Application of Theories to SUD Peplau’s Theory of Interpersonal Relations

Peplau’s theory can be implemented in a structured manner throughout the caregiving process, which unfolds in three primary phases: orientation, working, and resolution.

 Orientation Phase: The initial interaction is crucial for establishing trust and defining recovery objectives. During this stage, for instance, a nurse can affirm the patient’s experiences and collaboratively establish concrete goals centered around achieving sobriety and overall well-being.

Working Phase: In this stage, the focus shifts toward collaborative engagement in developing and executing a care plan. This might entail educating the patient about substance withdrawal management techniques while actively encouraging participation in peer support groups.

Resolution Phase: The final stage involves supporting the patient's transition toward independent maintenance of sobriety. This could be facilitated through outpatient counseling sessions or by providing them with valuable self-management resources.

Peplau's framework emphasizes trust and empowerment, which is pivotal in diminishing stigma and enhancing patient engagement (McEwen & Wills, 2022).

Riegel’s Theory of Social Isolation in Chronic Illness

This theory focuses on identifying and addressing social isolation prevalent among patients suffering from SUD.

The first step is thoroughly evaluating the patient’s social support systems. For example, a nurse may uncover limited family involvement but recognize potential avenues for support through community resources.

Secondly, nurses can encourage patients to engage in group therapy sessions or peer support meetings to help rebuild their sense of community and belonging.

Lastly, utilizing technology, such as virtual support groups and telehealth services, offers a way to mitigate the effects of isolation for patients who reside in underserved regions, thereby enhancing their access to necessary care.

Riegel’s theory is instrumental in addressing the social estrangement frequently encountered by SUD patients and fostering robust social networks supporting recovery (Iovino et al., 2023).

Integration of Theories

To illustrate the practical application of these theories, consider a 30-year-old patient struggling with opioid use disorder and facing social isolation. Utilizing Peplau’s Theory, the nurse can develop a therapeutic relationship, guiding the patient in articulating recovery goals that encompass sobriety and the desire to mend fractured family ties. In alignment with Riegel’s Theory, the nurse can orchestrate family counseling sessions and promote connections with peer support groups, effectively reducing feelings of isolation and enhancing social engagement.

References

Fawcett, J. (2005). Contemporary nursing knowledge: Analysis and evaluation of nursing models and theories (2nd ed.). F.A. Davis.

Iovino, P., Vellone, E., Cedrone, N., & Riegel, B. (2023). A middle-range theory of social isolation in chronic illness. International Journal of Environmental Research and Public Health, 20(6), 4940. https://doi.org/10.3390/ijerph20064940Links to an external site.

McEwen, M., & Wills, E. M. (2022). Theoretical basis for nursing (6th ed.). Wolters Kluwer