One aspect of the nursing theory is about “resilience” in patients especially those suffering from cardiovascular disorders and strokes. This is the capability of patients to recover and resume their normal lives despite considerable difficulties. This nursing theory has received quite a bit of attention because it characterizes a person’s inbuilt or hereditary factor for protecting the body from irreparable damage or harm. Although protective factors may be the same, they do not qualify as significant characteristics in the Walker and Avant process perception of psychoanalysis.  Besides this, the protective factors that make one person healthy in one situation may not have the same effect the same individual in a different situation.

Besides variations with regards to the importance of protective factors versus protective processes, there is also some ambiguity about resilience being a personal characteristic and not a motivated process. The major precursor to resilience is harsh conditions in a person’s life. Hardships or adversity is the one distinguishing factor that separates resilience from other social processes of even personality traits. Adversity happens when a person faces an insurmountable challenge. It is the situation that gives an individual to bring forth qualities of resilience

An example of how a nurse should think and act during every step of the process is shown in the following scenario. An overweight woman, 41 years of age is brought to the Emergency Department complaining of intense back pains under her left scapula and shortness of breath. Her vital signs are T-984, P-92, R-22, B/P-116/68 and she is experiencing mild agony. She says that the pain has been constant for around one hour and is a4/10. She is also a heavy smoker for the last 25 years and experiences mild dyspnea when she has to do any form of physical work. A new student nurse would be hard put to handle this situation, and data collection for her would be limited to her vital signs. However, an experienced nurse would recognize what was wrong with the woman.

The experienced nurse who has been working in the Emergency Department for around three years widens her scope of data collection to include the probability of physical injury, any other reasons or injuries that could add to her pain and discomfort and other details of the history of the origin of the pain. Her immediate objective is to relieve the pain and discomfort, and the long-term objective would be to prevent further occurrences. The nurse broadens her plan and includes exercise, therapy and giving up smoking and a weight loss program. This will improve her back and prevent further incidents of pain.

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