Professional Documents
Culture Documents
Neumann's Systems
Model IN NURSING
PRACTICE
Case study
Kiran is a 30 years old lady, a wife of bus driver. She was admitted
in the hospital 2 days ago with sever hypertension above 200/110
mm Hg accompanied by chest pain, shortness of breadth. And
insomnia. Patient tells the nurse that her husband met with the
accident 3 days ago and he was severely injured with other
passengers, She is worried about him as passengers are blaming her
husband for tragedy
Patient is looking anxious and irritable.
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Financial
stressors
Physical Stressors
1. Anxiety which stemmed from the uncertainty about the fate of her
husband.
2. A sense of guilt because relatives of the passengers are blaming her
husband for the tragedy.
3. Ambivalence in the sense that she would be happy if her husband
survived and at the same time worried too that if he did survive he
would be subjected to court litigation.
Her husband is the breadwinner of the family and in a brood of 5 children,
only one is employed; the rest are still in school.
1. Insomnia
2. Elevated blood pressure unresponsive to maintenance medications
3. Persistent chest pains
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Nursing Diagnosis
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Nursing Interventions
Rational
Nursing Interventions
Diagnosis
Evaluation
Goals are achieved:
1) Patient has maintained blood pressure within individual
acceptable range.
2) Demonstrate stable cardiac rhythm and rate within
patients normal range.
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Tertiary Prevention:
If possible to stay in a relatives house for a few weeks because
they were being hounded by media who were camped outside
their home.
Regular monitoring of the patients blood pressure by a
daughter who is a student-nurse who should also monitor her
intake of medications as prescribed by the physician.
Avoid watching TV shows that mention about the tragedy.
Avoid answering the phone.
She should have a close relative with her aside from the
children who will manage their affairs in the meantime.
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Thank You
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