Introduction
The case study provided about Mr. Issler shows that he has been suffering from heart problems for some time. It is evident that he lacks proper family care back at home. He is currently under the care of his daughter-in-law who moved in with him a few months ago. The most appropriate nursing concept that is applicable in his case is Roy Adaptation Model. This theory holds that patients’ adaptation is based on the interaction with the environment (Roy, 2013). Choice, conscious awareness, and self-reflection all help in the creation of environmental integration. Mr. Issler must understand that the medical condition of his heart is very delicate, especially after the confirmation from the laboratory tests. He has to integrate with the social environment to find best ways of managing his complication.
Plan of Care for the Patient
Introduction
According to Kaur and Mahal (2013), people suffering from coronary diseases need proper plan of care because of the unpredictability of a possible heart attack. Mr. Issler has congestive heart failure (CHF) and a history of deep vein thrombosis (DVT). These are serious complication that may lead to heart attack at any moment, especially if the patient fails to maintain a given lifestyle. In this plan, the patient will play a central role in ensuring that he remains in good health, just as stated in the above theory. The deep vein thrombosis may cause blockade of blood in delicate body organs that may lead to serious medical problems if care is not taken as soon as possible. For this reason, it will be necessary for the patient to maintain regular exercise. Regular exercise will help burn extra calories in the body that may cause problems to the patient. It will also help to improve the health status of the heart (Judd, Sitzman, & Davis, 2010). The delicate nature of the patient’s heart- caused by congestive heart failure- demands that the exercises must be regulated by an expert. Mr. Issler will, therefore, need an instructor who will define the kind of exercises that he should embrace. This may include slight jogging or just walking for a given distance every morning before going to work.
The patient will also need to be disciplined when it comes to his food intake. Fitzpatrick and Kazer (2012) warn that individuals who have heart problems may face serious danger if they fail to adhere to a given diet at all times. All types of food with high calories should be avoided by this patient. This includes red meat and excess carbohydrates. Finally, Mr. Issler may need to resolve his relationship with his son given that he is the only family member who can be genuinely concerned about his health. Currently, the patient is staying with his daughter-in-law who moved in with him a month ago. She is no longer married to his son, a fact that means the family bond is already broken. Morally, he should not have moved in with her. His delicate heart condition may not permit him to stressful environments such as a fight with the son.
Family members also have a role to play in this care plan. Maintaining a healthy lifestyle does not rule out a possibility that the patient may experience heart attack at any moment. When this happens, family members should be close by to offer primary care and rush him to the nearest medical facility. The concerted effort may help in eliminating the dangers Mr. Issler may face.
Analysis of congruence of concept and theoretical statements
The concept environmental integration as defined in Roy Adaptation Model is congruent to the condition of the patient. This theoretical statement emphasizes on the role of the patient in the care plan. Mr. Issler’s condition has a lot to do with his lifestyle. No one can manage his way of life better than himself. That is why it is necessary to involve him in the plan as a primary caregiver to himself. Any other help that will come from nurses and family members will only be supplementary. Taking control of one’s health, according to DeNisco and Barker (2013), is the best way of fighting lifestyle-related health complication. It will mean that an individual will remain disciplined at all times, always avoiding anything that may be a threat to their health.
Current influences of research utilization in practice
The current research has massively influenced nursing practice in many ways. For instance, Carpenito (2011) recalls that in the past, patients suffering from health problems were advised to avoid exercise and any activity that is physically demanding. However, recent studies have proven that these patients should actually engage in physical activities as a way of strengthening their heart muscles. Advances made in the field of nursing and medicine has helped a lot in improving the kind of care that patients now get in medical institutions. Nursing practice is heavily informed by the findings of modern research. Roy Adaptation Model is one of the research findings that have redefined the field of nursing in this century.
References
Carpenito, L. (2011). Nursing diagnosis: Application to clinical practice. Philadelphia, Pa: Lippincott Williams & Wilkins.
DeNisco, S., & Barker, A. M. (2013). Advanced practice nursing: Evolving roles for the transformation of the profession. Burlington, Mass: Jones & Bartlett Learning.
Fitzpatrick, J., & Kazer, M. (2012). Encyclopedia of nursing research. New York: Springer Pub.
Judd, D. M., Sitzman, K., & Davis, M. (2010). A history of American nursing: Trends and eras. Sudbury, Mass: Jones and Bartlett Publishers.
Kaur, H., & Mahal, R. (2013). Development of Nursing Assessment Tool: An Application of Roy’s Adaptation Theory. International Journal of Nursing Education, 5(1), 60-64.
Roy, C. (2013). The Roy adaptation model. Upper Saddle River, NJ: Pearson Prentice Hall.