Posted: March 18th, 2022

Health History and Assessing the Determinants of Health – Using the Neuman Systems Model

Please follow this guidelines. Thanks
Health History and Assessing the Determinants of Health – Using the Neuman Systems Model (Title )
For this course assignment, the finished health history (including Braden scale) & application of the Neuman Systems Model is to be a maximum of twelve (6) pages in length, (double spaced, APA format,12 times New Roman font) plus the ecomap on a separate page (6 +1 =7), plus up to the maximum of two (2) pages for each of the nursing care plans (4+7=11). Remember to add reference page for this assignment using APA format and references(12 pages total). The health history, application of Neuman, ecomap and care plans must be within the page limit guidelines listed above. Any content beyond the page numbers listed above will not be graded, no exceptions!
1. First Page – Page Cover ( I will do that when I edit it ) please start on second page
2. Second Page – start of counting the pages up to 6 pages ( content )
3. Please follow the instructions above.
4. I did interviewed my resident and I entered the input, please see and make it in a narrative form.
5. PLEASE MAKE A 2 NURSING CARE PLAN based from the assessment of the resident. I will give you the format of it on a separate attachment. Thank you.
6. APA format and Times New Roman.
7. Check also the marking guide for NCP and Health history. Thank you

THIS IS THE START OF SECOND PAGE
1. IDENTIFYING DATA
My resident name is CD, a widow, 101 years old
What is your ethnic origin? FROM HOLLAND
When were you born? BORN IN ARMSTERDAM
How old are you? 101 year old
*Identify source of information if other than the client* confirmed from her chart
2. REASON FOR THE HEALTH HISTORY INTERVIEW
The purpose of establishing a reason for the interview is to engage the person/family in the health history process. You want to find out what it is that they are working on at the current time. Remember the nurse works in collaboration with the client/family. PLEASE STATE THE REASON OR PURPOSE OF THIS INTERVIEW ANSWER PLEASE. THANK YOU.

The Neuman Systems Model assumes that client is an open system and that families, and communities are a central core to the client, and the family’s psychosocial practices, behaviors, and traditions have an impact not only on the family but also the community as a whole” (Neuman & Fawcett, 2011). Keep this in mind as you conduct the health history interview—look for the client/family’s strengths. Draw on their past experiences and successes. RESIDENT WAS A SERVER WHEN SHE WAS YOUNG, STATED I HAD A BAD AND BEST EXPERIENCES. THE WORST EXPERIENCES WAS DURING THE WAR IN HOLLAND WHERE THERE WAS NO LIGHT, NO FOOD AND HORRIBLE. MY SUCCESS IS ALWAYS IN A GOOD SHOP, HAD A TIP AND IN A YEAR OF WORKING I HAD EARNED MONEY FOR A DOWNPAYMENT OF A HOUSE AND I PURCHASED IT.

Ask your client to use their own words to define health. Take a mental note if their definition is illness or health focused. HEALTH IS WHEN YOU ARE HEALTHY AND NOT SICK. I AM OLD ENOUGH ALREADY. I HAVE A LOT OF UNDERLYING ILLNESSES WHAT BUT CAN I DO AND BEING HEALTHY KNOW HOW TO TAKE CARE OF YOURSELF AS RESIDENT STATED DURING INTERACTIONS.

3. FAMILY HISTORY
Developmental Variables/sociocultural:
The purpose of obtaining a family history is to ascertain the age, health, and relationships of immediate and external family members. Recall that health or wellness is viewed as a continuum and health is a “manifestation of living energy available to preserve and enhance systems integrity” (p. 23), and family is “defined by the client and is all encompassing within the central core” (Neuman & Fawcett, 2011, p.70).
Ask if there is a health concern that the family is working on together. NO CONCERN
Ask what the family is working toward to cope with the concern. NO CONCERN
What resources are they currently accessing? What other resources could be mobilized? THE DAUGHTER IS TAKING CARE OF HER FINANCE.

