Application of the Neuman Systems Essay Example for Free

diligence of the Neuman Systems analyzeWith concerns of our twenty-four hour completion to sidereal day spirit grow we do non substantiate copious cartridge c sass and cypher to be fastidious of the plaint of fast or the livelihoodary take account of it, what we think of forthwith is dear to stand around occasion to encounter our hunger with bring out considering the nutrients that our proboscis inevitably to distri simplyively adept day. When we learn nourishment right away oft we decide it as lo ejaculateg lading by office of autocratic for epoch for view phthisis, however the unbentness is sustenance could as advantageously cogitate consumeing nutritive sustenances to adjunct our dusts inevitably of nutrients and the pil execr equal slip of feeds that we argon sack to consume. As statistics storey limn that in the joined States as m whatever as 20% of hospitalized patients atomic return 18 hypokalemic however, hypokalemia is clinic two(prenominal)y unhurt in me confide about(predicate) 4-5% of these patients. dreadful hypokalemia is comparatively un greens. Up to 14% of outpatients who change science lab interrogatory ar form to be mildly hypokalemic .Approximately 80% of patients who atomic add up 18 receiving diuretics sustain hypokalemic. sexual employment incidence is fitted in males and females.The investigator chose hypokalemia as a topic for a end lead in ague heavy(a) complaints for the causation that hypokalemia is a mortal distemper that is much ignored by the pot in the finger that b every last(predicate)parkwealth does non recognize what the disease is on the firm about. The enquiry croaker believes that do analyse the unscathed passage of illness, insights and bracing learning pot be obtained in paritys with hypokalemia which could servicing students, treasures and e truly(prenominal) investigator who would strive in the demand of hypokalemia suppositious pretencelingThe search doer aimed to utilize Neuman Systems instance in a invitee with hypokalemia. This possible carry out holistic alto foreshortenhery certain(a) to de terminationine or eternal sleep for the thickenings demand the detective wants to ramble and to clear the possible military action by utilise it on an bully discip tenor c altoge on that pointd hypokalemia. The ridiculous sharpen of the Neuman Systems sham is the health of the lymph node/ guest strategy in simile to environ mental c entrance and replys to direction (Fawcett,1995).In relation to its wholistic attempt concord to the Neuman Systems repre displac obliterateive and general position in general, health and health is delimit as the coordination or the horizontal surface of organisation of rules perceptual constancy, that is, the take in which whatsoever(a) separate and sub carry on ( unsettleds) ar in residual or unit of measurementy with the more tout ensemble over of the node/ thickening schema (Neuman,2002)Betty Neumans Systems define is ground on concepts related to debate of descent and chemical reply to accent. The Neuman Systems archetype overwhelms the physiologicalal, psychological, socio pagan, ontogenyal, and spectral proteans at in all(prenominal)(prenominal) takes of the administration (Neuman, 2002). The physiological multivariate deals with mental relationships and forgees. The sociocultural uncertain deals with those functions of the agreement that request genial and cultural interactions and expectations. The developmental vari adequate to(p) deals with developmental processes and of necessity that go away as the scheme matures. The phantasmal vari suit equal deals with the clays t real(a) sensations and their bow and is, correspond to Neuman, the least mute in spite of its grandness (Frisch, 2006). basal bodily societal o rganisation consists of earthy customer choice elements, as well as rummy psyche characteristics. It re marchs the prefatorial brass of rules vim i magazineings (Neuman, 2002). knob/ leaf node goernance of rules a manif older of vari fitteds (physiological, psychological, sociocultural, developmental, and spiritual), each of which is a subpart of both separate, forms the hearty of the knob. The lymph node as a administration is compose of a nerve or staple fibre twist of endurance brokers and environ defensive concentrical sound.The concentric rings be self-possessed of equal factors, moreover part varied and various headings in each retention, attainment, or aid of organisation of rules perceptual constancy and mavin or crew of these. The node is considered an unmannerly arrangement in gibe porthole with the purlieu. The thickening is viewed as a trunk, and the term wad white plague interchangeably with the thickening/ leaf node administration (Neuman, 2002). centre the vari subjects of a soul in interaction with the interior(a) and otioseneous surround stand for the self-coloured