Topic
Nursing-The Nightingales Environmental Theory (A case Study of Mrs. Adams)
Instructions
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?
What would be an appropriate plan of care be for Mrs. Adams? How would you prioritize the care plan?
Apply Nightingale’s Environmental Theory to an area of your nursing practice? What patient population would 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.
Answer preview
The Nightingale’s Environmental Theory is considered as the first nursing theory that has surpassed the test of time. Despite the fact that it was developed a long time ago, it is still applicable to modern nursing. In the case of Mrs. Adams, the first action recommended by the Nightingales Environmental Theory upon the first assessment would have to go towards the immediate patient environment. The location of the patient’s home is in a low income area, which cannot be changed without the need of a lot of financial support which Mrs. Adams does not have. This means that the nurse would have to make do with what she had.
Word count: 1834