- Based on the Case Study of Ms G. (presented below) and your readings in Smith (2020) and/or Peterson and Bredow (2020), or theories from other health related disciplines, such as:
• Lazarus & Folkman Stress & Coping McCubbin’s Family Resiliency Model Fishbein’s Theory of Reasoned Action
• Ajzen’s Theory of Planned Behavior
• Health Belief Model
• Olson’s Circumplex Model (Family) Belsky’s Parenting Model
• Locus of Control
• Selye’s Stress Model
• Theory of Learned Resourcefulness Bandura’s Self-Efficacy Theory
• Family Life Cycle
• Aguilera & Messick’s Crisis Intervention Theory
SELECT ONE Middle Range Theory that you believe would be appropriate to guide the nursing care of Ms G.
- Based on the Selected Middle Range Theory Discuss the Following:
• Theory Development
• Purpose
• Assumptions
• Key Concepts
• Propositions of the Theory - Based on the Middle Range Theory:
• Identify Three Nursing Assessment Questions
• Identify Three Nursing Actions (Interventions) - Write one research question based on the middle range theory and the care of Ms G.
- Discuss how knowledge of a middle range theory has informed or guided your nursing practice in the care of Ms G.
Case Study of Ms. G
Demographic Information: 42-year old Hispanic female
Primary Care Clinic Visit: Appointment made in primary care clinic for recurrent vaginal infections and follow-up for atypical cells on pap smear.
Initial complaint: “I am having bleeding between my periods. I have pain in my abdomen and back. I have been feeling lousy for weeks.”
Diagnosis: Stage III Cervical Cancer
History of Present Illness
• Current admission to the medical-surgical unit for a total abdominal hysterectomy
• Post-operative day 3: Patient reporting abdominal pain (7/10 in intensity), intermittent nausea with vomiting, chills and sweats, anxious mood, generalized weakness and insomnia. No frequency on urination or urinary burning. Reports slight red vaginal discharge.
• Emotional Outlook: Crying: States “I knew something bad was going to happen to me. Am I going to die? God is angry with me.”
Past Medical and Surgical History
• History of constipation since childhood. Takes Metamucil daily to promote regularity
• History of asthma
• Termination of pregnancy six months before her divorce since her husband did not want any more children and unstable relationship
Psychiatric History
• Post-partum depression after each pregnancy. Treated with anti-depressants and counseling.
Social History
• No history of substance use
• Reports two to three glasses of wine with dinner every night
• Limited social network since divorce
• Unable to work at present- income $31,000 per year
Cultural/Spiritual History
• Family originally from Puerto Rico.
• Faith-Catholic though has not attended church recently.
Sexual and Reproductive History
• Menarche age 12; sexual abuse age 14 by family friend
• Two Cesarean sections (Patient’s age 24 and age 29)
• Used birth control pills
• Has new sexual partner who she met at work
Family History
• Sons have been delinquent at school; participation in gang activity
• Unavailability of support of parents due to their own chronic illness (Father-prostate cancer; Mother- depression)
Activities of Daily Living
• Limited energy to perform IADLs or ADLs.
Develop ONE Research question to test the Middle Range Theory 2 points
Discuss how knowledge of this middle range theory informs your nursing practice 3 points