Theoretical Framework in Nursing Process Essay Example for Free

Theoretical Framework in Nursing Process EssayThink choke to the last time someone close to you became sick. use Myra Estrin Levines preservation exercise what would have been the cogitate of your assessment? How did the illness affect you and the rest of your family? Levines Conservation Modelis focused in promoting variant and maintaining wholeness using the principles of conservation. The model guides the nurse to focus on the influences and responses at the organismic level. The nurse accomplishes the goals of the model through the conservation of energy, structure, and personal and social integrity (Levine, 1967). Although conservation is fundamental to the outcomes expected when the model is used, Levine as salubrious discussed two other important concepts critical to the use of her model registration and wholeness. (http//nursingtheories. blogspot. com, retrieved April 16, 2012) Now recalling the recent hospital care of patient RG (my girlfriend) due to vaso-vagal syncope, I unknowingly applied all of the four conservation principles, as well as the major concepts that revolve around the model. A few days forward to admission, patient RG report to began having episodes of constipation.Two hours prior to admission, she stated that she woke up due to severe abdominal pain and directly went to the bathroom. A few moments later she was found by her mom on the floor, just regaining her consciousness and with a deep, moderately shed blood, 2-cm laceration on the right cheek bone area. She was rushed to the emergency room and was eventually brought to the OR for repair of facial laceration by a plastic surgeon. I happened to be on duty at that time and, as expected, was the one to attend to her during her stay in the ER.Standard ER protocols would lead me to in the beginning assess for changes her level of consciousness (should the origin would be neurological in nature), followed by a picture review of systems any variation from the normal vi tal signs would deem signifi nookyt for a patient whos chief complaint is loss of consciousness (should the origin would be cardiac in nature). Immediately, the theory of conservation would imply that the patient should temporarily be placed on bed rest while we quieten determine the possible cause of the problem (conservation of energy). Simultaneously, measures were done to revent infection from and further bleeding of the laceration (conservation of structural integrity). When the bleeding has been controlled and tests and other basic interventions have already been done, I tried on keeping her mind as far away as possible from worrying about the probable effects of the cheek fault and the development of a facial scar with her ego-image perception (conservation of personal integrity). Lastly, as I was already on the outgoing shift, I made sure that I stayed with her even after my duty for additional hurt until she was brought up to the OR (conservation of social integrity).On ce she was out of the OR, it was advised that she still be confined for the attached 24 hours for observation and to influence sure that the episode of loss of consciousness would not recur again. later being discharged, she was advised by her attending physician to rest for a additional calendar week prior to going back to work. Apparently the facial damage has also exposed her facial nerves which also had to be repaired. In addition, her parotid gland has also been injured, causing facial swelling whenever she eats.For the next week she had to adapt with the condition and I was there for her helping her adjust with the challenges and though out the whole ordeal. To make matters worse, the injury on her facial nerves caused weakness on her facial muscles leaving her central incisors to beget unstable, resulting into even more pain and discomfort when eating and chewing. This caused strain in our relationship as she was super irritable most of the time. It was as hard for me and for the rest of her family as it was for her as we are all clearly affected by her disability/limitations.Still, that did not deter us from being all there to maintain her. In two weeks, the swelling improved and the pain went away. She started eating normally again and the scar on her face became barely noticeable. Without realizing it, I have put into good use Myra Levines conservation theory. B. Using Roys model of adaptation, what were her adaptive enquires in the following modes physiologic, interdependence, government agency puzzle out, and self-concept In the physiologic mode, adaptation is concerned about the preservation of physical integrity (Fawcett, 1984).Basic human needs such as oxygenation, nutrition, elimination, activity and rest, protection, and temperature regulation are identified with this mode. In addition, the bodys complex processes in the take shape of fluid, electrolyte, and acid-base balances as well as the neurologic and endocrine functions are also taken into consideration (Manriquez, 2009). In the interdependence mode, emphasis is on the need for social integrity. Interdependence entails maintaining balance between dependence and emancipation of an individuals relationship with others.Dependent behaviors can be observed as affection-seeking, help-seeking, andattention-seeking. Independent behaviors embroil mastery of obstacles and initiative taking. Manriquez (2009) describes this as the need is to achieve relational integrity using the process of affective adequacy, i. e. the giving and receiving of love, respect and value through effective relations and communication. In the role function mode, the need for social integrity is also emphasized. When human beings adapt to various role changes that occur end-to-end a lifetime, they are adapting in this mode.Knowing who one is, in relation to others, so one can act is the primary essence of this mode. Role set is the complex of positions that an individual holds which involve role development, slavish and expressive behaviors as well as the role-taking process (Manriquez, 2009). In a group setup such as a family, the role can be assessed by observing the communication patterns. The need is role clarity, understanding and committing to fulfill expected tasks so the group can achieve common goals.For example, when a equalise adjusts their lifestyle appropriately following retirement from full-time employment, they are adapting in this mode (Wikipedia retrieved April 24, 2012). In self-concept mode, the need for maintenance of psychic and spiritual integrity is its main function. Perceptions of ones physical and personal self are included in this mode. (Wikipedia retrieved April 24, 2012). The goal is to exist with a sense of unity, meaning, and purposefulness in the earth (Manriquez, 2009).