4. HISTORY OF HEALTH CONCERNS
Mrs. C.D, is a 101 year old retired resident in Jasper Place Continuing Center with a history of hypertension, asthma, COPD disease, depression, Cancer of the Breast Unspecified side and pleural effusion. Resident had eye surgery in the past. She had been hospitalized many times but cannot remember anymore the reason why, but based from her chart she has been because of her illnesses as stated above which she was not happy and hate being hospitalized. PLEASE CHECK MY ANSWER AND GRAMMAR
Have you received any home health care? Write my Essay Online Writing Service with Professional Essay Writers – Explain. DAUGHTER WAS HELPING HER WHEN SHE WAS STILL IN THE HOME.
Any illness/surgeries in the past? Or other illness. PATIENT HAD CATARACT SURGERIES ON BOTH EYES, MOHS MICROGRAPHIC SURGERY ON LEFT TEMPLE LAST DEC. 13, 2018. PATIENT HAD FRACTURE DUE TO FALL LAST FEB 6, 2020 BUT NOT OPERABLE AND DOCTOR SENT HER HOME AND GAVE TAKE HOME prn MEDICATION FOR PAIN WHEN NEEDED.
*Are you allergic to any drugs, foods, or other environment substances (e.g., dust, molds, pollens)? Describe the reaction you have when exposed to the allergen. What do you do for your allergies? NO KNOWN ALLERGIES
HOSPITALIZED BEFORE? MULTIPLE TIMES AND CANNOT REMEMBER ANYMORE. PATIENT WAS CONFINED AT MISERICORDIA COMMUNITY HOSPITAL AND WHEN RESIDENT GOT DISCHARGED RESIDENT WAS ADMITTED TO JASPER PLACE CONTINUING CARE.

5. CURRENT QUALITY OF HEALTH AND LIFE

The purpose of the questions about current health status is to collect information about tobacco, alcohol, exercise, immunizations, illness screening tests, and safety measures. PLEASE ANSWER
How would you describe your current health? I AM OLD ENOUGH ALREADY AS STATED BUT I AM SURROUNDED WITH MY LOVELY FAMILY, FRIENDS AND NEIGHBORS DROPPING BY TO VISIT ME HERE WHERE I AM RIGHT NOW.

Please tell me what you do to promote and maintain your health. WELL, I AM LIVING HERE IN MY PLACE RIGHT NOW WITH GOOD PEOPLE, NICE HOUSE, MONEY IN THE BANK AND I AM EASILY TO DEAL WITH. WHEN I WAS YOUNG I USED TO HAVE EXERCISE BUT NOW NOT MUCH THOUGH, I DID BICYCLING AS WELL BUT HERE, MY PHYSIOTHARPIST OR OCCUPATIONAL THERAPIES ARE TRYING TO HELP ME DO EXERCISES FOR ME TO GET BETTER.
Is there a health concern that you/your family are working on currently? NOT THAT I KNOW
How do you feel your current daily activities have affected your health? I CANNOT MOVE FREELY AND I CANNOT WALK BY MYSELF.
Do you have any current health problems? If yes, describe these for me, please. How is your health problem being treated? I FELL FEW WEEKS AGO, I BROKE MY HIP AND I WENT TO THE HOSPITAL. THE DOCTOR CHECKED ON ME AND SENT ME HOME WITH MY PAIN MEDICATION AND IF I NEED IT I WILL ASK HELP TO MY NURSE FOR PAIN.
What has the nurse/physician told you regarding your health? I CAN’T REMEMBER BUT I AM TAKING MY MEDICATIONS PRESCRIBED BY MY DOCTOR. NURSES ARE ALWAYS COMING AND CHECKING ON ME, SAYING HI AND GOODBYE AFTER.
Do you believe you are well informed about your health? YES BUT I AM OLD NOW SO I FORGET
Tell me what you do when you have a health problem. I WILL CALL AND TALK TO MY DAUGHTER AND TELLING MY CONDITION AND ASK HELP TO THE NURSES AS WELL.
When do you seek nursing or medical advice? WHEN I AM NOT FEELING WELL BUT IF I AM FINE I DON’T NEED TO BOTHER OTHERS.
How often do you go for professional health exams (dental, Pap smears, breast, BP)? FOR MY DENTAP APPOINTMENT THE NURSES ARE THE ONE BOOKING IT AND ARRANGE MT TRANSPORTATION ANS STAFF IS COMING WITH ME AND SOMETIMES MY DAUGHTER WHEN SHE IS NOT BUSY.
What activities do you feel keep you healthy? EXERCISE AT TIMES WHEN I AM FEELING GOOD AND ATTENDING RECREATIONAL ACTIVITIES.
When were your last immunizations and are your immunizations up to date? I HAVE MY FLU SHOT LAST YEAR, NURSES WAS GIVEN THAT TO US HERE BUT STILL I GOT THE FLU.
Do you use alcohol or tobacco? I USED TO BE A CIGARETTE SMOKER BUT I QUIT IT 5 YEARS AGO AS STATED AND DRINK BECAUSE I AM A WAITRESS.
Describe the amount and length of time used. Do you use illicit drugs? Are you exposed to pollutants or toxins in your work environment or at home? NO I AM NOT EXPOSED TO AND I NEVER EXPERIENCE USING ILLICIT DRUGS WHEN I WAS YOUNG AND EVEN THIS TIME.

