Case Study Of Meleis's Theory

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It is important to recognize that in Meleis’ theory, many of the details are addressed in the type of transition, the facilitators and inhibitors in the transition and the patterns of response. I do think that the complexity science concepts are crucial in maintaining and providing long term maintenance of chronic illness and the trajectory of the client in their understanding of their illness. Complexity science illuminates the nature of the transition process and changes that occur while a transition is unfolding (Geary & Schumacher, 2012). It focuses on the agents within the system and what they bring to the situation and then encourages an open boundary system, so that self-organization, sense making and emergence can happen for the …show more content…
I feel that if Mr. C was unwilling to see a doctor, unable or willing to make the changes needed to improve his condition, or if he was unable to comprehend and make sense of the situation, he would have been deemed high risk. I also feel that if Mr.C was brought into the hospital and the HCP, nurses, emergency department doctors and nutritionists were not in communication with one another and were not putting together a care plan that was fluid and open or patient centered, I would consider the transition to be high risk. Because none of those things happened, it is my opinion that this was a high quality transition. It was unfortunate that the emergent situation he experienced with a blood glucose reading greater than >600, not having been to the doctor in many years and not fully understanding the risk factors for his disease sent him to the hospital unprepared, vulnerable and unclear of the direction of his health care status. However, that being said, he has embraced this new diagnosis in stride and humility, accepted the information he was provided with and was willing and open to ask questions, and has made many lifestyle changes and behaviors to accommodate his illness in order to achieve the best health he can in regards to his diabetes. There are other lifestyle changes that will need to happen to obtain the most optimal health care possible, such as …show more content…
I agree with the conclusions of Geary and Schumacher when they stated, “Integration of transition theory and complexity science encourages the recognition that transitions affect multiple agent: patients, informal caregivers, HCPs, and the health care system.” When everyone works within the system and care plan, communicating throughout the care of the patient, new ideas, improved policies, beliefs, behaviors and outcomes emerge from the transition that has taken place and continues along the continuum of care. However, I do believe there are a couple aspects not considered in their theories. One is motivation for change including self-efficacy, two is ethics and its role in the patient transition. The Transtheoretical Model of Change, developed by Prochaska and DiClemente, explains and predicts how and when people will reject poor health care choices and adopt healthy ones (Giddens, 2013). Mr.C’s motivation to change was great when it was referring to his diabetes and self-management, but when discussing other factors of health needing change, he didn’t seem as motivated. If the level of self-efficacy he has isn’t enough for more change, the action behind

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