Beruflich Dokumente
Kultur Dokumente
TRANSPERSONAL
CARING by JEAN
WATSON
Case Overview
This is a case study of a 51 year old female client who
lives at Bais City applying the theory of Human Caring
by Jean Watson. Client described general health as good
for the past years yet claimed to have no consultation
visits and admissions. Client does not do self-breast
exam regularly. She frequently has cough and shortness
of breath for the past few days and exhibited body
malaise and weakness. Listens to the advice of the
physicians and nurses and follows it accordingly.
However, client verbalized that some prescribed tests
by her physician was undone because of financial
issues. Client does not smoke but claimed to be an
active second hand smoker because of her environment
at home where her husband and son smoke.
CASE OVERVIEW
Furthermore, the appetite of the client is poor for the
past few days and claimed to experience nausea and
vomiting at times. Client admitted that she loves to
eat sweets and sometimes skips her meals because of
work. Client defecates irregularly where she defecates
2-3 times per week only. She also verbalized that she
sleeps 8-9 hours at home unlike with her stay at the
hospital where she cannot sleep properly and soundly.
Client uses her reading glasses at times but is still
able to read even without her glasses. During her stay
in the hospital, her siblings help her pay with her bills
and some savings that his husband have. She prays to
God for her fast recovery.
RATIONALE
The researcher became interested in
applying the theory of human caring by
Dr. Jean Watson in caring for a client
with DM and CAD.
The researcher also seeks to develop
caring
as
an
ontological
and
theoreticalphilosophical-ethical
framework for the profession and
discipline of nursing and clarify its
mature
relationship
and
distinct
JEAN WATSON
JEAN WATSON
ASSUMPTIONS/
PREPOSITIONS
ASSUMPTIONS/
PREPOSITIONS
PHILOSOPHICAL
BACKGROUND
DISCUSSION OF THE
THEORY
DISCUSSION OF THE
THEORY
DISCUSSION OF THE
THEORY
Never
Always
THEORY OF
TRANSPERSONAL CARING
THEORY OF TRNSPERSONAL
CARING
5.
6.
7.
CLINICAL CARITAS
PROCESSES
CLINICAL CARITAS
PROCESSES
CLINICAL CARITAS
PROCESSES
OBJECTIVES
SIGNIFICANCE OF THE
STUDY
THEORY APPLICATION
Mrs. CRT is a 51-year-old Filipino who was referred to
Negros Oriental Provincial Hospital from Bais District
Hospital for further management. She described her
general health as good prior to admission. She
experienced nausea and vomiting, body malaise and
weakness and lost her consciousness prompting her
admission. Upon receiving the client lying on bed in a
semi-fowlers position, the researcher introduced herself to
the client with proper eye contact and in a calm manner
(CCP 2, CCP 7) and the members of the family present and
opened her connectedness to self and others (CCP 1, CCP
2, CCP 3, CCP 6), respected the client and her significant
others that were present (CCP 1, CCP 9) and honored
human dignity (CCP 1, CCP 3, CCP 6).
THEORY APPLICATION
As the starting point of a good conversation, the researcher
asked the client her name and what would be her preferred name
that the researcher would call her in the entire span of care (CCP
2). Also, the researcher asked for consent to the client being a
participant for a case study, the purposes and goals of the study
and her rights to refuse. Luckily, the client gave her consent and
smiled and expressed her gratefulness of her being part of the
study. Afterwards, the researcher established rapport to the client
by respecting the clients perceptions of the world and her
unique needs, by viewing the client as whole and by showing a
non-judgmental attitude (CCP2, CCP 4, CCP 6, CCP 8 and CCP 9).
The researcher then asked the client if she is of a comfortable
position and her needs as of the moment, the client then
expressed that she wants to be on a sitting position (CCP 4, CCP
8, and CCP 9). The researcher then assisted the client to raise
her head and be comfortable on a sitting position (CCP 4).
THEORY APPLICATION
The researcher positioned the IV stand where the client will be
more comfortable with the IV tube that is present (CCP 4, CCP 8).
As the conversation continued, the researcher allowed the
members of the family present to get involved and be part of the
conversation (CCP 9). The researcher has taken into
consideration the uniqueness of the clients case from the others
(CCP 4, CCP 6). During the conversation, the researcher allowed
the client and the family members to communicate and
elaborate further (CCP 4, CCP 6). Also, the researcher showed
active listening which also stimulates the client to express her
concerns more (CCP 3, CCP 4, CCP 6). However, in the middle of
the conversation, the client expressed her need to void; the
researcher extended her hand to assist the client as she stood
up from the bed and guided her into the comfort room as the
researcher was also positioning the IV fluid and tube properly
and accordingly (CCP 4, CCP 6, and CCP 8).
THEORY APPLICATION
As the researcher and the client reached the comfort room,
the researcher then gave privacy to the client as the IV
fluid was endorsed to the husband to the client and
instructed the husband the proper positioning (CCP 8). As
the client got out from the CR, the client apologized to the
researcher for the hassle of waiting for her. The researcher
then emphasized that it is perfectly fine (CCP 3). The
researcher then regarded the condition of the client after
walking, unfortunately, the client expressed shortness of
breath and dizziness (CCP 4). The researcher made the
client comfortable on bed, instructed to do deep breathing
and let the client rest then asked permission to the client
and the to the husband and son of the client to leave for a
while as the client could enjoys her rest time and be back
in an hour or two (CCP 4, CCP 8).
THEORY APPLICATION
As the researcher came back to the bedside of the
client, the client expressed that she is fine and to
continue the conversation that was interrupted. The
client expressed her need to be well again because of
some financial issues yet the husband of the client
insisted that it is okay and not to worry even a
centavo for it is his obligation and responsibility to
provide. However, the client verbalized her faith in
God and that nothing is impossible with God of which
the researcher respects and understands her belief
and level of spirituality (CCP 2, CCP 3, and CCP 6).
The client further discussed that she keeps on
praying every night for her fast recovery (CCP 3).
THEORY APPLICATION
The researcher on the other hand, did some random
health teachings to the client with regards to her
condition which includes the predisposing and
precipitating factors, possible complications and
preventions (CCP 4, CCP 6, CCP 7 and CCP 10). Also,
before ending the conversation, the researcher
asked the client if she have any concerns, issues,
clarifications with her condition and needs (CCP 7).
After a therapeutic conversation, thorough health
history taking and assessment, the researcher
expressed her appreciation and gratitude to the
client for her participation (CCP 3).
CONCLUSION
RECOMMENDATION
REFLECTION