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Concept Analysis, Powerlessness and Coronary Heart Disease

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An 8 page research paper that offers a concept analysis of "powerlessness," with a particular focus on patients with chronic coronary heart disease. Bibliography lists 10 sources.

Page Count:

8 pages (~225 words per page)

File: KL9_khpowerles.doc

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Unformatted sample text from the term paper:

they take, these actions will have no appreciable impact on their particular situation or outcome (Dryer, 2006). Undiagnosed and unaddressed feelings of powerlessness can result in a series of associated negative emotions, such as decreases in self-esteem, which may lead to depression. As this indicates, this is a serious, potential life-threatening co=morbidity issue that should be addressed by nursing diagnosis and intervention. A recent study substantiates the need for this aspect of chronic illness to be addressed, as the studys findings reveal that depression, which can be regarded as expressing a sense of powerlessness in its most extreme form, is frequently normalized by both patients and their caregivers with in the context of long-term chronic illness (Barley, et al, 2012). In other words, they simply accept this reduction in their quality of life as inevitable. The following concept analysis of powerlessness focuses specifically on how this concept impacts patients with chronic coronary heart disease. Definitions of powerlessness As defined by Walker in 2005, powerlessness is "the perception that ones own action will not significantly affect an outcome," this definition goes on to add that there is a "perceived lack of control over a current situation or immediate happening" (Dryer, 2006, p. 30). Kubsch and Wichowski pointed out that a perception of powerlessness is a condition that can affects virtually all individuals at some point in their lives (Dryer, 2006). Furthermore, Kubsch and Wichowski also point out that powerlessness is not well defined or well recognized; therefore, it is frequently defined as "anxiety, ineffective coping or noncompliance" (Dryer, 2006, p. 31). This observation is confirmed within empirical literature as patients who exhibit the emotional affect and behavior associated with powerlessness are typically described in terms of depression, and addressed in terms that relate to empowerment. The study conducted by ...

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