8. CURRENT TREATMENT
Is there a health concern that you/your family are working currently? How are you coping? No I am not sure.
Do you have any health problems? If yes, describe these for me, please, how is your health problem being treated? IF I AM COMPLAINING OF PAIN IN MY TEETH, I WILL TELL TO MY NURSE, GO AND SEE MY DENTIST FOR CHECK UP AND HAVE A FOLLOW UP VISIT AFTER. I HAD MY DENTAL CHECKED UP LAST MONTH AND WRITER CONFIRMED IN THE CHART PATIENT ATTENDED.

Describe the treatments and therapies you are receiving. TAKING MY REGULAR MEDICATIONS AND OCCUPATIONAL AND PHYSICAL THERAPIST ARE HELPING ME FOR EXERCISES.
Do you understand the purpose of your treatment? MY DOCTOR IS GIVING ME MEDICATIONS FOR MY BREAST AND FOR MY PAIN IN THE HIP TO GET BETTER.
What is being planned for your treatment or therapy now? I DON’T KNOW SHE ANSWERED.
Have you been able to follow through with your prescribed nursing and medical treatment (e.g., diet, exercise)? If not, what caused your inability to do so? SINCE I AM IN A NURSING HOME, MY NURSES ARE THE ONE GIVING ME MY MEDICATIONS BECAUSE I AM TOO OLD ALREADY.

7. PERSONAL, DEVELOPMENTAL & SOCIAL HISTORY

The purpose of this component of the health history is to capture important and relevant information about the client as a person (developmental variables), and lifestyle issues (socio-cultural) that create risk or promote health and health maintenance measures. Neuman’s five client system variables are function harmoniously and are stable in relation to internal and external environmental stressor influences (p. 16). PLEASE ANSWER

*Complete an ecomap for your client and their family (use a separate page for each). See Austin & Boyd pp. 289-290 & Potter & Perry pp. 315-316 for examples.
Describe your occupation. SHE WAS A WAITTRESS IN A RESTAURANT AS STATED.
What is your major responsibility at work? SERVING PEOPLE EATING AND WHATEVER THEY NEED DURING MEALTIME
Has your health affected your ability to work? NO BECAUSE I LOVE MY JOB. I WORK UNTIL I GOT RETIRED
How satisfied are you with this job? I AM HAPPY AND I LOVE THIS JOB WHEN I WAS STILL YOUNG.
How do you feel about the people you work with? If you could, what would you change about your work? MY CO-WORKER THEY ARE GOOD.
Are there any major problems you have at work? AS A WORKER YOU CANNOT AVOID HAVING PROBLEMS BUT AT THE END OF THE DAY WE WILL SORT IT OUT.
What is your source of income? PENSION
Do you have concerns about your finances? MY DAUGHTER IS THE ONE KNOWS ABOUT IT.

