Florence Nightingale Theory Case Study

Florence Nightingale Theory Case theaterClinical Application of Florence Nightingale Theory (Paper)Amber HussainOverview of TheoryEverything in this world that has been created by God has some meaning attached to it and has to serve some component part in this world. SimilarlyM1 Florence Nightingale conditioned modern treat based on her life experiences. She was the pioneer who gave the fancy of c ar for commandment and was considered as the graduation nurse theorist. It was a Crimean war where serving as cling to and observing dead endurings forced her to develop an surroundingsal system. Her first possible action was termed as environmental theory and was published in 1860. The theory describes the relationship of people with their environment. According to her, profession is a reparative process, which is non ever so the cause of execrables but wet- maintains ought to modify the environment for nature to act uponM2. Selanders (2010) comments that The doctrine of environmental alteration has served as a framework for research studies (P.88). Nightingales environmental theory reflects a great consideration in providing holistic apostrophize to the long-suffering of roles by inculcating intravenous feeding-spot major(ip) metaparadigms which consist of individual, environment, health and Nursing. All four concepts atomic number 18 interlinked with each otherwise. An individual is a human being who is established by the environment and acted upon by a nurse. Environment is a course which a nurse whoremonger manipulate for natural laws to act in order to make the human personate healthy or debility versa. Health is viewed as a holistic level of wellness which is kept up(p) by the customized environmental factors and facilitated by the nurses to maintain it. In the same charge, for Florence, nursing is a separate entity in the field of medicine and the vital role of a nurse is to keep the longanimous in an environment where they persist in healthy and where the maximum healing takes place. The nurse is responsible for maintaining the environment in such a manner as to maintain the health of the patient (Selanders, 2010, p.87)These environmental alterations are represented as the canons of Florence Nightingale environmental theory which are classified into 13 sub concepts. These canons includes ventilation and warming, health of houses, noise, light, nutrition, deliver whapding, personal cleanliness, variety ,pickings food, petty management, chattering hopes and observation of the draw. She believed that this is the responsibility of nurse to alter the environment in a manner that it can service of process the patient to have a better recovery. She emphasizingd that job a person breaths should be clean, odor free and mode temperature should be moderate. Houses should be clean and well-constructed. A good sunlight and calm surroundings should withal be considered as they create tangible effects on b ody. longanimous and a nurse should practice get to hygiene as a Personal cleaning. Bed should be dry, wrinkle free and placed at the lowest portion. Individual should be preferred to eat small patronise meals without any distractions. Patient should be provided hopes and all his concerns should be listened and addressed. Lastly, nurse should keenly observe patient and his environment. All these leave alone help to provide patients with patient centered care.Clinical ScenarioThis theory can be applicable in different clinical scenarios with different context but I can best relate it to a clinical scenario related to my life experience, which astonished me during my student life. It was one of the government hospitals where I was assigned in a pediatric ward with 4 years old patient suffering from pneumonia. Next to my assigned bead was a 3years old foil male child who came with the complaint of dehydration. Child was on intravenous fluids and antibiotics.While nurse was takin g business relationship from the spawn, I realized that he belongs to a poor family and has perennial history of cough since after his birth. Child was recovering well and was cognizant to discharge. Few hours before his discharge, he developed small red leprose spots on the back which within 3-4 hrs increased in size and spread to the extremities. Mother shared the concern with nurse, to which she said that these are further heat rashes which can probably be collectible to hot weather. In order to provide comfort to babe, mother started applying heat powder on childs whole body but sis became restless due to itch and burning of rashes. After few hours, the rashes appeared on whole body including office and face due to which child was presented with respiratory distress. Mother started hue and send for due to which the nurse and doctors arrived. Nurse started to perform vital signs and she observed that rapes respiration and pulse were high. Doctor diagnosed these as an aphylactic answer which were a result of urticarian rashes. The child was kept on triple regimen therapy including prednisolone and was suggested for allergy test and Complete Blood Count (CBC). research laboratory diagnosis reveled that WBCs was high and foil was