Primary Care Of Cancer: The Neuman Systems Model

The care of cancer is complex. In addition to treatments and consultations, providers must work succinctly on care coordination beyond oncology treatment and assist the patient and their family to mainstream back to primary care. Nevertheless, work toward continuity of care is actively engaging; the lack of utilizing the same tools to assess the patient in survivorship is absent (Snowden et al., 2011). A primary provider may often rely on the patient self-report rather than evaluating the patient based on the same criteria as the oncology unit while the patient is undergoing treatment (Breen & O’Connor, 2013; Clover et al., 2015; Hawley et al., 2010). There are multi-tiered issues; (a) cancer survivors are living longer after treatment and the expectation of improvements in the quality of life after treatment, (b) identification of hidden distresses of survivorship, (c) reliability …show more content…
Each theory emphasizes change is constant and exerts an effect on the person or the system. NSM involves how the basic structure (the patient or family unit) adapts to change while TTM encompasses behavior to create the change. Figure 1. Macrosystem and microsystem of care rehabilitation
Title and History of Theory Neuman history. The use of a microsystem within the macrosystem of the patient and family describe NSM. The NSM, created in 1970 by Betty Neuman, with the intent to explain to graduate students at the University of California, the connection of physiological, psychological, sociocultural, and developmental aspects of human beings (Neuman & Fawcett, 2011). The model provided structure to understanding the pattern of health and the connection of nursing as a system that interacts with the patient (Neuman & Fawcett,