Who is the most important person in your life? Write my Essay Online Writing Service with Professional Essay Writers – Explain. MY DAUGHTER TERRY, SHE IS ALWAYS THERE FOR ME ALL THE TIME AND SHE NEVER LEAVE ME. I LOVE MY FAMILY SO MUCH. RESIDENT WAS LIVING IN THE NURSING FOR 4 YEARS NOW. SHE IS IN A SHARED ROOM WITH 1 ROOM MATE. THE NURSES AND OTHER STAFF ARE SO NICE TO ME AND I CONSIDERED THIS AS A HOME ALREADY. SOMETIMES I ATTENDED RECREATIONAL ACTIVITIES OR EXERCISES IF I AM NOT TIRED BUT SOMETIMES ALSO I PREFERRED LYING ON BED RESTING. PLEASE EDIT AND CHECK MY GRAMMAR OR IMPROVE. THANKS

Describe a day in your life. *Describe your interactions with other clients and participation in activities at the facility (if the client is unable/willing to describe, the student is to include a description)* I AM MAKING A CHAT AT TIMES IN THE DINING ROOM. SOMETIMES I ATTENDED EXERCISES IF I WANT TO.

Spiritual Variables
The purpose of assessing the client’s value-belief pattern is to determine the client’s life values, goals, philosophical beliefs, religious beliefs, and spiritual beliefs that influence his or her choices and decisions. Conflicts between these values, goals, beliefs, and expectations that are related to health are assessed.
What is most important to you in life? My daughter, mother and husband but she passed away already and I missed them already. Resident stated “look at the picture of my papa” picture was in the wall and resident stated “ I love you Papa” with some teary coming to her eyes.
What do you hope to accomplish in your life? To look after myself
What is your major source of hope and strength in life?I have a family around and hope to get things better.
Do you have a religious affiliation? Stated “Catholic” but when checked in the chart resident had no religious affiliation.
Is this important to you? YES, I DON’T GO TO CHURCH EVERY WEEK BUT I PRAY because I can do it now, I am old already. God is the source of my strength.
Are there certain health practices or restrictions that are important for you to follow while you are ill or hospitalized? Write my Essay Online Writing Service with Professional Essay Writers – Explain. NO PRACTICES
Is there a significant person (e.g., minister, priest) from your religious denomination whom you want to be contacted? Are there certain practices (e.g., prayer, reading scripture) that are important to you? NO
Is a relationship with God an important part of your life? Write my Essay Online Writing Service with Professional Essay Writers – Explain. YES, I COULD SAY IF I HAVE TROUBLES AND I TALK TO GOD AND HELP ME TO OVERCOME.
How can I help you continue with this source of spiritual strength while you are ill in the hospital? LIKE TALKING ABOUT God.

Sociocultural Variable
Do you identify yourself with a particular cultural, ethnic, or racial group? NO
Are there certain ethnic practices that are important to you (habits, practices, beliefs about health/illness)? Well if you don’t look yourself, nobody help you.
Responses to change, pain, loss, patient role Economic and educational expectations or norms related to person’s culture Family participation in health care Language and communication patterns associated with the sociocultural group
What traditions for well being do you rely on for healing? Well, try to stay healthy, I quit smoking and attending exercises or activity at times when I am feeling good.
Developmental Variables:
What have been some significant events in your life? Reaching 101 year old.
What events have changed the direction in your life? I THINK ITS JUST THE SAME BUT GETTING OLDER
Tell me about any changes in your roles in the family over your lifetime. I AM AWAY WITH MY FAMILY,
In reviewing your life, what were things like when you were 30 years old? Are there any age-related development processes and activities? *Homework help – Discuss relevant developmental stage, according to Erikson’s stages. As well, you may utilize Robert Peck’s Developmental Tasks (Rathus et. al, p. 302) if it is relevant. PLEASE ANSWER BASED FROM HER ANSWER. I MISS WORKING AND I LOVE MY JOB AS WAITTRESS BEFORE.

8. PHYSICAL ENVIRONMENT –
Where do you live?RESIDENT LIVE IN JASPER PLACE CONTINUING CARE
Is your home a 2-storey, bungalow, condo, or apartment? IT IS A FACILITY WITH 100 BED CAPACITY, RESIDENT WAS LIVING IN WING 2.
Where is the nearest recreation centre? YES
How far away is the nearest grocery store? YES , IT IS NEAR TO THE MALL
Where is the closest health care facility to you? MISERICORDIA COMMUNITY HOSPITAL
What form of transportation do you use? ETS OR DATS
*Include a brief description of the client’s room* RESIDENT WAS LIVING IN A SHARED ROOM OF 2, ONE BATHROOM, HAS TV AND RADIO AT BEDSIDE. She loves cat and place lots of pictures on the wall. Resident has a hospital bed, with 2 siderails up, call bell within reach and has floor mat . The room is spacious because it’s a semi-private room.

