Case Study:Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy. Mrs. Adams apartment is located in a low income area of the city where crime is prevalent. Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her cloths appeared unchanged and she had no food in the apartment. The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner.
Using Nightingales Environmental Theory, what actions would the nurse take upon the first assessment? What are the five essential components? Clean Air, Pure water, Efficient Drainage, Light, Cleanliness
o Ventilation and warming (clean air) – Should be the first and last thing that nursing should fix. Air that the patient breathes should be pure, fresh and warm.
o Clean water- water should be sanitary. Sewers should be kept separate from drinking water, and water should be purified to prevent illness
o Drainage- pipes and sewers should drain effectively. In Nightingale’s time this was a real issue.
o Cleanliness- Open windows, clean dust, dispose of waste properly, clean linens, carpets and floors. Light- dark houses are unhealthy and poorly circulated. Sun and light were essential for proper healing of patients.
o Nursing aids in the ability of a person to maintain health and to heal, by managing the environment.
o Frequent observation and individualization per patient was necessary.
o Nursing encompasses observation and management; the environment encompasses ventilation and warming, and the health of houses.
o Nurses are to manipulate the environment and manage health. This directly affects all the concepts in
What would be an appropriate plan of care be for Mrs. Adams? How would you prioritize the care plan? Using Nightingale environmental theory to explain the above stated scenario,
Apply Nightingale’s Environmental Theory to an area of your nursing practice? Clean sheets, warm blanket, quiet environment, private rooms, sink in every room , hand sanitizers. What patient population would benefit from this approach? All patients that come into the emergency room can benefit from this approach. Support this practice change with at least one evidenced-based article.
The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 3 outside references and the textbook. The paper should be in APA format with a title page, level headings, and reference page.
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