reported as severely sensitised to dust.After this incident, I was stressed up as a baby who was about to discharge, suddenly developed allergy which converted to anaphylaxis. I did a root cause analysis and identified the keep companying possible apprehensions i) baby was not bathroomed since 3 days, ii) there was no bed changed and iii) the room was replete(p) of dust heaps, eatables and wet clothes.After realizing its root cause, I changed bedding and gave bath to the child. I in addition taught mother the importance of giving regular bath, its decorous techniques and also emphasized on personal hygiene.Analysis of Clinical Scenario by Applying Florence Nightingale TheoryKeeping all the views into considerati ons, the above case I go through is now to be related to the theory of Florence Nightingale. In Nightingales four metaparadigm, Individual is a 3 years old baby who require proper environment. Dehydration is a disease due to which patient was admitted. unaltered bedding, dirty land and lack of patient care are the environmental factors due to which the baby suffered from anaphylaxis and also other patient, staff and relatives were at risk. The nurse is the one who was assigned with baby, and did not pay solicitude on the environment. If a nurse having skills and fellowship, could have altered the babys environment, then baby would have not suffered with sever anaphylactic reaction. According to Florence Nightingale (1996) If a patient is cold, if a patient is feverish, if a patient is faint, if he is sick after taking food, if he has a bed-sore, it is generally the fault not of the disease, but of the nursing (p. 6).By taking environmental theory into account, the major canons which suits in above clinical scenario are ventilation and warming, health of houses, bed bedding, personal cleanliness and observation of the sick. Ventilation and warmth is the most of import concept without which other concepts are nothing. The area where baby was present was dirty and effective of the foul smell due to the presence of food and divulge cloths. The damp cloth which dries in patient room can go into the standard pressure where patient is present. The eatables which were present without cover/lid, the moisture of that evaporates in patient area and can spoil the send off. The nurse and mother were so insensitive that they were unable to recognize that patient is being treated in an unhygienic environment. The more(prenominal) that is known about your childs environmental exposures and experiences, the more accurately one can predict the risk of immune dysfunction and immune-related disease (Dietert, Rodney Janice, 2010, p.15). However, Nightingales strongl y emphasized on the presence of fresh and clean air as well as avoidance of foul smell and fumigations. It is the air we breathe which purifies the blood. This impure air if provided with untidy room can be a disaster for the patient as he can develop numerous diseases. Nightingale explains the above factor in her concept HealthM3 of houses. The room in which the baby was admitted was full of dust and there was no one, including a nurse who noticed and rectified this factor. Therefore, dust heap was the source of environmental impurity and patients allergic factor. This factor was coupled with the parcelling of beds in the room. The beds were so congested that there was no such recession where outer atmosphere find its way for providing clean and fresh air. The patient care was further compromised by the bedding that was available for the patient. It is well explained in the cannon bed and bedding. The nurse was aware of the fact that the bedding that is offered to patient hasnt c hanged since few days. The child, who was already sick and was depositing his exhaled sick breath and bodys unsafe flora into the bed, had exaggerated his sickness due to the same(predicate) and old wrinkle full bedding provided to him. According to Nightingale, the large core of moisture of exhaled air goes into bedding which contains organic matter and is noxious for health. Beita (2013) also emphasized that Its a chore, but washing all bedding weekly in hot water is a sure way to get rid of dust mitesPersonal cleaning, be one of the important canon is also nicely related to the babys health. cosset has not bathed since 3 days which made him more prone to transmittance and allergies. Nightingale in her theory intensely advised nurses to pay attention to patients personal hygiene. She also gave consideration to sponging methods, usage of soft water and hand washing. Last but not the least, observation of the sick is also a very essential canon to be integrated with the case. In this scenario nurse did not had a sound observation and she neglected patient care. Even, when mother of the baby made her realize that baby is having rashes, she ignored and gave falsify reason of having heat rashes. She did not observe that the environmental factors has became a cause of patient sufferings. While, according to Florence Nightingale,The most important practical lesson that can be wedded to nurses is to teach them what to observehow to observewhat symptoms indicate improvementwhat the reversewhich are of importancewhich are