9. SUPPORT SYSTEMS
The purpose of assessing the client’s role-relationship pattern is to determine the client’s perception of responsibilities and roles in the family, at work, and in social life. The client’s level of satisfaction with these is assessed. In addition, any difficulties in the client’s relationships and interactions with others are examined. PLEASE ANSWER

The purpose of assessing the client’s coping-stress tolerance pattern is to determine the areas and amount of stress in a client’s life and the effectiveness of coping methods used to deal with it. Availability and use of support systems such as family, friends, and religious beliefs are assessed (psychological, sociocultural. and developmental variables).
Tell me about the last “holiday” you spent with your family. Last Christmas, my family came over here at the facility, we celebrated together by eating food that family brought in and giving me gifts as well. I am so happy, though I am old already I still have the chance to celebrate Christmas with my family.
Do you live with your family? Alone? How does your family get along? I lived with my daughter before
Who makes the major decisions in your family? My daughter now
Who is the main financial supporter of your family? I have my pension receiving from the government.
How do you feel about your family? happy
What is your role in your family? Is this an important role? I am still a mother but I am old enough already
What is your major responsibility in your family? NO more because I am not living with my family anymore.
How do you feel about this responsibility? I don’t know
How does your family deal with problems? They can deal by themselves and they never ask help from me anymore.
Are there any major problems now? None
Who is the person you feel closest to in your family? Write my Essay Online Writing Service with Professional Essay Writers – Explain. My daughter, I love her so much and she is there for me all the time.
How is your family coping with your current state of health? *Include who is client’s legal decision-maker [self, agent, Guardian, Trustee] and include if family or a significant other is the “informal” decision maker.* My daughter is in charge with my finances and my personal directives. Rechecked on the chart and resident was true.

10. SETTING A GOAL IN COLLABORATION WITH THE CLIENT/FAMILY

The Neuman Systems Model assumes that “health is energy as a result of system balance…and energy flow is continuous between the client system and the environment.” In this systems model, person is the client/client system that may be the individual, family, group or community. PLEASE PROVIDE ANSWER

In collaboration with the client/family determine a realistic goal. Homework help – Discuss strategies for success. PLEASE ANSWER BASED ON THE GIVEN ANSWERS PLS THANKS.

11. REVIEW OF SYSTEMS: The General Survey

Physiological Variables

Describe your health. I am in the 100’s and I am still around, I can still performed some activities and do self care.

Describe your health: How would you rate your health on a scale of 1 to 10 (10 is excellent) now, 5 years ago, and 5 years ahead? I have up and down for this last 5 years, and for the next 5 years still alive and healthy, and cranckier and resident laughed.

Skin *Braden scale assessment* A copy of the Braden scale to use for your assignment can be found on blackboard, under week 4. This can be completed in pen and attached to your assignment behind the reference page. I will do this Braden Scale, I have the form already and I will do it in hand writing the Braden Scale. Thanks.

Describe the condition of your skin. dry, lots of bruises, some skin tear mostly in feet and arms.
How well and how quickly does your skin heal? My nurse applied dressing to the affected part, applying lotion to my body everyday to avoid dryness.
Do you have any skin lesions? Describe. Small skin tear due to scratches and stated when the skin is itchy sometimes she scratch it unconsciously.
Do you have excessively oily or dry skin? NO
Do you have any itching? What do you do for relief? YES when my skin is dry, my nurse applied lotion
Describe the condition of your hair and nails. My nails are okay. Showing to writer her nails, and seen intact
Do you have excessively oily or dry hair? NO, hair with some white, gray and black in color.
Have you had difficulty with scalp itching or sores? NO
Do you use any special hair or scalp care products? No I used shampoo brought by my daughter. I don’t have any problem with shampoo products.
Have you noticed any changes in your nails? Colour? Cracking? Shape? Lines? NO

Head, Neck
Describe any pain that you have in the head area. Do you get headaches? How do you treat them? Do you practice head and neck self care, e.g., helmets, seatbelts? Sometimes I have headache, I will take a rest in bed, ask help to my nurse and took Tylenol and it will relieved.