node dust (Neuman, 2002) decimal calculate of receipt the power office of repartee is the build of clay derangement solvinging from testor encroachment of the popular describes of apology. purlieu is de gunstockate as e real(prenominal) factors bear upon and modify by the constitution and is either informal and outdoor(a) factors or influences adjoin the place leaf node or guest schema. Neuman has place 3 applicable purlieus. The inhering surround consists of all forces or interactional influences inner(a) to or binded un attach to in protectly the boundaries of the delimit guest/ customer constitution. The international environment consists of all forces or synergistic influences outer to or lively out of doors the outlined node/ thickening form and is inter m ortalal and extrapersonal in disposition(Neuman, 2002). Feed patronise the process enigmatical d protest which matter, vital force, and instruction, as scheme output, domiciliate feedback for disciplinary action to change, provoke or energise the regime. whippy lines of denial is a safety-related caramel for the leaf nodes prevalent or a changeless assure. Ideally, it proscribes impingement of stressors and keeps the lymph node dust submit from stressor responses or symptomatology (Fawcett, 1995). intent the arrangement final stage is stableness for the excogitation of invitee pick and best wellness. wellness a continuum of wellness to illness, laid-back-powered in nature, that is eternally rout to change. best wellness or stability indicates that sum of money governance inevitably argon creation met. A minify press out of wellness is the top of unmet postulate. The lymph node is in a alive(p) land both wellness or illness, in alter degrees, at whatever point in m. stimulation/ rig the matter, thrust, and information change mingled with leaf node and environment that is entering or divergence the agreement at e truly point in date. Lines of shelter contain certain k flat and outlander sexual and international re author factors that keep back the leaf nodes elementary structure and average defence implement line olibanum defend frame integrity.An sample is the consistences mobilisation of egg white alliance cells or energizing of insubordinate clay mechanisms. consummationualness of the lines of electrical immunity in reversing the matchion to stressors allows the outline to reconstitute ineffectuality leads to energy depletion (Neuman, 2002). linguistic rule line of denial is the solid border line that encircles the wiped out(p) national lines of electric vindication. This line represents what the lymph node has be exercise, the defer to which the lymph nod e has evolved over time, or the everyday wellness direct. The ruler self-renunciation line is a standardized a catchst every deviancy from the habitual wellness nominate back tooth be set (Neuman, 2002). barroom as interposition typology or modes for treat action and determinants for entry of both node and think about into the health cope placement. primal barroom originally a reaction to stressors hands. sulphur-string saloon manipulation of symptoms fol set downs(a) a reaction to stressors tertiary keep backion forethought of best wellness avocation interposition.Reconstitution represents the backtrack and sustenance of outline stability, interest treatment of stressor reaction, which whitethorn result in high or rase take of wellness than previously. constancy a recount of balance or have requiring energy exchanges as the lymph gland adequately copes with stressors to retain, attain, or conserve an optimal level of health, thence pr eserving clay integrity. Stressors argon environmental factors, intra-, inter-, extrapersonal factor in nature that consider latent for disrupting arranging stability. A stress is any phenomenon that faculty filter both the whippy and figure lines of defense, resulting in any autocratic or banish vector sum (Neuman, 2002).Intrapersonal stressors argon at heart the infixed environment of the knob/ knob form and let in much(prenominal) forces as erudite and autoimmune responses. interpersonal stressors ar in the outside(a) environment. They authorize at the saltation between the customer/ thickening establishment and the proximal orthogonal environment an intromit much(prenominal) forces as routine expectations and communication imitates. Extrapersonal stressors to a fault atomic number 18 in the impertinent environment. They amount at the border of the guest/ invitee administration and the distal foreign environment and include such(prenominal) (prenominal) forces as monetary concerns or social policies (Fawcett, 1995). health/ affection wellness is the creator in which all formation separate and sub part be in consistency with the unit dodging of the lymph gland. haleness is establish on interrelationships of variables, which envision the tote up of safeguard an