Nursing Theories for Tobacco cessation

Having just watched the Interactive Curriculum of the Clinical Management of the Patient who uses Tobacco as well as having participated in the simulation activity with the female smoker on birth control, please answer the following questions:

Which of the Nursing Theories that you have read about this week are most applicable to this patient situation?
How is that particular nursing theory applicable and why?

Nursing Theories for Tobacco cessation

by  A. M. – Tuesday, February 4, 2020, 12:44 PM

The patient in this simulation activity, Ms. Angelis, is having a difficult time quitting. Although a smoker is not considered part of a vulnerable population, we know the difficulty behind quitting after years of nicotine addiction, and Ms. Angelis would be considered a vulnerable patient in recovery. From the simulation activity, I better learned about the five A’s which include ask, advise, assess, assist, and arrange. I especially liked the rapid approach to this which entails the ask, assess, and advise (Rigotti, 2014). The reasoning for this is because as clinicians under our current healthcare delivery system, our time is limited for each patient. While I’m not in agreement with this transactional methodology, it has become our reality, which is why I’m in favor of the revised version. Regardless, these five A’s are pivotal for helping Ms. Angelis and anyone of the like. The following nursing theories are the most applicable to helping Ms. Angelis in this situation.

Orem’s self-care model includes the theory of self-care deficit, theory of self-care, and the theory of nursing systems. The first theory must be known to individualize Ms. Angelis’ care. It also shifts the focus away from her nicotine addiction and maintains it on her strengths and weaknesses (deChesnay, 2016). Ms. Angelis wants to improve her condition, but it is obvious that she needs help in doing so. In this case, she needs guiding and directing in order to best help her, while simultaneously encouraging independence.

Roy’s adaptation model is also one that can be easily applied to this scenario. Here, the aim is to increase compliance and life-expectancy. In order to initially treat Ms. Angelis holistically, the physiologic, self-concept, role function, and interdepence modes are applied. The physiologic mode is associated with the physical and chemical answers of the person, according to stimuli from the environment. In other words, the basic and complex biological processes necessary to maintain life (deChesnay, 2016). Self-concept deals with an individual’s beliefs about their identity or physical self at a certain time. For example, Ms. Angelis displays great concern over her ability to cease smoking, however, she sees herself as a contributing member in her household. Role function is rather self-explanatory; and interdepence entails behavior and mutual relations of individuals meaningful to that person or a support system (Ursavaş, et al. 2014). In this case, Ms. Angelis may view her fiancee’ as someone meaningful to her and views his support as essential.

The only missing links not mentioned in the simulation activity include any biobehavioral models including the genetics and neuroscience of the patient, or Ms. Angelis.