Page 68 - alligood 8th edition_Neat

CHAPTER 5 Nursing​Theorists​of​Historical​Significance 49

Nurse formulates plan for meeting patient’s need-for-help based on available resources:
what patient thinks, knows, can do, has done what nurse thinks, knows, can do, has done
Nurse presents plan to patient Patient responds to presentation of plan

Nurse perceives patient’s behavior as consistent or
inconsistent with her concept of acceptance of the plan

Nurse explores, for purpose of clarification, meaning to
patient of perceived behavior following presentation of plan

Patient concurs with plan Patient does not concur with plan

Nurse suggests to patient Nurse may seek help in effort
way of implementing plan to elicit definitive response

Patient accepts Patient does not
suggestion accept suggestion

Nurse implements Nurse explores for cause of patient’s
plan: nonacceptance
Ministration of
help needed
Patient reveals Patient does
cause of nonacceptance: not reveal
interfering problem cause of
nonacceptance
Patient’s immediate need:
to resolve problem
Nurse may seek help
in effort to establish
cause of patient’s
nonacceptance

Nurse explores patient’s ability to Nurse formulates plan
resolve problem for meeting this need-
for-help based on newly
recognized resources;
Patient indicates Patient indicates presents this plan to
ability to resolve inability to resolve patient; and explores
problem problem meaning to patient of
his behavior in response
Patient has no Patient has
need-for-help need-for-help to the new plan
according to the out-
line on this chart
FIGURE 5-4 ​Ministration​of​Help.​(From Wiedenbach, E. [1964]. Clinical​nursing:​A​helping​art [p. 61].
New York: Springer.)