Reply to this post giving the pros

Reply to this post giving the pros and cons of Newman’s theory In its simplest terms, Newman’s theory of Health as Expanding Consciousness states that in terms of perception, the absence of disease and the presence of disease equals the larger reality. As a person oscillates between these periods of disease and non-disease, also referred to as order and disorder, these oscillations create the person’s life patterns. “Disease is considered a manifestation of the wholeness of the underlying pattern, not a separate entity. Disease and non-disease are simply different points of view of a much larger reality”. (Newman, 1994). Consciousness is the capacity of a person to interact with their environment. The environment consists of the person, their body, and the world around them. The more successful the interactions are, the higher the level of consciousness. Consciousness is health. Consciousness is expanded through a Dialectic process. The Dialectic Hegelian concept involves taking one truth (thesis) and combining it with an opposing truth (antithesis) to create a new reality (synthesis). In Newman’s theory, a patient’s current level of consciousness is seriously shaken by a health crisis; this collision of events pushes the individual to a higher level of consciousness where they are more aware of their environment and more successfully able to interact with it (Newman, n.d.). Newman’s theory asserts that every person in every situation, no matter how disordered and hopeless it seems, is part of the universal process of expanding consciousness. This is a process of becoming more of oneself, finding greater meaning in life, and reaching new dimensions of connectedness with others and the world. Newman pointed out that “nurse-client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives” (Smith & Parker, 2015, p. 288). The nurse-client relationship helps the client and the nurse tolerate the confusion and uncertainty of the situation or crisis until the new pattern becomes more apparent. According to Newman, the nurse must give up the natural urge to fix things and focus on being present to assist the client in identifying and utilizing the power within them to create and adapt to new patterns within their life. This process is referred to as the caring partnership; it enables nurses to identify with their patients and help them find meaning in their situations and lives (Shanahan, 2005). In my practice as an International Board Certified Lactation Consultant (IBCLC) working in a neonatal Intensive Care Unit (NICU), I use Newman’s theory and a caring partnership with the mothers of these fragile infants. Becoming a mother is an overwhelming life event that requires adaptation to new demands and challenges. These adjustments can become complex and distressing when an infant is born early. Utilizing a caring partnership as a nursing intervention helps mothers find meaning in their difficult situations and lives. By creating a genuine relationship through open channels of dialogue such as active listening, presence and intentionality, empathetic understanding, and unconditional acceptance, the mother is presented with the opportunity to identify new life patterns and direction within their life. Mrs. B is a G3 P3 with advanced maternal age (AMA) and a history of mental illness. Mrs. B has two older boys, ages 21 and 23, and neither son lives at home. Mrs. B. was hospitalized for six weeks before the birth of her daughter at 32 weeks gestation. Mrs. B. and her boyfriend live in a rural area outside of Divide, Colorado, and have only been able to see each other once a week since her hospitalization. Our initial visit was focused on identifying what was most important to her and exploring ways in which those needs could be met. Mrs. B wanted more than anything to provide all the breast milk her daughter needed until the time when her daughter would be able to breastfeed. Through the process of open questions, active listening, and “reading” between the lines, other patterns became apparent. Unfortunately, Mrs. B was not able to achieve her initial goal. Over time and while working with the medical team, which consisted of a neonatologist, a neonatal nurse practitioner, a nutritionist, an occupational therapist, a social worker, case management, and lactation, new patterns began to form. Mrs. B struggled as these new patterns became her reality. Through multiple visits and candid conversations, Mrs. B would reconsider what was essential and allow herself the opportunity to disconnect from her ideal of exclusive breastfeeding and focus her energy on herself. By doing so, Mrs. B increased her supply of breast milk and reduced other pathologies affecting her health.

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