Basic Assumptions of The Neuman Systems Model

Basic Assumptions of The Neuman Systems Model

1. Although each individual client or group as a client system is unique, each system is a composite of common known factors or innate of characteristics within a normal, given range of response contained within a basic structure.
2. May known, unknown, and universal environmental stressors exist. Each differs in its potential for disturbing a clients’ usual stability level, or normal line of defense. The particular interrelationships of client variables-physiological, psychological, sociocultural, developmental, and spiritual-at any point in time can affect the degree to which a vliet is protected by the flexible line of defense against possible reaction to single stressor or a combination of stressors.
3. Each individual client/client systems has evolved a normal range of responses to the environment that is referred to as a normal line of defense, or usual wellness/stability state,. The normal line of defense can be used as a standard from which to measure health deviation.
4. When the cushioning, accordian-like effect of the flexible line of defense is no longer capable of protecting the client/client system against the environmental stressor, the stressor breaks through the normal line of defense. The interrelationships of variables-physiological, psychological, sociocultural, developmental, and spiritual-determine the nature and degree of system reaction or possible reaction to the stressor.
5. The client, whether in a state of wellness or illness, is a dynamic composites of the interrelationships of variables-physiological, psychological, sociocultural, developmental, and spiritual. Wellness is on a continuum of available energy to support the systems in an optimal state of system stability.
6. Implicit within each client system are internal resistance factors known as lines of resistance, which function to stabilize and return the client to the usual wellness state (normal line of defense) or possibly to a higher level of stability following an environmental stressor reaction.
7. Primary prevention relates to general knowledge that is applied in client assessment and intervention in identification and reduction or mitigation of possible or actual risk factors associated with environmental stressors to prevent possible reaction. The goal of health promotion is included in primary prevention.
8. Secondary prevention relates to symptomatology following a reaction to stressors, appropriate ranking of intervention priorities, and treatments to reduce their noxious effects.
9. Tertiary prevention relates to the adjustive processes taking place as reconstitution begins and maintenance factors move the client back in a circular manner toward primary prevention.
10. The client as a system is in dynamic, constant energy exchange with the environment.

Source:

Ann Marriner Tommey, Martha Raile Alligood. Nursing Theorists and Their Work. Mosby: 1998.

Theory of Self-Care

Theory of Self-Care

Self-care is a human regulatory function that individuals must, with deliberation, perform for them-selves or have performed for them to maintain life, health, development, and well-being. Self-care is an action system, the elaboration of the concepts of self-care demand, and self-care agency provide the foundations for understanding the action requirements and action limitations of persons who may benefit from nursing. Self-care as a human regulatory function stands in distinction to other types of regulation of human functioning and development such as neuroendocrine regulation. Self-care must be learned and it must be deliberately performed continuously in time and in conformity with the regulatory requirements of individuals associated, for example with their stages of growth and development, states of health, specific features of health or developmental states, environmental factors, and levels of energy expenditure.

Source:

Ann Marriner Tommey, Martha Raile Alligood. Nursing Theorists and Their Work. Mosby: 1998.

Theory of Self-Care Deficit

Theory of Self-Care Deficit

The central idea of the Theory of Self-Care Deficit is that requirements of persons for nursing are associated with the subjectivity of mature and maturing persons to health-related or helath-care-related action limitations that render them completely or partially unable to know existent and emerging requisities for regulatory care for themselves or their dependents and to engage in the continuing performance of care measures to control performances of care measures to control or in some way factors that are regulatory of their own or their dependents’ fuctioning and develepmont.

Selfcare deficit is a term that expresses the relationship between the action capabilities of individuals and their demands of care. Self-care deficit is an abstract concept that, when expressed in terms of action limitations, provides guides for selection of methods of helping and understanding patient roles in self-care.

Source:

Ann Marriner Tommey, Martha Raile Alligood. Nursing Theorists and Their Work. Mosby: 1998.

Theory of Nursing Systems

The Theory of Nursing Systems proposes that nursing is human action: nursing systems are action systems formed (designed and produced) by nurses through the exercise of their nursing agency for persons with health-derived or health-associated limitations in self acre or dependent-care. Nursing agency includes concepts of deliberate action, including intentionally and operations of diagnosis, prescription, and regulation. Nursing system may be produced for individuals, for persons who constitute a dependent-care unit, for groups whose members have therapeutic self-care demands with similar components or who have similar limitations for engagement in self-care or dependent-care, or for families or other multiperson units.

Source:

Ann Marriner Tommey, Martha Raile Alligood. Nursing Theorists and Their Work. Mosby: 1998.

Abdellah’s Theory of 21 Nursing Problems

1. To Maintain good hygiene and physical comfort.

2. To promote optimal activity: exercise, rest, sleep.

3. To Promote safety through prevention of accident, injury, or other trauma and through the prevention of the

spread of infection.

4. To maintain good body mechanics and prevent and correct deformity.

5. To facilitate the maintenance of a supply of oxygen to all body cells.

6. To facilitate the maintenance of nutrition of all body cells.

7. To facilitate the maintenance of elimination.

8. To facilitate the maintenance of fluid and electrolyte balance.

9. To recognize the physiological responses of the body to disease conditions-pathological, physiological, and compensatory.

10. To facilitate the maintenance of regulatory mechanisms and functions.

11. To facilitate the maintenance of sensory function.

12. To identify and accept positive and negative expressions, feelings, and reactions.

13. To identify and accept interrelatedness of emotions and organic illness.

14. To facilitate the maintenance of effective verbal and nonverbal communication.

15. To promote the development of productive interpersonal relationships.

16. To facilitate progress toward achievement and spiritual goals.

17. To create and/or maintain a therapeutic environment

18. To facilitate awareness of self as an individual with varying physical, emotional, and developmental needs.

19. To accept the optimum possible goals in the light of limitations, physical, and emotional.

20. To use community resources as an aid in resolving problems arising from illness.

21. To understand the role of social problems as influencing factors in the cause of illness.

Source:

Ann Marriner Tommey, Martha Raile Alligood. Nursing Theorists and Their Work. Mosby: 1998.