Final answer:
During the termination phase of Peplau's model, issues such as anxiety, uncertainties about continued improvement, and difficulty with renewed independence may occur. These challenges often stem from the end of the nurse-patient relationship and the need for the patient to sustain their health independently.
Step-by-step explanation:
During the termination phase of Peplau's model, issues may arise related to anxiety about the end of the therapeutic relationship, uncertainties regarding the continuation of improvement, and difficulties in dealing with the return of independence. Peplau's model describes the interpersonal dynamics in the nurse-patient relationship, which goes through three phases: orientation, working, and termination. In the termination phase, the patient must separate from the nurse and sustain their health independently, which can be challenging and may lead to feelings of loss or abandonment.
Challenges in the termination phase can include emotional difficulties for the patient, as they may have developed a strong reliance on the healthcare provider. This shift may surface as resistance to terminating the relationship or a regression in health gains. Another complication can be the therapeutic relationship ending abruptly due to unforeseen circumstances, leaving the patient feeling unsupported and potentially impacting their recovery process. The success of this transition largely depends on how well the earlier phases were handled, especially the working phase where independence and problem-solving skills are fostered.