As a nurse, there will be several realms of thinking that interconnect in order to provide efficient care for patients. The information collected by the nurse for an individual helps shape how care is given based on the patient’s idea of health, illness, and wellness and also is determined by the nurse’s own ethical, legal and advocacy beliefs and practices.
These two points are then brought together to help form a workable nursing process that is effective for the patient. In order to show how these processes work together in helping to provide the best care possible for any patient, I will use examples of how I utilize pertinent information to form an effective nursing process, by using information obtained from my mother Josie. Talking with and knowing my mother I have been able to develop and understanding on how she perceives the ideas of health, illness, and wellness.
She sees health as encompassing a person as a whole, to include not only the body but also the mind. She leads a relatively active lifestyle and tries to maintain a healthy diet in order to achieve a healthy weight. She knows that by leading a healthy lifestyle that she is less likely to become ill. She also believes that health involves a mental or social well-being and tries to obtain this area of her life by going on outings with friends and participating in book clubs.
While she tries to maintain health, if she does become ill she does usually put off going to the doctor for a while until basically she is unable to cope with whatever is ailing her. However, once she does seek medical care she does follow the doctor’s advice and instructions in order to regain optimal health. As for the matter of wellness, she doesn’t put a lot of effort into an overall wellness because she tends to let herself stress out a lot and does not really do much to help manage it. She also has a lower maintenance of wellness because she does not immediately seek medical attention whenever she falls ill.
After assessing my mother’s ideas of health, illness, and wellness I find that her beliefs most closely resemble the ideas described by Ardell as quoted in Fowler’s book, Foundations of Nursing Practice. Ardell’s ideas of health and wellness are described as a balance between nutrition, fitness, safety, stress, and the personal responsibility to maintain all of these areas (Fowler, 2011, p.12). My mother seems to have the right idea for maintenance of her health and wellness but lacks in the practice of being responsible for herself when she falls ill.
This failure of personal responsibility directly correlates with Becker’s idea that a patient may not seek medical help because they do not believe the benefits of care will outweigh the obstacles they must overcome to get that medical attention (Fowler, 2011, p. 11-12). While Josie’s idea of health, illness, and wellness most closely mimic the ideas of Ardell and how it encompasses a person as a whole, the most effective nursing theory to apply to her would be that of Margaret
A. Newman. According to Fundamentals of Nursing (2011), Newman’s central theme is, “Nursing interventions are purposeful, using a total person approach to patient care to help individuals, families, and groups attain and maintain wellness,” (p.75). This idea of treating a person as a whole; mind, body, and spirit; works very well for Josie since she feels that in order to maintain good health and wellness you must take care of both your body and mind. By using this total person approach we can now target Josie’s main problem, Deficient health maintenance as manifested by history of lack of health-seeking behavior.
Now that I have determined Josie’s nursing diagnosis I can then move on to formulating a plan on how to help remedy this problem. My main goals for Josie are for her to seek medical attention early in the event of an illness or chronic ailment and schedule and attend all preventive doctor visits, such as her yearly pap smear and mammograms.
To implement this plan I need to educate her on the benefits of seeking medical help in the event of illness or chronic condition. In order to help her understand the importance of seeking medical care early I can provide her with examples of how by getting seeking care early she can relieve herself of some of the stress of being ill.
She would then in turn miss less work, would feel ill for a shorter amount of time making it easier for her to perform her job as a teacher, and could maintain her active physical and social lifestyle more easily. I can also explain how being sick take an emotional toll on an individual and could cause her to be unhappy if she is ill for an extended period of time by causing her to miss outings with her friends or meetings of her book club.
I would explain to her that by seeking medical attention early she will in turn lead a happier healthier life and she can feel confident that she is doing the best for herself and for her students as she would most likely miss less work and become less stressed in the long run. I would also explain the importance of her preventive check-ups. If she maintains her preventive check-ups she could essentially save her own life if a problem is detected. Early detection is extremely beneficial because in the event that a problem is detected early treatment is more effective and will save her life.
After I have completed teaching her about the benefits of seeking medical care I can evaluate my mother’s progress through our phone conversations. Whenever she is complaining of an ailment or that she isn’t feeling well I can ask her if she has made a doctor’s appointment yet. I can also make it a habit about asking when she is going to go if she has already made an appointment and then follow up with her after that time to make sure she kept her appointment.
I can also start asking her how her yearly preventive checkups have gone and what her results were. By taking an active interest in her healthcare I can assist and evaluate her progress in taking a more active approach in seeking medical care when needed. While creating this nursing process for my mother I utilize my own ethical, legal, and advocacy standards. My ethical principle of beneficence allows me to seek outcomes for my mother’s health based on its benefits to her.
I actively promote the benefits of maintaining good heath for her. This ethical principle is one that I learned from my mother as we share similar beliefs and while I apply it to this situation I will also be able to apply it to situations I may encounter as she gets older in regards to making decisions for her if she is incapacitated. I know that my mother has a certain quality of life that she would like to maintain.
To help provide advocacy for my mother in this situation I am basically acting as a guiding force to help promote a lifestyle change that she will benefit from. While I have to be careful to respect her autonomy, I can also help her gradually transition into a new way of thinking when it comes to seeking early medical attention.
My legal considerations for this situation are basically to keep patient confidentiality. There isn’t a reason I need to discuss this issue with anyone other than my mother or other healthcare providers in the event that she was unable to speak for herself.
ReferencesFowler, P. (2011). Foundations of nursing practice: essential concepts and growth and development. Dubuque: Kendall Hunt Publishing Company. Taylor, C.(2011). Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.