Select One Of The Nursing Models Or Theories Interactive Pro ✓ Solved

1. Select one of the nursing models/theories interactive pro

Susan Frank is a nurse in a home care agency, and she is making her initial visit to a new patient, Jay Gold. The patient’s name looks familiar to Susan, as she previously cared for him more than a decade ago during his hospitalization for diabetes with ketoacidosis. At that time, he was started on insulin and learned how to manage his diabetes. Susan is shocked to see the changes in Mr. Gold’s health, as he is now dealing with multiple complications, including a right above-the-knee amputation, osteomyelitis, and monitoring for decreased renal function.

Nursing Model Selection

For assessing Mr. Gold and planning his care, we have selected Imogene King’s Conceptual System and Theory of Goal Attainment. This nursing model emphasizes the importance of interactions between the nurse and the patient and the significance of setting and attaining goals collaboratively. King’s model is highly relevant for Mr. Gold’s situation because he is experiencing a complex array of health challenges that require a holistic approach to care.

Rationale for Selection

King's model is particularly useful in this context because it allows for a comprehensive assessment that includes Mr. Gold’s physical health, emotional status, and social environment. The interactive process encourages communication and collaboration, enabling the patient to be an active participant in his own care. By establishing a partnership with Mr. Gold, Susan can help him articulate his health goals and work towards achieving them, which is essential given his current health concerns and psychosocial factors.

Additional Information to Collect

Based on King’s model, in addition to his existing medical history, Susan would need to collect further information to assess Mr. Gold’s overall situation. This would include:

  • Understanding Mr. Gold’s personal goals for his health and recovery.
  • Assessing his current coping mechanisms and support systems, including family dynamics and social support.
  • Evaluating Mr. Gold’s knowledge and understanding of his diabetes management and any educational needs he may have.
  • Identifying mental health concerns, such as depression or anxiety, related to his health conditions and the impact of his amputation.
  • Gathering information on his daily living activities and any difficulties he faces in completing them.

Initiating a Plan of Care

Once Susan has gathered the necessary information, she would initiate a plan of care by following these steps:

  1. Establishing a Rapport: Susan would start by re-establishing a connection with Mr. Gold, using her prior knowledge of him to build trust.
  2. Co-creating Goals: Collaboratively, Susan and Mr. Gold would establish realistic and achievable health goals, such as improving diabetes management and understanding how to care for his amputation.
  3. Designing Interventions: The care plan would include interventions tailored to Mr. Gold’s needs, including educational sessions about diabetes management and resources for mental health support.
  4. Integration of Family: Engaging his wife and daughters in the care plan would ensure that Mr. Gold has a strong support system during his recovery process.
  5. Plan for Follow-up: The plan would involve regular follow-ups to assess progress towards goals, allowing for modifications in the plan as needed.

Comparison with Alternative Theory

If Susan had chosen Martha Rogers' Science of Unitary and Irreducible Human Beings, her assessment and planning may have focused more on the holistic and energy-focused aspects of Mr. Gold’s care, emphasizing the connection between his physical conditions and broader energy interactions. While this perspective is valuable, it might lack the structured goal-setting approach that King’s model offers. Susan would need to address Mr. Gold’s health in a more abstract way, focusing on the energy fields rather than direct, communicative interactions for goal attainment, potentially impacting the clarity of the care objectives.

In conclusion, utilizing King’s Theory of Goal Attainment is beneficial for Susan in assessing and planning care for Mr. Gold. It fosters collaboration and facilitates a focus on personal health goals that are crucial to the patient's recovery journey. By taking Mr. Gold's unique situation into account, Susan can provide effective, tailored care that aligns with his needs and aspirations.

References

  • King, I. (1997). The Conceptual System for Nursing. In Nursing: A Conceptual Approach.
  • Rogers, M. E. (1970). Science of Unitary Human Beings. Nursing Science Quarterly.
  • American Diabetes Association. (2020). Standards of Medical Care in Diabetes—2021.
  • Graham, J. (2018). Diabetes: The Role of the Nurse in Patient Education. Journal of Nursing Practice.
  • Burgess, L. (2017). The Impact of Family Support on Diabetes Management. Diabetes Spectrum, 30(3), 184-190.
  • Gare, D. (2019). Holistic Nursing: A Handbook for Practice. Jones & Bartlett Learning.
  • Corrigan, J. (2019). Understanding Depression in Patients with Chronic Illness. The Journal of Chronic Illness, 12(2), 123-130.
  • Brunner, L. S., & Suddarth, D. S. (2020). Brunner & Suddarth's Textbook of Medical-Surgical Nursing.
  • Stanford, A. (2021). Application of Nursing Theories in Clinical Practice. Nursing Management, 52(1), 20-25.
  • Healio. (2021). Diabetes Care: The Role of Home Health. Clinical Diabetes, 39(4), 165-170.

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