Question

INSTRUCTIONS: Critical thinking exercises on Florence Nightingale’s Environmental Theory

Read and analyze the given situation and use the format below for applying Nightingale’s Theory on Environment and make a plan of care for each identified problem.

CASE HISTORY OF PATIENT Z:

Ms Z, a 25-year-old female had consulted the nearest health centre due to fever for 3 days. This was accompanied by loss of appetite, fatigue, headache, abdominal pains and dizziness. Her vital signs are as follows: Temperature= 38.9Celsius (Normal Range Temperature: 36.5- 37.5C), Pulse Rate = 86 beats/ minute (Normal Range of Pulse Rate: 60-100 beats/minute), Respiratory Rate=20 cycles/minute (Normal Range: 12-20 cycles/minute) and Blood pressure =160/90mmHg (Normal Range: 120/80mmHg). Ms Z claims that she has lost weight due to fever and loss of appetite. She lives in a crowded community which is constantly submerged in water due to flood. This caused severe problems in sanitation and source of water supply. Laboratory tests and physical examination revealed Dengue Fever. Ms Z is extremely worried because she had a neighbour who is found positive of COVID 19 two days ago. In addition, she is concerned over financial expenses for her illness due to the community quarantine status in which she cannot report to her job as a crew at a fast-food chain.

C. Psychological environment

1. Assessment

2. Plan

D. Nutrition

1. Assessment

2. Plan

Answer 1

#. The Environmental Theory by Florence Nightingale defined Nursing as “the act of utilizing the environment of the patient to assist him in his recovery.”

Psychological environment :-

1. Assessment - Ms.Z is worried about her neighbour because they had covid -19.

2. Plan - Is to make her comfortable by encouraging her to express her concerns . Providing her health education about Dengue , COVID -19, it's prevention and management .

D. Nutrition :-

1. Assessment - Loss of apetite since she is having fever.

2. Plan - To have a consultation with the dietician about her diet plan .