Provide a narrative of a health experience (congestive heart failure) of a group of people in the community to apply your chosen model.
Describe the chosen nursing conceptual-theoretical model (Roy's adaptation model). Select an existing nursing intervention that may be implemented and evaluated by an APRN to enhance the health or wellness of the chosen vulnerable population. Link the nursing intervention with one or more concepts within a nursing conceptual model or theory. Include a diagram that illustrates the relationship of the nursing intervention with the concept(s) within a nursing conceptual model or theory. Demonstrate the accurate use of supporting evidence.
Full Answer Section
In the community, CHF is a major public health problem. It is estimated that over 6.2 million adults in the United States have CHF. CHF is more common among older adults, African Americans, and people with other chronic conditions such as diabetes and high blood pressure.
Roy's Adaptation Model
Roy's Adaptation Model is a nursing conceptual model that focuses on how individuals and families adapt to changes in their health. The model is based on the idea that humans are constantly adapting to internal and external stimuli in order to maintain a balance of well-being.
Roy's Adaptation Model identifies four key concepts:
- Person: The person is the recipient of nursing care. The person is a holistic being with physical, psychological, social, and spiritual dimensions.
- Environment: The environment is the internal and external stimuli that surround the person. The environment can be supportive or challenging, and it can have a significant impact on the person's ability to adapt.
- Health: Health is defined as a state of wholeness and well-being. Health is influenced by the person's adaptation to their environment.
- Nursing: Nursing is the process of helping people to adapt to changes in their health. Nurses work with people to assess their needs, identify their strengths and resources, and develop and implement nursing interventions to help them adapt.
Nursing Intervention
One nursing intervention that can be implemented and evaluated by an APRN to enhance the health or wellness of the vulnerable population of people with CHF is a self-management education program. Self-management education programs teach people with CHF how to manage their condition effectively on their own. These programs typically cover topics such as medication management, diet and exercise, monitoring symptoms, and recognizing and responding to emergencies.
Linking the Nursing Intervention with Roy's Adaptation Model
The self-management education program can be linked to the following concepts within Roy's Adaptation Model:
- Person: The self-management education program is designed to help people with CHF to adapt to their condition by providing them with the knowledge and skills they need to manage their condition effectively.
- Environment: The self-management education program can help to create a supportive environment for people with CHF by teaching them how to manage their condition in a way that is consistent with their values and lifestyle.
- Health: The self-management education program can help to improve the health of people with CHF by reducing their symptoms, improving their exercise tolerance, and reducing their risk of hospitalization.
- Nursing: The self-management education program is a nursing intervention that is designed to help people with CHF to adapt to their condition and improve their health.
Diagram
The following diagram illustrates the relationship of the self-management education program with the concepts of person, environment, health, and nursing within Roy's Adaptation Model:
[Diagram of Roy's Adaptation Model with the self-management education program intervention]
Supporting Evidence
There is a growing body of evidence that supports the effectiveness of self-management education programs for people with CHF. A review of the literature found that self-management education programs can lead to a number of benefits for people with CHF, including:
- Reduced symptoms
- Improved exercise tolerance
- Reduced risk of hospitalization
- Improved quality of life
Conclusion
An APRN can implement and evaluate a self-management education program to enhance the health or wellness of the vulnerable population of people with CHF. The self-management education program is a nursing intervention that is consistent with the concepts of person, environment, health, and nursing within Roy's Adaptation Model. There is a growing body of evidence that supports the effectiveness of self-management education programs for people with CHF.
Additional Considerations
In addition to the self-management education program, there are a number of other nursing interventions that can be implemented to enhance the health or wellness of people with CHF. These interventions may include:
- Providing medication counseling and support
- Assessing and managing risk factors for CHF
- Educating people with CHF about their diet and exercise needs
- Providing support and counseling to help people with CHF cope with their condition
- Coordinating care with other healthcare providers
By implementing a variety of nursing interventions, APRNs can play a vital role in helping people with CHF to manage their condition effectively and improve their quality of life.
Sample Answer
Roy's Adaptation Model and Congestive Heart Failure
Narrative of a Health Experience
Congestive heart failure (CHF) is a chronic condition in which the heart is unable to pump blood effectively to meet the body's needs. This can lead to a number of symptoms, including shortness of breath, fatigue, swelling in the feet and ankles, and decreased exercise tolerance. CHF is a serious condition, but it can be managed with medication, lifestyle changes, and close monitoring by a healthcare team.