Nursing Theory Framework Attachment Term Paper

Pages: 8 (2702 words)  |  Bibliography Sources: 9

SAMPLE EXCERPT:

[. . .] The First Phase of Therapy

If the addictions turn out to be attempts of affect regulation by anxiously attached teenagers, as argued above, then attachment theory's therapeutic aim as a nurse to aid clients form safe attachments would need to be able to prove effective when it comes to the treatment of addictions. On the other hand, the first task of the nurse in working with an addict is to generate the volume for secure attachments (Malerstein, 2011). Before a significant association with a therapist can arise, the patient must end the relationship with the substance or behavior to which she or he is addicted. Mere logic and argument will seldom succeed in bringing an addict to a point of abstinence. As an alternative, addicts must come to experience benefits and pleasure of sobriety that compensate the short-term gains of pandering in their addictions.

Concepts

Autonomy

Autonomy is considered to be an American value. As a future nurse in psychotherapy dealing with addiction in teenagers of prescription medications I will need to espouse great respect for the patient's individual rights and equate freedom with autonomy. As a nurse in the future, it is important to understand that the system of law supports autonomy and, as a corollary, supports the right of persons to make choices about their own healthcare.

Respect for autonomy requires that these teenage patients be told the truth about their condition and that they are also to be informed about the benefits and risk of treatment. Under the law, they are allowed to refuse treatment even if the best and most dependable information specifies that treatment would be helpful, except their action may have a negative influence on the comfort of another person. These conflicts could possibly set the stage for ethical problems.

The idea of autonomy has changed from paternalistic doctors who detained ethical decision-making authority, to patients authorized to contribute in making choices in regards to their own care, to patients deeply armed with Internet resources who pursue to triumph in any decision making (Flores, 2012). As a nurse, when dealing with addiction in teenagers of prescription medications, it is best to understand that this transition of authority has been unhurried to change in the geriatric population but then again, as the baby boomers start to age they are asserting this developing criterion of independence. Autonomy, on the other hand, does not refute accountability. Healthcare at its foundation is a partnership among the wage-earner and the receiver of care. Each owes the other respect and responsibility.

Beneficence

As future nurse dealing with addiction in teenagers of prescription medications, recognizing that beneficence is the act of being kind is important when dealing with these teenagers. As a nurse, it is vital to provide care that is in the best interest of the patient (Elkashef, 2012). The actions of the healthcare provider are intended to bring about a good that is positive. Beneficence continuously raises the question of objective and subjective purposes of benefit as opposed to harm. A beneficent choice can merely be objective if the same choice were made irrespective of who was making it.

Usually the ethical decision making procedure and the final decision were the purview of the doctor. This is no longer the case; the patient and other healthcare providers, as said by their particular expertise, are significant to the decision-making process (Schmitt, 2008).

Nonmaleficence

Nonmaleficence basically just means doing no harm. As a future nurse, it would be wise to ask whether my actions may harm the patient either by commission or omission. The steering code of primum non-nocere, "do no harm to others," is founded in the Hippocratic Oath. Practices or actions of a healthcare provider are "right" on condition that they are in the attention of the patient and evade negative penalties.

For instance, Florence Nightingale spoke of Nonmaleficence beyond 200 years ago when she repeated that "the actual first obligation in a hospital is that it should do the sick no harm" -- and proceeded to set up systems and practices that are still being used today to improve the safety and quality of patient care (Rothbaum, 2012).

Patients that are teenagers that are of prescription medications are often concerned that technology will uphold their life outside their wishes; as a result, healthcare providers are challenged to improve care all through this end stage of life. Patients could even choose to hurry there healing process with drugs if options are obtainable (Hardy, 2011). The correct of the individual to select to "die with self-respect if necessary" is the ultimate manifestation of independence, but it is problematic for healthcare providers to accept things when there may still be practical options.

Here it is shown the principle of Nonmaleficence contradictory with the belief of autonomy as the healthcare providers wish to be charitable or, at the least, cause no harm. The lively selection to hasten death as opposed to the apparently passive choice of permitting death or other issues such as drugs to occur requires that a nurse provide patients with all the information essential to make an informed choice about courses of deed available to them (Hardy, 2011).

Conclusion

Once a teenager's addiction to prescription medications identified, instructing the client about what it means to have a prescription addiction, the treatments available, and the periods of recovery can be valuable. Clients can be encouraged to share the influence of the substance use on themselves and on their family system. As a nurse, encouraging these teenage clients to share their emotional state connected to their experiences in the family is significant as it aids them to break the silence so frequently connected with living with a substance use disorder, and it can likewise increase their awareness about cognitive and behavioral patterns that donate to the substance use disorder. If through the assessment it turn out to be clear that your client or someone in the family would profit from treatment precisely for his or her substance use complaint, facilitating a formal evaluation or referral to treatment will be obliging. An undetected substance use disorder can cause treatment of any kind of problem to be unsuccessful.

References

Caplan, J.P. (2012). Neuropsychiatric effects of prescription drug abuse. Neuropsychology Review, 17(3), 363-80.

Elkashef, A.M. (2012). Prevention and treatment of addiction. Psychiatric Times, 16-18.

Fischer, B.P. (n.d.). Assessing the prevalence of nonmedical prescription opioid use in the general canadian population: Methodological issues and questions. Canadian Journal of Psychiatry, 55(9), 606-9.

Flores, P.J. (2012). Group psychotherapy and neuro-plasticity: An attachment theory perspective. International Journal of Group Psychotherapy, 60(4), 546-70.

Hardy, L.T. (2011). Attachment theory and reactive attachment disorder: Theoretical perspectives and treatment implications. Journal of Child and Adolescent Psychiatric Nursing,, 20(1), 27-39.

Malerstein, A.J. (2011). Comparison of attachment theory and cognitive-motivational structure theory. American Journal of Psychotherapy, 59(4), 307-317.

Pulver, A.M. (2014). Recreational use of prescription medications among canadian young people: Identifying disparities. Canadian Journal of Public Health, 105(2), 121-6.

Rothbaum, F.R. (2012). Family systems theory, attachment theory, and culture. Family Process, 41(3), 328-50.

Schmitt, F.M. (2008). Does attachment theory offer new resources to the treatment of… [END OF PREVIEW]

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