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Received: January 01, 1970 | Published: ,
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Objectives to be achieved while applying nursing theory:
- To assess the client condition by the various methods explained by the nursing theory which is to be applied?
- To identify the various needs of the client during disease condition.
- To demonstrate an effective communication and interaction with the client by using therapeutic ways of communication.
- To select a theory which is effective for the application according to the need of the client?
- To apply the theory to solve the identified problems of the client effectively.
- To evaluate the outcome after implementation extent to which the process was fruitful.
Application of Betty Neumann’s system model
The client with depression may have various stressors:
- These stressors are able to produce negative effect on client.
- They may affect the client’s intrapersonal, interpersonal and extra personal aspects.
- These stressors are dependent on the defense mechanism of client.
- These stressors can also bring positive way for the client.
There are three lines of defense in human while undergoing through any stress:
- Flexible line of Defense: In this the client or health care can use primary prevention for avoiding client to go in depression.
- Normal line of Defense: Here the secondary prevention comes into action.
- Lines of resistance: Here the tertiary prevention is applied (Figure 1).
Figure 1 When client comes to hospital he or she is under depression and we as nurses can take tertiary interventions
Tertiary interventions taken by psychiatric nurse or student:
Before proceeding:
- Greet well client.
- Provide comfortable environment.
- Maintain therapeutic attitude through entire period.
- Try to make good rapport from very beginning which will be built strong with passage of time.
- Draw necessary information from client i.e. history taking.
Interventions:
- After knowing the religion of the client, put forward the variety of the spiritual practices which a person can perform in order to get the relaxed soul and mental satisfaction.
- Make necessary appointment of client with the religious person of the hospital or referrals can be made according the religion of the client.
- Discuss with the client any past support system used along with their success and failure.
- Keep the client busy in the mindful activity, reading books, watching movies.
- Maintain the particular schedule for the client for the daily activities so that client does not get irritated with the changing activity.
- Give the information prior to any procedure, or any addition or deletion of the activity schedule.
- Prepare and motivate the client for group therapies which may help in increasing ability in the client.
- Encourage assertiveness in the client in all the activities and decision making.
- Ensure the client gets prescribed drugs on time.
- Monitor for side effects of drugs prescribed for depression and manage accordingly by applying effective nursing.
Acknowledgments
Conflict of interest
Author declares that there is no conflict of interest.
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