Eyes, Ears, Nose, Sinuses, Mouth
Describe your ability to see, hear, feel, taste, and smell. I don’t have any problem, I still able to see object bu sometimes I used reading glasses when reading something.
Describe any difficulty you have with your vision, hearing, ability to feel (e.g., touch, pain, heat, cold), taste (salty, sweet, bitter, sour), or smell. My eye sight, hearting and sensation are good.
What devices (e.g., glasses, contact lenses, hearing aids) or methods do you use to help you with any of the above problems? Reading glasses only.
Describe any medications you take to help you with these problems. No medication
Do you have cracking in your jaw? NO
How often do you see the dentist? Do you floss regularly? Do you use chewing tobacco?
I don’t know my nurses book it for me.
Do you floss regularly? NO I did brushed my teeth 3x a day after meal. Observed resident after meal always going to the bathroom and brushing teeth,
Do you use chewing tobacco? Not anymore

Breast
Do you perform BSE? How often? Do you have regular mammograms? Do you have a family history of breast cancer? If yes, explain. I cant remember anymore but seen in chart no history for same but I had cancer of my breast. As far as I know I don’t have any family history of cancer.

Respiratory
Do you smoke?Not anymore
Are you exposed to second-hand smoke? NO
Do you have difficulty breathing or shortness of breath on exertion? If I have exercise I have shortness of breath.
How many pillows do you sleep on? 1 pillow only is good enough
Do you have a cough? NO Are you exposed to environmental inhalants?NO
*Respiratory rate* of 21 bpm

Cardiovascular
Do you have any chest pain or indigestion? NO
Do your ankles swell? No swelling
Do you do cardiovascular exercise? I don’t know
*Pulse rate and blood pressure* 71 bpm for pulse and BP of 104/72 mmHg.

Gastrointestinal
Describe the type and amount of food you eat at breakfast, lunch, and supper on an average day. Eating 75% each meal each day but needs supervision to eat. Seldom drink but needing encouragement at times. Hates milk.
Do you attempt to follow any certain type of diet? Write my Essay Online Writing Service with Professional Essay Writers – Explain. NO
What types of snacks do you eat? Water and apple juice. How often? During snacks time
Do you take any vitamin or herbal supplements? Describe. YES as she answered and confirmed with the chart and her nurse and she is correct.
Do you find it difficult to tolerate certain foods? Specify. NO
What kind of fluids do you usually drink? coffee How much per day? 3 meals
Do you have difficulty chewing or swallowing food? Sometimes when my teeth is painful and I cannot eat that much.
How you noted any changes in your eating or drinking habits? Write my Essay Online Writing Service with Professional Essay Writers – Explain. Resident has good appetite in eating as evidenced from her weight last moth of 41.6 kgs to 42.5 kgs.
*Describe consistency of diet and fluids*Patient on regular diet
Musculoskeletal
Describe your activities on a normal day. (Include hygiene activities, cooking activities, shopping activities, eating activities, house and yard activities, other self-care activities). Wake up in the morning, do self care to your self and my nurse help me. I ate 3 times a day in the dining room. Have nap time 2x in a day.
How satisfied are you with these activities? I feel rested
Do you have difficulty with any of these self-care activities? No I can look after myself..
Does anyone help you with these activities?how? My nurses during morning care, toileting and for transfer.
Do you use any special devices to help you with your activities? I have only wheelchair to propel around.
Does your current physical health affect any of these activities (e.g., dyspnea, shortness of breath, chest pain, pain, stiffness, weakness)? Write my Essay Online Writing Service with Professional Essay Writers – Explain. YES
Describe those activities that you feel give you exercise. How often are you able to do this type of exercise? Has your health interfered with your exercise routine?
Transfer status under It’s Your Move* Resident on 1 person assist for care and for transfer in wheelchair.
Elimination Bowel Habits:
Describe your bowel pattern. I have my regular bowel movement once a day. Stated I can go to the washroom 3x in a day if I have eaten a lot. Confirmed on the chart and her nurse, pt was taking laxative in the morning and at bedtime.
Have there been any recent changes? NO
What is the colour and consistency of your stools? brown in color
Do you use laxatives/enemas/suppositories? YES
What kind and how often do you use them? Peg powder that is dissolve in water and taking Senosides tablet laxative at bedtime as per nurse.
Do you have any discomfort with your bowel movements? Describe. NO
Have you ever had bowel surgery? What type? Ileostomy? Colostomy? NO
Bladder Habits:
Describe your urinary habits. Voiding regularly
How frequently do you urinate? 3 to 4 times in day time as verbalized.
What is the amount and colour of your urine?mentioned yellow in color and laughed.
Do you have any of the following problems with urinating: Pain? Blood in urine? Difficulty starting a stream? Incontinence? NO
Voiding frequently at night?once or sometimes nothing
Bladder infections? NO
Have you noticed any change in your menstrual cycle? Resident was on menopause already.