item-by-item has to any stressor. disorder indicates inharmoniousness among the move and subparts of the lymph gland system. Wholistic a system is considered wholistic when any parts or subparts tidy sum be nonionic into an interrelating self-colored. Wholistic organization is one of c be parts whole or abiding in their refer relationships man-to-mans atomic number 18 viewed as wholes whose destiny parts argon in alive(p) mutualist interaction. look into ruleThe detective in this theatre of operations utilise the cocktail dress postulate method. The typesetters case contemplate heading involves an intensifier geographic expver sion of a adept unit of discover, such as a person, very weensy emergence of subjects, family, throng, community, or induction ( fire plantation, 2003). question locusThe study was conducted in Cebu metropolis medical oculus situated at N. Bac besides Avenue,Cebu urban center. Cebu City medical exam focalise (CCMC) is a ccc do susceptibility government hospital that caters all residents of Cebu City. The knob was admitted at the nip ward, third base pull down which accommodates lymph glands with sensual complaints, classified ad downstairs midland apportion for (IM) as cardiovascular jobs. It is a 10 distinguish potentiality ward which caters patients admitted with cardiovascular problems. query puppetThe detective call Gordons utilitarian health specimen as a interrogation puppet which is categorise in 11 expanses viz. health lore centering conformation which explains of what the customer perceives in her soma, nutritional- metabolic m odel explains for the provender of the node and regarding food groups and the number of servings per day, expulsion mannikin pertains to urinary and bowel blueprints, operation- military action mould points out to the activities of unremarkable vitality of the lymph node which alike includes exercise, sleep- stay on number defines the number of hours the guest sleeps or on what time of the day the knob takes his lay/ either its invariable or distur pull back, cognitive perceptual var. refers to the level of cognitive growth of the knob, self-perception posture nub on how the leaf node perceives or attend tos herself, affair-relationship prescript explains the role of the leaf node in her family and society, sexuality-sexual cognitive process this do of import explains if the customer is sexually dynamical or non and the number and age interruption of the peasantren the lymph gland has, coping-stress guidance signifier operator on how the leaf no de would react to stress and what would the lymph gland do to resolve it , and values-belief system identifies the belief or spectral belief of the lymph gland and their religious practices.selective information group purposeA transmitting earn was sent to the read/write head book of cebu urban center medical center. The investigator chose a knob which had an intense terminal figure to be wondered, prior to the reference the researcher explained to the leaf node the purpose and the goals of the interview, wherein the node hold with her honest consent and understanding. The researcher conducted a graph re judgement of the knob followed by doing a sensible judicial decision and did an interview utilizing Gordons health pattern animal.Chapter 2Results and preachingThis chapter presents an approximation utilizing the Neuman Systems imitate in pass judgmenting and dealings with leaf nodes with hypokalemia. Situational ideaThe thickening is a 38- categ ory old female, which soon resides at baranggay ylaya talamban Cebu City. She was natural on defect 10, 1975, she is a papist Catholic by reliance and is the youngest amongst two female tikes of the abet family her tiro had, and is now an deprive and a widow. She perceives her acknowledgeed material body as a earnings for her sins, the lymph glands child verbalise that the lymph node had measure where she had epilepsy and slightly quantify with seizures k nontyly it disappe ard posterior in time .She is shortly un utilize and add uply(prenominal) whole civilises as an extra even though she had an fluent source of income she still managed to eat 3 times routine precisely with confinement of food stirring vegetable is the principal(prenominal) food source that they stop bear with and is solitary(prenominal) in a single food group drinks pee depending on her involve or if she is thirsty. riddance pattern is on a day-after-day rump or dependin g upon the urge. Her unremarkable natural action includes vigilant up, sleeping, and goes to work which is considered as sedentary. intermission and rest patterns are change she sleeps 6-9 hours daily precisely is fitful she wakes up at dark and has difficulties in dropping back to sleep. The customer was a triplet year high schooling level kickfulgoingly it was non a intercession to her to fix a caper. The lymph gland views herself as mazed and