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Jean Watsons Theory of Human Caring
 
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INTRODUCTION

Post-vasectomy pain syndrome is a genital pain condition that is termed chronic and other times it can be stated as debilitating. It develops years later or immediately after vasectomy. This condition is a syndrome and makes it incurable within the limits of medical fields and theories. The only base help that this condition can be addressed with is monitoring of the condition’s effects on the patient and relieving the patients’ pain are the only basic and final assistances a medical practitioner can be of help. It can be referred to as congestive epididymitis when the primary symptoms happen to be pain in the epididymes. (Reed, 2006: 54)

The symptoms of this condition are dominant pain within the genitalia, physical exertion leads to groin pain, painful experience when sexually excited or when involved in intercourse. The condition is selective in nature and is a case for the men only. The pain that is experienced ranges from mild to annoying pain. The cause of the pain can be either made up of one or a combination of the following entrapment of nerves, epididymes overfill, testicular backpressure fibrosis and/or chronic inflammation. The pain can be within a diverse range of forms like orchialgia, congestive epididymitis or situational. The situational factor in the forms can be at certain occasions like when having intercourse, physical exertion or ejaculation. (Bowins, 2006: pp. 9-21)      

To address the above situation is the application of Jean Watson theorem on nursing care. The theory outlines a number of measures and assumption that are key issues when dealing with patients of any chronic type. For the post-vasectomy pain syndrome patient the theory applies almost in full. The branches of care described and outlined, the guidelines and the recommended courses of action in situations of such nature are applicable to patients with this condition and the related conditions.

Jean Watson outlines a number of assumptions and a set of guidelines that are aimed at preferably sustaining conditions like Post-vasectomy pain syndrome to the levels that the conditions can be dealt with or managed to. One of the assumptions states that care is effectively practiced if it’s developed as part of one’s personality. The personality of the nurse or the care giver demonstrates the interpersonal ability that is relevant in offering the appropriate care.

SIGNIFICANCE

Being able to diversify the application of the Jean Watson theory, this research paper’s significance is approving the reliability of the theory and its application. The study took an experimental approach to apply the theory. Application that works develops from a theory to a fact in the medical discipline. The significance number two will be endorsing or criticizing the theory within its own drafted recommendations.

Doubts, fear and critique to implement the theory have been factors holding back many nurses and hospital managers. The introduction of the theory as an official means of offering help to patients haven’t bore any fruits. This study however, is to clear the air within the medical arena and find out the reasons why Jean Watson’s theory should be assumed as a reliable and effective medical guideline. Therefore, should the Jean Watson’s theory on nursing care be adapted for Post-vasectomy pain Syndrome patients?

LITERATURE REVIEW

Post-vasectomy pain syndrome patient doesn’t have the hope of ever getting over the problem whether medically or through induction of other means. The theory of Jean Watson requires that nurses and practitioners familiarize themselves in terms of their interpersonal characters with the hardships such patients go through. Post-vasectomy pain syndrome is not a terminal disease but the fact of it being a syndrome makes it incurable. (Vandemark, 2006: pp.271-273)

The interpersonal demonstration of a nurse according to Watson provides that patients be involved emotionally. Developing a relationship for the patient within which besides the pain an atmosphere of relieve is attained. Everyone needs medical attention in cases of sickness. When the conditions do not rely a lot on the medical assistance, the terminologies can be assumed and a family and loving atmosphere created to heal/relieve the patients from their conditions.

The case of assumptions doesn’t arise in the medical area of expertise due to lack of options but rather encourage the nurse to be drawn in to offer extra ordinary care for patients of all natures. The case of post-vasectomy pain syndrome patient would need more or less of interpersonal abilities from a nurse to deal with the situation. Being a matter of pain, the condition requires the patient to be endurance. Endurance for most patients in general isn’t a common norm. It’s through the help of a nurse with quality personality that the patient will learn patience to get though the peaks of pain. (Potter & Perry, 1992: 103)

Caring factors that should result in the satisfaction of or relieving of the pain in the case of post-vasectomy pain syndrome would be a helpful assumption that doesn’t require to be assumed. It should cost all that is worth for the nurse to offer that to the patient. As long as the nurse and the patient would be in totally different states of emotion, it’s the work of the nurse to assume roles that would result in relieving the patients’ pain.