Special problems
Do you have or have you ever had a sexually transmitted disease? Describe. NO
What methods do you use to prevent contracting a sexually transmitted disease? Describe any pain, burning, or discomfort you have while voiding. Describe any discharge or unusual odor you have from your penis/vagina. What is the date of your last Pap smear? I am old aready, I never experience that as verbalized.

Neurological
RESIDENT HAD A GOOD SLEEP WHEN ASKED DURING OUR CONVERSATION, ASKED FROM THE STAFF CONFIRMING IT. USUALLY AFTER EACH MEAL SHE PROPEL HERSELF AND GO BACK TO BED AND TOOK A NAP BECAUSE SHE STATED “Feeling sleepy so she needs to sleep”. I am tired sometimes especially when going to the bathroom. Resident had her 101 birthday celebration stated to me and shared story about her birthday celebration. Family came over to celebrate with her, brought some food and cake and eat together. Resident stated she was so happy to reached that age. As always say to the nurse, I am old now. PLEASE CHECK THANKS and add on based from my given inputs.

Psychological Variables:
Self-esteem, how does the person describe their own worth based on their appearance, accomplishments, feelings of being respected, thoughts/feelings of the past, present, future? How does the person describe their body image? Any regrets in life, achievements, or expectations? What does being hospitalized mean to your client? To the family? Or the community? RESIDENT WAS VERY HAPPY FOR ALL HER LIFE, NO REGRETS WHEN ASKED ABOUT HER LIFE. RESIDENT DESCRIBED HER BODY VERY THIN BECAUSE SOMETIMES SHE IS NOT EATING IF SHE DON’T LIKE THE FOOD. PLEASE ADD ON THANKS

APPLICATION OF THE NEUMAN SYSTEMS MODEL Review Neuman et. al Chapters 1-5

In order to complete this section of the assignment, you must first complete the comprehensive health history. You will utilize the data gathered to apply The Neuman Systems Model to your chosen client.

1. Neuman Systems Model Assessment
A. For each variable (physiological, sociocultural, spiritual, developmental, & psychological) illustrate the three (3) levels of stressors (intra, inter, and extra) as perceived by you as well as the client (or caregiver if client is unable to provide this information). *Please note this can be done in point form and is not a restating of all the assessment data that was gathered in the previous assignment section.
B. Identify positive stressors as well as which stressors have broken through the following: i. Flexible lines of defense *You must identify any social determinants of health that impact the client and describe the effect on the flexible lines of defense* ii. Normal Lines of defense iii. Lines of Resistance
C. Describe the client’s core structure and identify which stressors have resulted in a permanent change to the core structure
D. State the client’s strengths as identified by your assessment and the client/family, if possible. Consider what could help re-establish the flexible lines of defense, normal lines of defense, and lines of resistance, as applicable.

*Through analyzing this client information, you are building your assessment which will assist you in formulating your nursing diagnosis*

2. Prevention Strategies
Identify two (2) primary, two (2) secondary, and two (2) tertiary prevention strategies that may be utilized for the nursing diagnosis of your client care plan. PLEASE ANSWER THANKS

Pp. 42-49 in Neuman & Fawcett (2011) has an example that can assist you with this assignment, however when completing your assignment, please follow the guidelines in the assignment explanation above. P. 345 in Neuman & Fawcett (2011) information that can further assist with Part 2. THIS IS YOUR GUIDE THANKS

Order | Check Discount

Tags: Assessment Homework Help Online, Australia essays, Best Ideas for Dissertation Topics, Best Research Paper Topics for Examples, Dissertation Topics & Good Thesis Ideas