Saturday, December 29, 2018
Concept synopsis Stephanie Hobbs NR 501 Theoretical Basis for Advanced give care for Instructor Dr. Patricia Fedorka September 30, 2012 Introduction jibe to McEwen &type A Wills (2011), image analysis is an sexual climax to explain and define terms so that writers and readers have a common language. The act of a persuasionl analysis is to 1. ingest a plan 2. Determine the aims or purposes of analysis 3. Identify all the uses of the notion possible 4. Determine the delimitate attri exactlyes 5. Indentify molding font 6. Identify moulding, related, contrary, invented and illegitimate sheaths 7.Identify antecedents and consequences 8. sterilize trial-and-error referents The concept substantiallyness is referred to as the magnate to function independently hold to lifes stressors achievement of atomic number 53s full potential and maven of mind, body and soul. Jean Watson identified wellness as oneness of umpteen concepts use to understand the system or scienc e of human caring (McEwen & Wills, 2011). enjoyment of the Analysis The purpose of this analysis is to clarify and define the term health. Clarification of this concept is essential to the function of caregivers.E trulyone responsible for providing care should be knowledgeable of what health is. rough believe they know what health is but after a closer look, it is revealed that at best, it is fleeting and partially understood. Also, it is necessary for medical exam personnel to understand the fight surrounded by health, care and have got (Lee & Ross, 2008). Uses of the health Concept According to footer & Avant (2011), dictionaries, colleagues, thesauruses, and scholarly books should be utilize to identify the uses of the concept. A search for the literature on health was done by using Medline, CINAHL and Google Scholar.An online dictionary and thesaurus was to a fault used. Dictionary Definition The English interpretation of this word has many meanings. Webste r defines health as the pin down of be sound in mind, body, or spirit especially license of strong-arm complaint or pain. early(a) definitions by Webster are the general condition of the body, a flourishing condition, and a general condition or state (Merriam-webster. com). delineate Attributes Attributes as described by Walker & Avant (2011) are characteristics or descriptors. These attributes volitioning help distinguish health from nurse and care. A state of off physical, psychogenic and social well being * A dynamic state of functioning inside the limitations of the person (Artinian, 1991) * Unity and harmony deep down the mind, body and soul (Watson, 1999) * The expanding of consciousness an evolving rule of the whole of life ( nakedman, 1999) Model Cases 1. A 17 category old has apt(p) birth to twins and been referred to the Following baffle Back Home Program. On the initial visit, the prevail finds the get under ones skin is withdrawn and displaying pola ritys of depression. She knows really micro about the babies behaviors and is non truly concerned about what the make or social histrion is saying.Upon further mind, the mformer(a) reveals that she and the father are no yearner together. The nurse similarly finds out later on that mum was severely anemic at discharge and experiencing excruciating headaches. On the contiguous visit, the nurse convinces mom to schedule her hap up appointment and she explains how anemia affects her and her ability to care for the babies. Although the client denied feeling depressed, the nurse discussed signs of post partum depression and got the client to sign a contract saying she would omen for help if she felt like urting herself or the babies. subsequently returning to the office, the nurse called the physicians office to make him aware of her involvement with the client and her assessment. The nurse as well as refers the client to a computer program called ACCESS. This program pr ovides parenting classes as well as counselor-at-law for teen parents and emergency help with diapers and formula. after visiting the client for a hardly a(prenominal) months there is a noticeable difference in the way she interacts with the babies as well as her overall appearance and zilch level.The client is also attentive and arouse in what the home visitors are talking about. The client states that she is taking music for the anemia and on birth control. She is getting instruction and taking a parenting class by means of and through the ACCESS program. She also says she enjoys the program be make up she interacts with other teenager going through the same(p) thing she is. This model contemplates health because it contains many of the shaping concepts. Any of the concepts missing could cause the client to not be in good health.It also demonstrates why the nurse must have good assessment skills and address as many areas as possible that affect the clients health. 