University Nursing Report: Anticoagulant Education and Peplau's Theory

This report focuses on the application of nursing theory, specifically Peplau's Theory of Interpersonal Relations, to educate surgical patients about anticoagulants. It begins by defining nursing theory and medication adherence, emphasizing the importance of patient understanding and compliance. The report then introduces Peplau's theory, outlining its four phases (orientation, identification, exploitation, and resolution) and highlighting its relevance to medication management. The core issue addressed is the safe administration of anticoagulants and the associated risks of bleeding. The implementation of Peplau's theory involves fostering self-esteem, hope, trust, and empowerment in patients, facilitating shared decision-making and behavioral changes. The benefits include improved patient outcomes through a collaborative nurse-client relationship. The conclusion emphasizes that applying Peplau’s theory will improve patient outcomes and reduce the risk of complications. The theory utilizes interpersonal skills and education to assist surgical patients, thereby allowing them to function at their maximum potential and highest capability, promoting optimal recovery and wellness.

E D U C AT I O N O N
A N T I C O A G U L A N T S
U S I N G N U R S I N G T H E O RY
N A M E O F T H E S T U D E N T
N A M E O F T H E U N I V E R S I T Y
A U T H O R N O T E

INTRODUCTION
• A nursing theory refers to a set of definitions,
concepts, relationships, assumptions or
propositions.
• These are derived from nursing models or and
are responsible for developing a purposive and
systematic view of the phenomena being
investigated (Alligood, 2013).
• These theories design inter-relationships among
different nursing concepts for describing,
predicting, explaining, or prescribing
interventions.

MEDICATION ADHERENCE
• Medication adherence refers to the extent to which all
patients take appropriate medications, as and when
prescribed by the physicians.
• This involves several factors such as, filling of
prescriptions, remembering the medication, and
understanding the direction and dosage of use.
• Healthcare professionals, especially nurses take
initiatives to increase the effectiveness of medication
adherence, which in turn will create great impacts on
the overall health and wellbeing of all patients (Costa
et al., 2015).

NURSING THEORY
• Dr. Peplau published the ‘Theory of Interpersonal
Relations’, in the year 1952, and 1968, where
interpersonal techniques began to get recognized
as the crux of nursing (Senn, 2013).
• The nursing model proposed by Peplau theory
identifies four sequential phases that enhance in
interpersonal relationship namely, orientation,
identification, exploitation, and resolution (Deane &
Fain, 2016).
• The theory emphasizes on the providing guidance
to medications and improving the drug compliance.

ISSUE/CONCERN
• Anticoagulants are chemicals that prevent
chances of blood coagulation by prolonging the
time required for clotting (Kozek-Langenecker et
al., 2013).
• Risks of bleeding are maximum among people
who have been subjected to recent surgery or
cerebral aneurysm (Dewilde et al., 2013).
• Major concerns are related to administration of
safe surgical procedures, without increasing the
risks of hemorrhage or venous and arterial
thromboembolism

IMPLEMENTATION OF
PEPLAU’S THEORY
• The most essential concepts of this theory that can be applied in educating
surgical patients about anticoagulants include self-esteem, hope, trust,
value, empowerment, self-disclosure and openness.
• This theory would provide assistance to incorporate the prescribed
medication regimen in their lifestyle, which will be facilitated by shared
decision making (D'antonio, Beeber, Sills & Naegle, 2014).
• Understanding the lived experience of the patient will help them to develop
new behavioural patterns regarding medication self-administration.

BENEFITS OF PEPLAU’S
THEORY
• Developing an interaction phenomena nurse-client
relationship will have qualitative impacts on patient
outcomes.
• The clients/patients will be involved in a collaboration
of their own treatment.
• The theoretical framework will help in the
establishment of a significant, therapeutic
interpersonal process that will function cooperatively
with other unit process for optimal patient health
outcome (Sabater-Galindo, Fernandez-Llimos, Sabater-
Hernández, Martínez-Martínez & Benrimoj, 2016).

CONCLUSION
• Displaying a readiness towards medication management is considered as a
prerequisite for accepting the current health status.
• Application of persistent denial of medications will make the patients engage in
shared participation in their treatment.
• This will also help in lowering chances of bleeding in peri-operative procedures
and will also eliminate chances of recurrent hospitalization.
• The theory will utilise interpersonal skills and education to provide assistance to
the surgical patients, thereby allowing them to function at their maximum
potential and highest capability.
• Thus, the theory will promote optimal recovery and wellness of the patients.

REFERENCES
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