I’m working on a health & medical question and need the explanation and answer to help me learn.
- Juan Duran is a Mexican American.
- He is at the Diabetes Clinic at the VA.
- He is exceedingly polite and respectful of health care personnel (and does not like to interrupt or ask too many questions).
- He has been in the United States more than 50 years; he is a Navy veteran.
Juan is wandering around the hallway and is found by Mr. Carlson, the clinical director.
Mr. Duran tells him that he has been instructed to start insulin for his diabetes but doesn’t know how. He doesn’t recall receiving any appointments or instructions.Mr. Carlson finds the Diabetes Nurse Educator, Jenny O’Connell, and asks her to fit Mr. Duran in for an unscheduled appointment.
Nurse Jenny finds out more about Mr. Duran.
He:
- Is married
- Lives in Chula Vista, CA in a comfortable apartment with his wife.
- Speaks fluent English, but wife’s English is limited.
- Speaks Spanish at home.
- Limited vision, wife must administer insulin.
- Had one (single) daughter, who was found murdered in the apartment parking lot less than two weeks ago, leaving Mr. and Mrs. Duran to care for her child.
- Seems befuddled by the insulin and syringes and is stoic when he talks about the loss of his daughter.
INSTRUCTIONS:
Write about Dorothea Orem’s and Betty Neumans theory and how it relates to this case study.
Associate what you have learned about these theories to this case study, and then see the instructions below to complete a journal entry about your experience.
Each reflection should include the following:
- A comparison of what you have learned from the case study to related theories you have studied. Make sure to cite these theories in APA format.
- A comparison of the case study to your nursing practice, giving one or two examples from your nursing experience in which you might have applied a particular theory covered.
How to solve
USC Dorothea Orems and Betty Neumans Theory Case Study Reflection
Introduction:
In this case study, Juan Duran, a Mexican American with diabetes, seeks guidance on how to start insulin treatment. He has limited knowledge and is also coping with the recent loss of his daughter. To analyze this scenario, we can apply nursing theories such as Dorothea Orem’s Self-Care Deficit Theory and Betty Neuman’s Systems Model. These theories provide valuable insights into the assessment, planning, and intervention required to support Mr. Duran’s health needs and address the psychosocial aspects of his situation.
Answer:
Dorothea Orem’s Self-Care Deficit Theory emphasizes the importance of assessing an individual’s ability to meet their own self-care needs. According to this theory, individuals have the responsibility to engage in self-care activities or seek assistance when unable to independently meet their care requirements (Orem, 2001). In the case of Juan Duran, it is evident that he lacks knowledge and is unsure about starting insulin therapy. His limited vision further complicates his ability to self-administer insulin, necessitating the intervention of his wife. This situation aligns with Orem’s theory as Mr. Duran requires support and teaching to enhance his self-care abilities related to diabetes management.
Betty Neuman’s Systems Model takes a holistic approach to understanding individuals’ response to stress and the promotion of wellness. This model focuses on the interrelationship between physiological, psychological, sociocultural, and environmental factors in maintaining health (Neuman, 2014). In Mr. Duran’s case, the recent loss of his daughter has created a significant stressor in his life. This psychosocial stress can influence his overall well-being and potentially affect his ability to manage his diabetes effectively. Applying Neuman’s theory, it becomes imperative to consider the impact of the loss on Mr. Duran’s overall health and implement interventions to address his emotional and psychological needs.
In my nursing practice, I frequently encounter situations where patients, like Mr. Duran, require assistance with managing their conditions and coping with psychological stressors. For example, I once cared for a patient who had recently undergone cardiac surgery and was struggling with anxiety and fear. I applied Orem’s Self-Care Deficit Theory by assessing the patient’s knowledge about post-operative care and providing education and support to promote self-care. By empowering the patient with information, I helped them gain confidence in managing their own recovery.
Similarly, I have utilized Neuman’s Systems Model in cases where patients experienced significant life stressors, such as the loss of a loved one. By recognizing the impact of psychosocial stress on their health, I collaborated with the patient to develop a comprehensive care plan that addressed their emotional needs and provided a support system to maintain their overall well-being.
Overall, the case study of Juan Duran highlights the relevance of nursing theories in guiding the assessment, planning, and intervention for patients with complex health needs, including the consideration of their psychosocial context. By applying Dorothea Orem’s Self-Care Deficit Theory and Betty Neuman’s Systems Model, healthcare professionals can optimize patient care and enhance their overall quality of life.