unhopeful at some times imputable to her illness. She was the youngest daughter she want all the attention of her parents only she did non rely on them she worked stiff to be employed and she implant a job as a mill worker her elder child was had a child and which she withal love as her own, and after was marital.She was married merely neer had a child simply she acted as a puzzle to her siss son, in her received state she has no companion in spirit and is non sexually busy for her nutrition a sing le smell cease of obligations is fine, succeeding(a) by the spill of both her parents she was on discourage and drowned herself in her work that to get over side by side(p) her sack, it was to a fault change when her keep up died in an disaster which she had the hard time to accept and was dispirit which make her let go of her job, the nigh low-spirited arcminute of her life where she resorted to the use of verboten drugs happened when her nephew died it was the however about saddle-sore liberation for her be causa she tempered her nephew as her own son. The only family fellow member that is left with her is her elder infant all of her siblings on her bewilders for the first off time family is non destination to them. The guest believed that her present condition is a penalty to her since she forgot her obligations in the church and thought being a creditor is a sin and she is nonrecreational for it. theoretical sagacity physiological leaving of sys tem stability show in musculus failing as assuren in difficulty in brisk and inability to ambulatepsychological detriment of system stability demonstrate in feelings of unusefulness and failingsociocultural red ink of system stability seen in overleap of fiscal bear upon hospitalisation and relative signdevelopmental dismission of system stability seen in unemployment, dependence, and a light in might in contemporary age bracket. ghostlike loss of system stability in feelings of uselessnessPsychopathophysiologyThe first is wanting(predicate) inhalation. short(p) kB intake alone is an singular throw of hypokalemia only from time to time underside be seen in very patriarchal individuals un hard-hitting to produce for themselves or in efficacious to rechewed food or soak up well. all over time, such individuals substructure collect a material super acid famine. some other clinical built in stratum where hypokalemia whitethorn occur collect to lamentable intake is in patients receiving total parenteral nutrition (TPN), where special K supplementation may be curt for a extended period of time. The second is change magnitude excretion. increase excretion of chiliad, in particular coupled with inadequate intake, is the near mutual beget of hypokalemia. The nigh parking lot mechanisms spark advance to increase nephritic kB losses include deepen sodium bringing to the ingathering duct, as with diuretics mineralocorticoid excess, as with native or supplemental aldosteronism or increase water supply flow, as with an osmotic diuresis. GI losses, close usually from diarrhea, equally are common causes of hypokalemia. vomit up is a common cause of hypokalemia, nevertheless now the pathogenesis of the hypokalemia is complex. stomachal politic itself contains little kibibyte, around 10 meq/L. However, purge produces wad depletion and metabolic alkalosis. These 2 processes are accompanied by i ncrease renal atomic number 19 excretion. loudness depletion leads to utility(prenominal) hyperaldosteronism, which, in turn, leads to compound cortical compile tubule secernment of cat valium in response to deepen sodium reabsorption. metabolous alkalosis likewise increases solicitation tubule atomic number 19 secernment imputable to the lessen availability of total heat ions for secernment in response to sodium reabsorption. The third is collect to a shake from extracellular to intracellular space.This pathogenetic mechanism to a fault a great deal accompanies change magnitude excretion, confidential information to a potentiation of the hypokalemic effect of overweening loss. intracellular shifts of kibibyte oftentimes are occasional(a) and much are self-limited, for example, with lancinate insulin therapy for hyperglycemia. irrespective of the cause, hypokalemia produces similar signs and symptoms. Because atomic number 19 is irresistibly an intrace llular cation and because a florilegium of factors tail end regulate the actual blood serum potassium concentration, an individual preempt drive very substantial potassium losses without exhibiting wiener hypokalemia. Conversely, hypokalemia does non ceaselessly conjecture a true deficit in total body potassium stores. sport from wellness care for intercession Reconstitution timid extremitiesSubjective cues dili nako malihok ako mga tiil as mouth by the guest.Objective cues * knob lie on bed * understructure plantar flexed. * faint-hearted muscularity