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Biomedical subjects

J H Kelley

Publications and source records attributed to J H Kelley.

10 recordsLinked to original sources
PubMed1996

Modeling and role-modeling theory: a case study of holistic care.

To provide holistic care, nurses must attempt to view the world through the clients' eyes. The Theory of Modeling and Role-Modeling (Erickson, Tomlin, & Swain, 1983) enables nurses to care for and nurture each client with an awareness of and respect for the individual's uniqueness. This type of care giving exemplifies theory-based clinical practice that focuses on the clients' needs. Care is offered that recognizes that clients have the knowledge and ability to understand what has made them sick, as well as what will make them well. The authors explore the experiences of a young woman with diabetes mellitus and demonstrate how nursing care based on the Theory of Modeling and Role-Modeling enabled the client to recognize and develop strengths and empowered her to begin the healing process.

Adaptation, Psychological↗
PubMedDate not supplied

Assessment of anxiety, depression, and suspiciousness in the home care setting.

Home care nurses who are not trained as psychiatric nurses can meet the challenge of caring for clients with anxiety, depression, or suspiciousness. The home care setting provides more opportunity for prolonged periodic nurse-client interaction in the client's usual surroundings. Home care nurses have a further advantage over acute care nurses in that they tend to have a more developed concept of cultural and environmental influence. Assessing psychosocial issues requires nontangible tools, the most crucial of which is the ability to listen--to listen with ears and heart. Although test instruments may be useful, most assessment involves interview and observation. Drawing on these special opportunities and skills, the home care nurse can objectively collect and evaluate data to determine the presence of anxiety, depression, or suspiciousness in preparation for appropriately intervening.

Anxiety↗
PubMedDate not supplied

Nursing interventions for anxiety, depression, and suspiciousness in the home care setting.

Home healthcare nurses who have no special training or experience in mental health care can use the suggestions provided in this review of nursing interventions for clients experiencing anxiety, depression, or suspiciousness. As mentioned, when dealing with psychosocial behaviors, the crux of the nursing interventions is the establishment of the nurse-client relationship. The means used to initiate this relationship and the interventions used for ongoing care vary with the presenting behavior. However, trust is the primary goal, and this trust often comes only with patience and persistence. Above all interventions, the most important to remember are active listening and presence, or "being with" the client. Because the emotions involved in anxiety, depression, and suspiciousness evoke similar or strong emotions in others, the nurse must continually examine his or her own feelings and reactions to the client. Being aware of the effect of such emotions on oneself can help the nurse become aware of the effect on the family who deals with the client. If family members are caregivers or are involved in the client's daily life, they may benefit from supportive interventions to assist them in recognizing and dealing with their feelings as well. The home healthcare nurse can provide a high level of professional care by assessing and intervening in these psychosocial dynamics of clients and their families.

Adult↗
PubMedDate not supplied

Using Orem's theory in transcultural settings: a critique.

An overview of the theory describes its component parts and concepts as well as the premises and assumptions upon which the theory is based. The authors explore the compatibility and usefulness of Orem's theory with non-Western or minority Western non-Anglo values and belief systems. A literature review of studies and experiences using Orem's theory in a variety of cultures is presented and discussed. The authors conclude that Orem's theory must be supplemented or replaced by one less culturebound for use with cultures differing from the dominant Western culture.

Health Knowledge, Attitudes, Practice↗