The aim of a nurse in the dealing with a patient suffering from this condition would be assumed to promote growth in terms of health and family matters. This is the assumption most likely to be effective in the case of a post-vasectomy pain syndrome patient. The pain despite of how minimal or pronounced it would be, the patient needs to know and feel that he is growing both in health and that he is getting family-like care.  (Mullaney, 2000: 13)

Post-vasectomy pain syndrome requires to be managed in a move to cause the least of pain as time goes. The lives of the patients however, keep changing in terms that most of it require managing of their conditions. As a matter of these conditions the patients besides having their conditions managed they may develop other personal problems like fatigue and depression. The nurse assigned to such patient should be able to accept whom the patient was primarily and what he may become. This assumption helps the nurse to show dedication to helping the patient despite what they may be going through.

Intercourses, physical exertions, and so on are some causes of the pain for the patients of this condition. The assumption of addressing some of this delicate cause is to allow development of potentiality while allowing the patient to choose what’s best for him in terms of actions. As a matter of fact, a nurse should not decide whether the patient should have intercourse or not. However, it’s the work and responsibility of the patient to assess if intercourse would worsen his situation and take the best course of action.

Caring complements science of curing; this is the assumption that describes care as a crucial piece needed to facilitate cure. Since post-vasectomy doesn’t have a defined cure, care is the only option on this case. Nurses are expected to accustom themselves with care as the only weapon they have in fighting post-vasectomy pain syndrome.

Centrality of nursing is embedded in the practice of caring. This assumption by Watson is more of a common practice and content in job descriptions of most nurses. For patients suffering from the condition of vasectomy pain, care is entirely the basic need for addressing their condition. (Watson, 1999: 177)

Humanistic-altruistic, faith-hope, cultivation of sensitivity, development of helping-trust, expression of positive and negative feelings, scientific problem solving approach to problems’ solving, interpersonal teaching-learning promotion, provision of a conducive environment, and existential-phenomenological forces’ allowance are the values that guide in the field of the nursing practice. They are reflected by the theory as the essential factors of determine and describe the personality needed for special care to patients in dying process and the chronically ill patients. (Watson, 1999: 178)

The goal of nursing is providing a ground for scientific curing by necessitating on the importance of care within the nursing field. Post-vasectomy pain syndrome could not be managed to a less phenomenological nerve breaking pain if care wasn’t available. This care is only provided by nurses, whether within health institutions or at home. (Taylor & Lillis, 2001: 159)

When working a nurse is provided and expected to focus on the well being of the patients. The case of post-vasectomy pain syndrome patients, a nurse would be expected to sacrifice his or her attention with providing the patients with emotional support, family and health growth by being there to share in their agonies.

Betty Neuman, (1993: 118) argues that it is vital to care for each client as all are unique and need to be treated equally. This is by setting a standard on the degree to which a client can be protected against any reaction of stressors. Jean Watson (1999: 91) states that to care, one must respect the other, understand their power as well as limitations, and needs which are conducive for growth to enable respond to their needs. Betty Neuman (1993: 128) adds that each client needs to have a system of normalcy to combine the natural distinctiveness which is contained in the basic framework structure, and the environment to provide care and nurse patients with stressors.

The idiom of care should be acknowledgeable equally to the nurse and the patient. Orem (2001: 142) states that the framework acts as a guide that nurses become more proactive in line of caring; theoretical thinking and precognitive scientific method. She argues that nurses should abandon the task-oriented care model and consider theoretical approaches. However, this depends on utility in caring and high restraint.

The framework guide guides nurses by highlighting the principles of medical care practices through considerable interventions and. It helps the practitioner to evaluate the consequences of caring against none caring on patients. These engage nurses to work by creating a report card model in their institution of practice and helps in identifying areas of weakness and strength for self correction.

CONCLUSION

Watson provides many useful concepts for the practice of nursing that can be applicable to unique cases of chronicle disease patients and dying patients. The fact that post-vasectomy pain syndrome cannot be treated provides the basis of the theory as one of the most effective form of caring guide. Against the challenges that are experienced in the nursing field of expertise, the guide provides a set of values that one should adapt to be successful when dealing or faced with patients of diverse natures.

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