2. An el derly lady diagnosed with Hypertension and shell II Diabetes presents to a Community health Center for a follow up appointment. During triage, the clients rail line stops is 357mg/dl and her blood pressure is one hundred eighty/206. after(prenominal) speaking with the nurse, it is revealed that the client has been evicted from her home, has footling to no food to get her through the month and did not purchase her medication due to a lack of money.The nurse shares this information with the physician and the social worker. After the physician gets the blood sugar and blood pressure under control, the social worker enrolls the client into some med assistant programs and calls the nearby womens shelter to secure her a bed. The nurse gives her enough samples to last until her meds amaze in. The client states she will follow the nutrition prescribed by her physician. This model understandably demonstrates how social issues affect overall health. After the clients social needs wer e met, she was able to revolve about on taking care of her physical health.This model also reflects many of the shaping concepts. Borderline Case A borderline case gives another example of the concepts use, but some of the defining attributes are excluded. Borderline cases give readers an idea of what the concept is not (Speros, 2005). A 55 year old male lawyer presents to PCP complaining of chest pain, febricity and smallness of breath for 3 age. He is told that he has to be hospitalized for a cardiac workout because a myocardial infarct is suspected. He is also told that he will have to have a cardiac catheterization.The patient reads the consent and refuses to sign it because he does not understand the medical jargon. He leaves against medical advice but is told to take 2 propranolol 80mg and impinge on his physician in 2 weeks. He takes 2 pills once a day and does not return to see his doctor. Contrary Case The following case is contrary to health because it does not refle ct the defining concepts. A 26 year old mother from a very small rural community brings her 6 year old to clinic wheezing and short of breath. The mother smokes about 30 cigarettes a day, is very soft spoken, has a circumscribed vocabulary and reads on a fifth part grade level. florists chrysanthemum also has problems spelling talking to correctly, prints when writing and reverses some of the letters. The child is diagnosed with asthma and sent home with a nebulizer with albuterol and saline, a peak flow meter, sex hormone inhalers with spacers, and oral medication. Before leaving mom is asked if she understands how to give the child her medication? Mom states she understands and is then told to stop smoking close to the child and return to the clinic in 1 week. Mom verbalizes understanding and leaves. Three days later mom presents to the Emergency elbow room with child in respiratory trauma and smelling of smoke.She states she did not use the nebulizer because she could not wo rk it, she gave the both medication double a day as unconnected to each medication daily and she did not have peak flow readings because she aspect it look more like a toy. The child smelled strongly of smoke (Speros, 2005). This case clearly shows two people in poor health. It obviously is contrary to the defining attributes of health. Antecedents and Consequences Walker and Avant (1995) describe antecedents as events or incidents that must precede the farerence of the concept. For some time there was very little theoretical clarity of health for treat science.In 1946 The World health face act to define health and has since changed or added to the definition a couple of times. Walker and Avant (2005) also described consequences as events or incidents that occur as a result of the concept. specify or clarifying the health concept has been important and useful to the theoretical background of nursing. It has helped developed theory, instrument and research (Wang, 2005). ver ifiable Referents According to Cheng, Foster& Huang, empirical references present how the concept is to be heedful or what the observation of a phenomenon should in reality be (tzuchi. om). Jean Watsons Theory of Human Caring delineate three concepts with health being one of them. Margaret Newmans Theory of Health as Expanding Consciousness model uses two concepts one of those being health. These theories demonstrate the existence of health and how it has helped the nursing profession. Conclusion The concept of health was selected because of the many changes and variations to its definition. The World Health Organization defines health as a complete physical, mental and social well being and not merely the absence of disease or infirmity (who. int).Regardless of the definition, health is a concept that has helped develop the nursing profession. The origin Artinian, B. M. , (1991). The development of the intersystem model. journal of Advanced Nursing, 164 -205. Lee, V. and Ross , J. , (2003). What is Health? Campaign. Canadian diary of Public Health, 94(5), 360. Ne Newman, M. A. , (1999). Health as expanding consciousness (2nd ed. ). New York National League for Nursing Press. http//userwww. service. emory. edu/mrisjor/documents/Rethinking. pdf http//www. merriam-webster. com/dictionary/health http//www. tzuchi. com. w/file/DivIntro/nursing/content/92-3/3. pdf http//www. who. int/about/definition/en/print. html Speros, C. (2005). Health Literacy Analysis Concept. Journal of Advance Nursing, 50(6), 633-640. Walker, L. O. & Avant, K. C. (1995). Strategies for Theory winding in Nursing, 3rd ed. Appleton-Century-Crofts, Norwalk, CT. Walker, L. O. & Avant, K. C. (2010). Strategies for theory construction in nursing. Boston Pearson Wang, Y. (2005). A concept analysis of health. Hu Li Za Zhi The Journal of Nursing, 52(1), 40-43. Watson, J. , (1999). Postmodern nursing and beyond. London Churchill Livingstone. .