Running head: TASK ONE 1 Task One Western Governors University
TASK ONE 2 Task One Nursing Theory I recognize concepts from multiple nursing theories while caring for my patients each day. Recently, one theory has caught my attention since I am concurrently studying about healthcare in the community setting. Betty Neuman’s systems theory asserts that a patient as a whole human being, comprised of several unique systems, is affected by sources of stress from their environment that cause their need for nursing care (Ahmadi & Sadeghi, 2017). Her theory also emphasizes that nursing focuses on preventing those stressors at primary, secondary, and tertiary levels (Cherry & Jacob, 2017). Excellent Nursing Practice Nurses in all disciplines can utilize the three echelons of preventative care from Neuman’s theory by providing patient education, vaccinations, medical screening for early disease detection, and interventions for managing chronic illnesses (Centers for Disease Control and Prevention [CDC], n.d.). I believe that nurses provide preventative care at more than one level to each patient they encounter. A community health nurse who educates his patients on healthy eating and exercise habits to help avoid heart disease or participates in a program that provides free flu shots at a local community center is providing primary preventative care. A home care nurse practices secondary prevention by assuring that her elderly patient, whose father passed away one year after he was diagnosed with colon cancer, receives a routine colonoscopy. A diabetic nurse educator who teaches a patient when and how to use their new insulin injector pen once they are discharged is using tertiary prevention by helping that patient manage their diabetes at home and avoid complications.
TASK ONE 3 Professional Practice Nursing Theory As a surgical nurse, I implement Neuman’s systems theory at all three of the prevention stages that she describes. Every patient under my care in the operating room receives lower leg sequential compression devices as primary prevention of intraoperative deep vein thrombosis unless they are contraindicated. I also use primary prevention to avoid skin pressure injuries and nerve damage by insuring that my patients are well padded and protected during positioning for surgery. Monitoring my patient’s hemoglobin and hematocrit during a procedure from which significant blood loss is expected is one way that I practice secondary prevention. Finally, placing a stump dressing and knee immobilizer on a patient directly after their below knee amputation procedure is one way I practice tertiary prevention. Those two interventions help prepare the patient’s leg and prevent knee contracture while their incision heals so they can effectively use their prosthetic limb.
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- Winter '17
- Nursing, Task 1, C304, Florence Nightingale, Ana, nurse practice act, Cherry, American Nurses, National Council of State Boards of Nursing, State Board of Nursing, Nursing Theorists, Nursing Figures