L.A. is a fifty-one year old married female who is physically active and enjoys going on vacation with her husband, Andy. L.A. resides with her spouse in a condominium in New Westminster. L.A. used to work casually at a bus company; however, she was unable to maintain employment as she had to attend the Providence Crosstown Clinic twice a day to receive her opioid treatment. Client denies the use of street heroin apart from her injectable therapy at the clinic since the start of the SALMONE trail. L.A. is currently on injectable diacetylmorphine opioid agonist therapy. L.A. is currently stable. Client states that she has not experienced any morning symptoms related to dope sickness. L.A. would like to transition to a non-injectable opioid
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The normal line of defense is influenced by the client’s lifestyle factors, coping mechanisms, developmental, spiritual, and cultural influences (Ume-Nwagbo et al., 2006). Conditions such as L.A.’s fatigue, excessive worries, and daily stress can cause the flexible line of defense to weaken. When the lines of defense are penetrated by environmental stressors, the lines of resistance are activated to protect the system core (Neuman, 1990). Using the Neuman System Model, L.A.’s system consists of five interacting variables that are physiological, psychological, sociocultural, developmental, and spiritual factors. Physiological variables refer to the client’s body structure and function to protect the client system through homeostasis (Turner & Kaylor, 2015). L.A. is a fifty-one year old Caucasian woman standing at 167 cm and weights approximately 170 lbs. L.A. is slightly overweight according to the body mass index. On September 26, 2016, L.A.’s blood pressure was 130/70, heart rate 80 beats per minute, oxygen saturation 97% on room air, temperature 36.8°C and respiratory rate is 16 breaths per minute at rest. Client’s vital signs are within normal range. However, L.A. has elevated triglyceride …show more content…
Primary interventions seek to retain the client’s system stability by expanding the flexible line of defense, and include health promotion activities and the identifications of risk factors (Turner & Kaylor, 2015). Primary prevention strategies are used to maintain the state of wellness for the client, by strengthening the flexible line of defense through stress prevention and reduction of risk factors (Ume-Nwagbo et al., 2006). It is important to establish a therapeutic relationship between L.A. and nurses, so the client can be open and honest of any concerns that the she may have. Ensuring an open line of communication between nurses and the client is important in establishing a positive relationship as primary prevention. Additionally, L.A. is encouraged to keep a journal of the severity, frequency, and duration of her anxiety symptoms. The journal will be a tool used by healthcare providers to monitor the progress of her symptoms and identify her risk factors (Austin & Boyd, 2010). L.A. will be encouraged to attend support group, like Resilient Minds. Resilient Minds focus on individuals with mood disorders and offers an evidence-based group experience to help ease anxiety in a friendly environment. The session is facilitated Dr. Carla Fry, a psychiatrist. Moreover, L.A. is encouraged to learn positive
The normal line of defense is influenced by the client’s lifestyle factors, coping mechanisms, developmental, spiritual, and cultural influences (Ume-Nwagbo et al., 2006). Conditions such as L.A.’s fatigue, excessive worries, and daily stress can cause the flexible line of defense to weaken. When the lines of defense are penetrated by environmental stressors, the lines of resistance are activated to protect the system core (Neuman, 1990). Using the Neuman System Model, L.A.’s system consists of five interacting variables that are physiological, psychological, sociocultural, developmental, and spiritual factors. Physiological variables refer to the client’s body structure and function to protect the client system through homeostasis (Turner & Kaylor, 2015). L.A. is a fifty-one year old Caucasian woman standing at 167 cm and weights approximately 170 lbs. L.A. is slightly overweight according to the body mass index. On September 26, 2016, L.A.’s blood pressure was 130/70, heart rate 80 beats per minute, oxygen saturation 97% on room air, temperature 36.8°C and respiratory rate is 16 breaths per minute at rest. Client’s vital signs are within normal range. However, L.A. has elevated triglyceride …show more content…
Primary interventions seek to retain the client’s system stability by expanding the flexible line of defense, and include health promotion activities and the identifications of risk factors (Turner & Kaylor, 2015). Primary prevention strategies are used to maintain the state of wellness for the client, by strengthening the flexible line of defense through stress prevention and reduction of risk factors (Ume-Nwagbo et al., 2006). It is important to establish a therapeutic relationship between L.A. and nurses, so the client can be open and honest of any concerns that the she may have. Ensuring an open line of communication between nurses and the client is important in establishing a positive relationship as primary prevention. Additionally, L.A. is encouraged to keep a journal of the severity, frequency, and duration of her anxiety symptoms. The journal will be a tool used by healthcare providers to monitor the progress of her symptoms and identify her risk factors (Austin & Boyd, 2010). L.A. will be encouraged to attend support group, like Resilient Minds. Resilient Minds focus on individuals with mood disorders and offers an evidence-based group experience to help ease anxiety in a friendly environment. The session is facilitated Dr. Carla Fry, a psychiatrist. Moreover, L.A. is encouraged to learn positive