety protocol identifies a specific criterion that wasderived from her theory. The nurse observes for anxietyrelatedbehaviors such as crying, yelling or hyperventilatingas displayed by the patient. Consequently, the nurse shouldfocus efforts on maintaining the patient’s awareness of theanxiety and connect it to the anxiety-relieving behaviors(Fawcett, 2010). The emergency nurse continues to interactwith the patient in the working phase through counseling andclarifying information. The patient realizes through thenurse-patient relationship and self-examination that she ishaving a panic attack. She also recalls she has medicine prescribedin the event of reoccurrences. The patient disclosesthat the reason she was fired from her job was that she wasintoxicated and did not show up for work. She assumesresponsibility for this and makes an outpatient appointmentfor the substance abuse program that she had attended in thepast. She remembers how this was helpful for her. Thepatient also makes an appointment with her therapist on herown before she is discharged from the emergency department.The exploitation phase is seen here when the patienttakes responsibility and acts on her own without the nurse.Finally, the nurse and patient review the discharge planincluding: feelings that led to panic attacks, medications, andfollow-up appointments. They reviewed signs and symptomsrequiring return to the emergency department. This is thephase of in the nurse-patient relationship where terminationoccurs and the relationship ends.
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