Read the following scenario: Coleen is a 32-year-old career woman who is working as a nurse. She and her husband have been married for 5 years. Due to the increasing cases of COVID19, her job is becoming more demanding and stressful. She has to wait for the hospital-provided bus and walk 2 kilometers away from their house. She works 12 hours per day for 3 days a week and has to isolate herself from her family when she arrives home. She considers herself healthy, except that she always suffers from dysmenorrhea every monthly menstrual period and occasional allergic colds. She is living with her husband and two kids ages 3 years-old and 8 years-old. Lately, she always felt anxious and tired because of her fear of being infected and of infecting her family members. She expresses to her husband and parents of her concerns. She also seem paranoid every time she feels she is having colds. One time when she arrived at the hospital, her co-nurse noted that she did not seem to be herself, was more reserved than normal, and seemed to be moving very slowly. In casual conversation, Coleen said that she had been feeling “down in the dumps” and was having trouble sleeping. On careful assessment the nurse found that Coleen was sleeping about 6 interrupted hours a night and was anxious about her work condition. She did not know how she would ever be able to go through the daily duty, and she could not sleep because she was having so much lower back pain and indigestion. Her husband was supportive and tried to do as much as he could for her. He worked full-time and commuted to the city also by bus 2 days a week. The following objective data were obtained: Blood pressure 120/80mmHg (normal) Temperature 36.8C (Normal) Respirations 20 breaths/ minute (normal) Pulse 98 beats/min ( above normal) Weight 123.2 lbs (56 kg) Below normal weight Task: Using the Levine Conservation Model, the nurse’s goal is to promote wholeness in the context of Coleen’s over-all health. Let us try to assess or evaluate the condition of Coleen based on the following: Assessment Findings Per Area: Challenges to Internal Environment Challenges to External Environment Energy Conservation Structural Integrity Personal Integrity Social Integrity Summary of Problems Identified per Area Identified
Read the following scenario:
Coleen is a 32-year-old career woman who is working as a nurse. She and her husband have been married for 5 years. Due to the increasing cases of COVID19, her job is becoming more demanding and stressful. She has to wait for the hospital-provided bus and walk 2 kilometers away from their house. She works 12 hours per day for 3 days a week and has to isolate herself from her family when she arrives home. She considers herself healthy, except that she always suffers from dysmenorrhea every monthly menstrual period and occasional allergic colds. She is living with her husband and two kids ages 3 years-old and 8 years-old.
Lately, she always felt anxious and tired because of her fear of being infected and of infecting her family members. She expresses to her husband and parents of her concerns. She also seem paranoid every time she feels she is having colds. One time when she arrived at the hospital, her co-nurse noted that she did not seem to be herself, was more reserved than normal, and seemed to be moving very slowly. In casual conversation, Coleen said that she had been feeling “down in the dumps” and was having trouble sleeping.
On careful assessment the nurse found that Coleen was sleeping about 6 interrupted hours a night and was anxious about her work condition. She did not know how she would ever be able to go through the daily duty, and she could not sleep because she was having so much lower back pain and indigestion. Her husband was supportive and tried to do as much as he could for her. He worked full-time and commuted to the city also by bus 2 days a week. The following objective data were obtained:
Blood pressure 120/80mmHg (normal)
Temperature 36.8C (Normal)
Respirations 20 breaths/ minute (normal)
Pulse 98 beats/min ( above normal)
Weight 123.2 lbs (56 kg) Below normal weight
Task: Using the Levine Conservation Model, the nurse’s goal is to promote wholeness in the context of Coleen’s over-all health. Let us try to assess or evaluate the condition of Coleen based on the following:
Assessment Findings Per Area:
Challenges to Internal Environment
Challenges to External Environment
Energy Conservation
Structural Integrity
Personal Integrity
Social Integrity
Summary of Problems Identified per Area Identified
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