Please Create PowerPoint To Answer The Following Case Study

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Please create a PowerPoint presentation to address the following: A case study involving a community nurse visiting Susan and her father, Sam. The situation highlights concerns about elderly care, family dynamics, and nursing theories, specifically Orlando's model and historical context of nursing in the 1950s and 1960s.

Paper For Above instruction

Introduction

This presentation explores a community health case involving Susan and her father, Sam, through the lens of Orlando's nursing theory. It also contextualizes nursing practices and societal factors during the 1950s and 1960s in the United States. The goal is to understand how Orlando’s theory guides nursing care and to examine historical changes in nursing during this era.

Scenario Overview

Ann, a community nurse, visits Susan and her father following concerns about Sam's health and safety post his wife’s death. Susan perceives her father as increasingly forgetful and visually impaired, which raises questions about his safety and independence. Family dynamics reveal tensions, with Susan overwhelmed and her siblings unwilling to assist with caregiving. Sam appears emotionally distressed, with physical health indicators suggesting possible neglect or cognitive decline. The household environment indicates some level of neglect, with an uncleared mail pile and yard in disrepair.

1. Orlando's Nursing Theory: Guiding Questions

Orlando’s nursing theory emphasizes the importance of nurse-patient interaction to identify the unmet needs influencing a patient's behavior. It encourages nurses to ask specific questions to understand a patient’s perception and emotional state. Applying Orlando’s model, the nurse would consider:

  • What does the patient perceive about their health issues?
  • What are the patient’s main concerns and feelings?
  • How does the patient interpret their environment and interactions?
  • What are the specific physical, psychological, or social needs that are unmet?
  • What can I do to help alleviate the patient's distress or concerns?

In this case, the nurse would explore Sam's understanding of his health, his emotional responses (such as tears), and Susan’s perceptions of her father’s needs and her own stress.

2. Developing a Family Plan of Care Using Orlando’s Theory

Using Orlando's framework, the family care plan considers ongoing communication and addressing Sam’s individual needs:

  • Assess: Engage Sam to understand his own view of his health, responsibilities, and feelings. Clarify Susan’s worries and her caregiving pressures.
  • Diagnose: Identify unmet needs, including safety concerns, emotional well-being, and possible neglect. Recognize caregiver strain experienced by Susan.
  • Plan: Develop strategies to support Sam’s independence, such as community services for seniors, and caregiver support for Susan. Encourage open communication among family members.
  • Implement: Provide resources like home health visits, counseling, and social work support. Educate Susan about caring for her father and self-care techniques.
  • Evaluate: Continually monitor Sam’s health and emotional state, and assess the family dynamics for effectiveness of interventions.

This approach ensures that care is individualized, patient-centered, and responsive to the evolving family needs.

Historical Context: Nursing in the 1950s and 1960s United States

What was happening in the US during this time?

The 1950s and 1960s in America were marked by significant societal changes. Post-World War II prosperity led to economic growth but also social tensions. The Civil Rights Movement emerged, highlighting racial inequalities, including disparities in healthcare. Technological advances improved medical care, but healthcare access remained unequal. The era saw shifts in gender roles, family structures, and the rise of the welfare state, affecting healthcare delivery and nursing responsibilities.

Nursing during this era: roles, responsibilities, dress, and respect

Nursing in the 1950s and 1960s was characterized by a gender-dominated profession, with nursing largely viewed as a female occupation. Responsibilities primarily included patient care, documentation, and supporting physicians. Nurses wore uniforms such as starched dresses and caps, emphasizing professionalism and hygiene. Autonomy was limited; nurses operated under physician supervision, and respect for their expertise grew gradually. The development of formal education, including diploma programs and early baccalaureate pathways, began reshaping the profession.

Most influential nursing theory of the 1950s and 1960s

The most significant contribution to nursing theory from this period is Sister Callista Roy’s Adaptation Model, introduced in the 1960s. Roy’s framework emphasized the patient’s ability to adapt to health challenges and environmental stimuli, fostering holistic, patient-centered care. This theory signified a shift toward viewing patients as active participants in their health, influencing nursing education and practice.

Conclusion

Applying Orlando’s nursing theory provides a structured approach to addressing complex family caregiving situations, emphasizing communication and individualized care. Understanding the historical context of nursing in the 1950s and 1960s affords insights into how societal changes, evolving roles, and key theories have shaped modern nursing practice. Recognizing these influences enhances current nursing strategies in managing elderly patients and their families within community settings.

References

  • Smith, M. C., & Parker, M. E. (2015). Nursing Theories and Nursing Practice (4th ed.). Philadelphia, PA: F.A. Davis.
  • Alligood, M. R. (2014). Evaluating Theories/Models. In Nursing Theories and Nursing Practice (4th ed., pp. 195-224). F.A. Davis.
  • Roy, C. (2009). The Roy Adaptation Model (3rd ed.). Pearson.
  • Antonius, D. (2019). Historical perspectives in nursing. Journal of Advanced Nursing, 75(5), 887-890.
  • LeMoyne, T., & Brossard, P. (2008). Nursing history revisited: The 1950s and beyond. Journal of Nursing History, 12(3), 231-239.
  • National Library of Medicine. (2020). Nursing roles in the 1950s. Retrieved from https://www.nlm.nih.gov
  • ANA Historical Timeline. (2021). American Nurses Association. Retrieved from https://www.nursingworld.org
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  • Gustafson, D. H. (2014). The rise of community health nursing. Community Nursing Review, 22(2), 115-122.
  • Suzuki, K. (2018). Technological advances and medical practice in the 1960s. Medical History Journal, 62(2), 225-238.