of nonewhich are the evidence of neglectand of what merciful of neglect.Due to all these environmental factors the baby in this scenario ended up with anaphylactic reaction which could have been prevented if all above measures would have taken care.Let us consider the impact of local context which affect the critical incident of the case. Primarily, the age of baby (3years old), his present complaint (dehydration) and his history of recurrent cough made him susceptible to acquire infection and allergies. Children, because oftheir little bodies are more vulnerable to the impacts of bad indoor air (Beita, 2013). secondly unidentified allergies were present during his admission which badly effected babys health. Then the misperception of the nurse that the red spots are heat rashes due to warm weather, ended baby with anaphylaxis. excessively, the nurses lack of knowledge regarding environmental influence and her busy schedule, compromised babys hygiene care, which leads baby to severe life threatening conditionThe impact of this scenario is not only on the individual baby, but it can also be on all the patients admitting to the particular ward/ hospital, due to unfavorable environment. It is also straightforward in the scenario that client belong to the poor family, which contributes to the economic burden to the family and thence on the community.Hypothesis Derived from Theory to Test Nursing InterventionsIf Governmen t will invest more in the infrastructure of hospitals, it will descend the chances If nursing training is being provided up to the mark in every nursing institution, then patient recovery would be fastIf infection operate educations have been done continuously in media, then it will decrease chances of infection allergiesIf hospitals would develop their policies and procedures, then it will reduce nosocomial and other infectionsIf signs of specific allergies/ infections have been posted in hospital as a guide for nurses, they would easily rectify the problem and patient complication would be less.SummarizationTo summarize, integrating Nightingales theory in the clinical scenario, has increased my knowledge regarding this particular theory and it helped me to view nursing as discipline. This assignment has basically given me theoretical concepts for understanding my own experienced observation, in a more meaningful way. I have neer thought about this unpleased clinical scenario b ut through this assignment and consolidation of theory I did analysis of my observation which pointed out to specific outcomes. Also it helps me to make connections while considering options for interventions. For this theory I now realize that though this theory was developed in early century, however its implication is heretofore consistent with modern era and many health care professionals are consistently following it in some way or the other. I will also apply this theory whenever and wherever it would be pertinent, as it helps to prevent from many diseases and infections.ReferencesBeita,B.(2013). Home breathable theater. The environmental Magazine. 24 (3) 28-9Dietert, Rodney R., Janice. (2010). Strategies for protecting your childs immune systemTools for parents and parents -to-be. Singapore W.S HackensackNightingale, F. (1992). Notes on Nursing what it is and what it is not. Philadelphia PA J.B.Lippincott CompanySelanders, L.C. (2010). The reason of Environmental Adaptat ion Florence NightingalesOriginal Theory for Nursing exercise. Journal of holistic Nursing.28 (1), 81-88.The Power of Environmental Adaptation Florence Nightingales Original Theory for Nursing Practice 2010 Louise C. Selanders, EdD, RN, FAANJournal of holistic NursingAmerican Holistic Nurses Association al-Quran 28 minute 1March 2010 81-88 2010 AHNA10.1177/0898010109360257http//jhn.sagepub.comBecker, E. (2001, August 27). Prairie farmers reap conservations rewards. The young YorkTimes. Retrieved from http//www.nytimes.comStrunk, W., Jr., White, E. B. (1979). The guide to everything and then some more stuff.New York, NY Macmillan.Gregory, G., Parry, T. (2006). Designing brain-compatible nurture (3rd ed.). ThousandOaks, CA Corwin.The interactions between the body and environmental factors generallyfollow very simple rules. Some exposures are useful and may animate acritical role in promoting good health. Others are knotty and candamage the health of our children.TitleStrategie s for Protecting Your Childs Immune corpse Tools for Parents and Parents -to-beAuthorDietert, Rodney R., Dietert, JaniceDate2010SourceE The Environmental MagazineDateMay 1,2013. Home breathable home by beita belliThe general definition of environment is anythingthat, through manipulation, assists in posethe individual in the best possible conditionfor nature to act. Therefore, the environment hasinternal and external components . (P.8)Journal of Holistic NursingThe Power of Environmental Adaptation Florence Nightingales Original Theory for Nursing Practice 2010 Louise C. Selanders, EdD, RN, FAANJournal of Holistic NursingAmerican Holistic Nurses AssociationVolume 28 Number 1March 2010 81-88 2010 AHNA10.1177/0898010109360257http//jhn.sagepub.comM1Helen kellerM2Did not understandM3Connectivity is missing