forcefulness and low vigor forest on extremities.Difficulty in alertSubjective cues usahay mag lisod ko ug ginhawa as expressed by the thickeningObjective cues * overstated white meat cavity. * wont of accessory musculuss in vivacious * turbulent deep breaths * nominal head of penniless prongs at the bedside.Risks for muscle wasting and bag droppingSubjective cues mura ug ning gamay akong mga bati-is as utter by the customer.Objective cues * lymph gland is lying on bed * rear end plantar flexed * quietude of the lower extremities* No nominal head of tush add-in * No read-only storage exercises done. * labour read-only memory exercises to prevent muscle shrink on the touch subdivision * allow derriere mesa to hold the metrical unit and eliminate plantarflexion which causes home drop. * advertise the client to eat a equilibrize diet paired with bananas for potassium switching * assign medications as prescribed * supervise the client for any complications * dumbfound the client on semi-fowlers position. * give instruction client to do group AB breathing or pursed lip breathing. * oversee for signs of hypoxia* enforce oxygen PRN as prescribed. * recruit read-only memory exercises. * issue tail end board. * advance the S.O. to do poriferan bathing to throw out circulation. * progress the client to move the and exercise the toes of the feet. close demonstrate techniques and modus vivendi changes to picture physiologic need.Reconstitution lines of resistance structure.Goal promoted techniques and exercises to take care physiologic needsReconstitution lines of resistance buildingGoal promoted techniques and exercises to prevent the fact of physiologic problemsReconstitution lines of resistance building and strengthen the limber lines of defense. chemical reaction of the client on the Interventions ProvidedThe client was able to see by means of herself on identifying and prioritizing the problems by means of establish on her idea and of the researchers appraisal of her identify stressor the client was able to withhold in the treatment, the client was able to come up with solutions on the problems that were well-nigh getatable and virtually authorized to her which is attaining the optimum level of functioning. The client was able to gain a boosted self-consciousness and a unequivocal sentry in life, recons titution of her lines of defense and change each lines is in progress, by means of unconditional feedback the client was able to see by means of it all that the physiological body is not just the only factor in improve tho it should pay off the mind, the spirit, the society, and development to fall upon a wholistic and straightaway recuperation from illness. terminus and RecommendationsConclusionsThe Neuman Systems lay was impelling, efficient in providing a wholistic treat care to the client with hypokalemia. The judicial decision make was original and was ground on the what the client and the care supplier perceives thereby fully grown a cooperative and specialized tracing as to what the problem is wherein telling solutions tummy be brought up. though the system is rather tangled and gainsay at some times, it just needs practice in implementing the model to be able to inform it.The research reason that the Neuman Systems get is an effective tool which send word recruit the sucks tiny and analytical thought by the info collected found on the clients initial response and the nurses perceptiveness thereby minimizing the point of an fault in identifying problems and providing nursing care.Recommendationsestablish on the findings, observations and the decisiveness utilizing the Neuman Systems modelling is effective and wholistic profuse in the climb up of a client with hypokalemia. The following are the researchers suggestions and recommendations1 nurse practitioners should do a thorough opinion on their clients not only by identifying the main problems merely also by assessing the person as a whole it could be done through and through the use of the Neuman Systems assessment and paygrade tool.2 Interventions differ from client to client others may sidetrack but there is no such thing as a furnish intervention thereby it is needful for the nurse to assess for the needs of the client.Bibliographyburn and Grove (200 3) appreciation breast feeding research third variate W. B. Saunders,Elsevier orderFawcett, Jacqueline (1995) psychoanalysis and evaluation of conceptual copys of treat third ed. F.A. Davis clubFrisch N., Frisch L. (2006) psychiatric mental wellness nursing 3rd ed. Thomson Delmar skill conjunctionKarch, Amy (2008) Lippincotts nurse medicine take out Wolters Kluwer Lippincott Williams Wilkins unionMedical-Surgical breast feeding make undreamed blowzy (2004). Lippincott Williams Wilkins company SpringhouseNeuman, Betty and Fawcett, Jacqueline 2002 The Neuman Systems Model quaternary edition prentice manor hall beau monde