Health and Medical Discussion Post Health and medical. Discussion post. Health and nursing. Healthcare. Nursing theory. Response to Colleagues Discussi

Health and Medical Discussion Post Health and medical.

Discussion post.

Health and nursing.

Healthcare.

Nursing theory. Response to Colleagues Discussion post. Include references if any.
Discussion 1:
Professor & class,
As a future family nurse practitioner, the use of nursing theory is essential in order to advance
research, education, and nursing practice. However, the use of non-nursing theories often occurs.
The stress adaptation theory was discovered and defined in 1935 by Mr. Hans Seyle, and is a
fundamental behavioral theory still used today (Wadhawan, 2018). Seyle (1965, p.97) states “the
stress reaction can raise the resistance to stressful agents and protect against disease”. However,
he also states, “when the reaction is faulty or overly prolonged, it can also produce disease
(Seyle, 1965, p 97). Mr. Seyle spent his career researching stress and its effects on the body and
mind.
Health care workers are consistently exposed to stressful situations which can lead to depression,
burnout, compassion fatigue, or post-traumatic stress disorder (Vahedian-Azimi et al., 2017).
Nurses are especially vulnerable a number of nurses work in areas that are emotionally or
physically demanding causing their stress level to rise to a dangerous level (Vahedian-Azimi et
al, 2017). The stress adaptation theory is a non-nursing theory that could be applied to the
nursing profession. Seyle believed the body adapts to stress in three stages. The first stage is the
alarm stage, where the “fight or flight” response occurs by releasing the stress hormones of
adrenalin, noradrenaline, and cortisol (Leow, Jackson, & Alderson, J. (2018). The second stage
is the resistance stage where the “fight or flight” response weakens, eventually disappearing
(Leow, Jackson, & Alderson, J. (2018). The final stage is the exhaustion stage, where the
adaptive energy has depleted, leading to health problems if not resolved (Leow, Jackson, &
Alderson, J. (2018).
It is our responsibility as family nurse practitioners to be aware of the emotional, physical, and
social health determinants to both our patients and fellow nurses. When recognized, we need to
be advocates and help those who are suffering from high levels of stress. Exercise, diet,
meditation, counselling, are all ways to counteract the effects of high stress. As family nurse
practitioners, we will also care for patients who have a chief complaint of anxiety or
depression. It is critical that we take their emotional health as seriously as their physical
health. All patients should be treated holistically, caring for mind, body, and soul.
Answer:
Discussion 2:
Professor,
I think borrowing theories is one of the key elements in nursing development and research
expansion. This allows clinicians and researchers to acquire and share knowledge from various
theories and models to build a framework to improve clinical decisions and answer research
questions. Guerra and Zabalegui (2016) outlined some functions of a nurse practitioner such as
diagnosing medical issues, making orders and interpreting diagnostic tests, performing invasive
procedures, and writing prescriptions. As a future family nurse practitioner, I think It is
imperative to take advantage of a collaborative approach of conveying knowledge and ideas
from different theorists and researchers to achieve the most accurate, updated and effective
methods in providing the highest quality care and practice. Ali and Katz (2015) mentioned about
Leavell and Clark’s preventive medicine three constructs which include primary, secondary, and
tertiary prevention. This borrowed theory, however, was expanded by others by developing other
preventive constructs to decrease overmedicalization, defending patients from needless or
unwarranted invasive procedures; and modification of social structures that can impact the risk
of disease such as the environment, economic, social, behavior, and culture (Marc, 2015).
Applying scientific principles to preventing diseases and promoting health is a basic role of a
family nurse practitioner. With Leavell and Clark’s preventive medicine constructs, huge
opportunities for the improvement and advancement of family nursing advance practice can be
developed. Nurse researchers and clinicians may also use this borrowed theory to serve as a
framework for improving and advancing current knowledge and practices that may significantly
impact the future of disease prevention.
For instance, the appropriate education, treatment, diagnostic test, and prescriptions can prevent
certain conditions such as colon cancer. According to Kaiser (2018), educating patients
regarding colon cancer screening options is a cost-effective prevention and control approach that
may increase screening rates, early detection and patient care adherence. Kaiser (2018)
additionally mentioned the importance of a clinical pathway to guide nurse practitioners to
provide patients the availability of approved screening options and promote awareness about the
risk and benefits for patients to have well-versed decisions through patient educational
presentations thereby decreasing redundant referrals and costly services.
Although borrowed theories such as biomedical sciences contribute to the enhancement of
advanced nursing practice, it is also important to consider the appropriateness of a theory to
nursing practice. This may require further and rigorous studies including evidence-based and
systematic researches. According to Hays (2018), it is important to clarify and deliberate certain
terminologies and definitions to make further progress. Hays (2018) also mentioned that the
congruence of the roles for medical practitioners within the healthcare system and stronger
support for strategies is very necessary to achieve success.
Answer:
Discussion 3:
Professor and class,
Hello Dr. Abner and Class, there are many borrowed non-nursing theories that are currently
applied to the nursing theory. The first borrowed theory I thought of is Maslow’s hierarchy of
needs. The theory of behavioral science is the cycle of life which each individual climb to reach
the top starting with the physiological basic needs of survival to self-actualization where an
individual has specific needs of growth and to want better for themselves to achieve the greatest
self they can become physically, mentally and spiritually. People are products of their
environment and often never reach certain levels in the Maslow’s hierarchy of needs pyramid.
Though many individuals from all walks of life, socioeconomic backgrounds and lifestyle
become ill; however, it is mostly those that are less educated, live in low income areas who
purchase foods that are not healthy, and also consume a greater amount of processed foods. It is
the lack of healthy nutrition that is the bases of many health conditions.
My future nursing area of practice is Family Nurse Practitioner and using the borrowed theory of
Maslow’s pyramid and applying this to my future practice will assist me to educate my patients
based on their specific needs. The patient has to fulfill the physiological basic needs of air, food,
drink, shelter, clothing, warmth, sex and sleep and then proceed to the next level of safety,
continuing on to love and belonging, next acquiring self-esteem, until the top of the pyramid of
self-actualization is achieved. As an FNP it is my responsibility to have self-awareness so I can
properly care for the patient and provide each of them with the necessary tools to capacitate
change. According to Van Lenthe, Jansen, & Kamphuis (2015), only a small part of the
population ends up in the highest level of self-actualization in Maslow’s hierarchy of needs. It is
time to make a difference in the lives of those who are unaware and educate them.
A morbid obese patient comes into the doctor’s office with shortness of breath, history of
diastolic heart failure and an A1C of 9.0. The underlying issue must first be addressed as an
evidenced based nursing theory of patient-centered care, giving care specific to the person.
Nutrition for this patient is primary, assisting with the patient wanting to make lifestyle changes,
healthy food choices, build self-esteem to strive for self-actualization. How we give care is very
important for satisfactory outcomes. It is primary to educate the patient on their basic needs
using a borrowed theory, applying the nursing theory while also collaborating with an
interdisciplinary mix of health practitioners in the care of the current heath conditions to enhance
the profession of Family Nurse Practitioner and foster health.
Answer:

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