There are many theories which are applied to nursing care and practice and the needs that humans have to thrive. The case of Juan Duran is a complicated one which is affected by not only his personal health but his realtionship and events which have taken place in his recent past. Many of the nursing and human need theories can be applied to his case and can help to drive better care and overall health. Human need theories indicate that in order for the person as a whole to be compelte many different aspcets must be met. This comes into play with nursing as the nurse must remember that not just one ailment is to be fixed, but the entire patient should be considered .
The Self-Care Deficit Nursing Theory can be applied to Juan Duran’s case. It denotes that Duran requires nursing care because this own self-care is lacking . He is visually impaired and therefore requires additional help to administer his insulin. His wife is his primary caretaker and helps to administer the insulin for him, but there is a lanagugage barrier therefore she may have difficulting in communicating and learning about the care that her husband needs. Because there is a deficit the nursing care that Juan himself and his wife can give, professional nursing services are necessary.
McEwen and Willis note “groups of human beings with structured relationships cluster tasks and allocate responsibilities for providing care to group members who experience privations for making required deliberate decisions about self and others.” It is in this way that Juan, his wife, and nurses can come together to develop plans and administer appropriate care to Juan. It is this trifold relationship with depicts Self-Care Deficit Nursing Theory .
Dorothy Johnson developed the Behavioral System Model. This theory reviews the patient as a whole when regarding health. The entire system in homeostatis indicates health which is the opposite of illness . Juan not only has diabetes, but he is undergoing anxiety, stress, and sadness after the recent murder of his daughter. He is not showing these emotions and is stoic instead, therefore he is not in a state of health. His overall health is not being met. According to Johnson’s model, the nursing professional should be working with Juan and his wife together to help educate, monitor, and maintain his diabetes, as well as working with them pschhologically to help ease them through this time of grief .
Similar to the Behavioral System Model is Neuman’s Systems Model. She believed that stressors can be determined and solved through the interventions of nurses. “She emphasized the need of humans for dynamic balance that the nurse can provide through identification of problems, mutually agreeing on goals, and using the concept of prevention as intervention.” By identifying the causes of stress, other physical disease can be solved .
As Juan has had stressful events take place in his life recently, his diabetes can become even more uncontrolled than previously. While he is stoic and does not show his pain, he is obviously grieving over the death of his daughter. His stressors would not be difficult to determine. Working with Juan and his wife in a psychological setting can help to ease their stressors and therefore lead to a more homeostatic position and better health .
- References
- Marker, S. (2003, August). Unmet Human Needs. Retrieved from Beyond Intractability: http://www.beyondintractability.org/essay/human-needs
- McEwen, M., & Willis, E. (2014). Theoretical Basis for Nursing, 4th edition. Wolters Kluwe Health/Lippincott Williams & wilkins.
