This paper focuses on use of Betty Neuman systems Model in practice using a case study. The model focuses to finding a solution for a patient is none compliance with his care at home after being discharged. This case is a case that involves a patent who is discharged from hospital after treatment for a cognitive heart failure. The patient none compliance involves the continuing with the habit of smoking. This habit results chest pains which are because of the smoking habits. This model is selected for the practice to reflect the congruency that exists between the practitioner’s values and the assumptions of the model.
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The Neuman model perceived clients as being in a state of dynamic equilibrium with the environment. The environment is also considered a perceptual field that surrounds each person. Neumann has focused on the stress factors and the reaction of each person to the condition that bring about the stress. She brought forth the conviction that stress factors comprise the environment. The further argued that the disequilibrium in the body system that is caused the stress as a tension. This tension act as the stimuli, which has the potential of causing the illness to the individual that, is suffering from the stress.
The environment is subdivided into two components that include the internal and external factor. The internal factors comprises of the forces that occur within an individual or intrapersonal stress factor. In our case, the example is smoking which the patient is involved in after being discharged. The external environment consists of interpersonal stress factors that result from interaction with other individuals. This is in terms of changes in the roles that can bring about stress to an individual.
The physiological issues in patient perspective involve things like the ability to see, hear, and have mobility. There other things like the ability to breath, sleeping, feeling, eating, speaking, and the vital signs. This variable focuses on the physiological well being of the patient. By ensuring, that all this things are in appropriate in the patient the health can be guaranteed the way for them.
The psychological variables involve the non-verbal behavior, attitudes, coping pattern, and response to stress. These things focus on the psychological status of the patient. Therefore, by ensuring that the patient psychological status is appropriate one can be able to facilitate the things that ensure the well-being of the patient is considered. There are various expectations in this variable that are recognized through evaluation of the patient’s behaviors and the way the patient handle stress.
The social variable reflects much on the individual’s values and culture. This is by exploring the social and cultural functions of the individual. This can be mainly approached in terms of the way this functionality influences the life of the individual. There are certain cultural believes that affect the life of a given individual negatively in terms of undergoing the medication. This is by getting involved in things that affect their well-being after the discharge form hospital.
The other dimension is the developmental variable, which focuses on the process of life in an individual. This is in terms of the factors that are related to the present situation and they have an influence on the situation. The developmental dimensions in the human life make them to move from one stage in life to the other as time goes by. Therefore, the main objective of this variable is to determine how this change of development is affecting the particular patient in the problem.
The other variable, which is considered significant in the life of a patient, is the spiritual variable. This focuses on the aspect of spirituality on a continuum from entire awareness of an individual. The patient may also be in a condition of denial to a consciously developed high level of spiritual understanding. There is a lot of usefulness to understand the spiritual well being of the patient since it can also contribute to the provision of quality health care services that will be beneficial to them.
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There is a way that a client perceives a stressor. In our case, the patient is concern about the fact that he had experienced the chest pain. This problem interfered with the way he undertook his daily activities before he was hospitalized. The patient can even find it hard to do all he wanted to do. This experience with a health problem is difficult to describe how he is planning to deal with other situation. His expectations are to carry on with his daily routine after being discharged from the hospital and recovering. It would be definitely be a source of stress if he does not manage to accomplish what he intend to after the experience with the illness.
There is also a way in which a nurse perceives the stressors which is different from the perspective of the patient. The perception is through assessment of the patient by the nurse concerning the problem he is experiencing. According to the nurse perspective, the patient is not able to alter the way of living after the hospitalization. This becomes the reason why the patient is still suffering from the chest pains. It is evident that is the patient is continuing with the initial habit of smoking he is still bound to continue experiencing the pains in the chest. This is despite the fact that the individual have never coped with the same problem in the past. Therefore, the nurse perceives the stressor as being the behaviors that the patient gets involved in after the discharge from the hospital.
There are short-term goals that the nurses focus on achieving in order for them to ensure that the patient has received quality health care. One of these goals is for the patient to stop suffering from this chest pains. The other goal is to make the patient to learn to live in a way that will facilitate his recovery. The next goal is to facilitate the increase of the tolerance of the patient to his daily activity. There are also some long-term goals that the nurses are focused on achieving in terms of treating the patient. These long-term goals entail the creation of an optimal degree of harmony and balanced between his external and internal environment. This is in terms seizing smoking habit, attaining the deal weight and development of a lifestyle which commensurate with a satisfying and fulfilling retirement.
The nurses are also bound to prevent the invasion of stressors by providing the resources that strengthen the patients system and coping with positive functioning. This is though motivating the patient and using stress as a positive intervention strategy. The nurses can also engage in mobilizing the patient’s internal and external resources focusing on the achieving stability. They can also seek to maintain the stability through educating and reorienting the patient’s system as required.
Conclusively, this model is considered to provide a reliable guide of different levels of nursing education. The models have managed to incorporate all the significant variables that enable the patient to improve in their conditions. The model lastly focuses on the way the patient can be encouraged to be involved in a good lifestyle.
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