summary for Medical Surgical Nursing

summary for Medical Surgical Nursing I. Unit One and Unit Two Myra Lavene Key Points (model based on sanctity of life and prevention/ alleviation of suffering; promotes holistic care) ● Conservation of energy-pt gets rest and prioritize intervention (obtain vitals and encourage rest) ● Structural integrity- focus on healing processes and maintaining wholeness (ex. Limit tissue damage) ● Personal integrity-focus on attention to pt as a person, and ownership of identity ● Social integrity- focus attention on individual role in role in the family, community,etcs ● Metaparadigms- ○ Person-person cannot be separated from environment and influenced by it ○ Environment- individuals cannot be understood outside his/her environment ■ Internal-physiological ■ External ○ Health- health means whole ○ Nursing- uses conservation principles, involves human interaction, requires skills and scientific knowledges Gordon Key Points (proposed functional health patterns for establishing comprehensive nursing database). Gordon’s health patterns below: ● Health perception health management pattern ● Nutritional metabolic pattern ● Elimination pattern ● Activity exercise pattern ● Sleep rest pattern ● cognitive -perceptual pattern ● self-perception -self concept pattern ● role- relationship pattern ● Sexuality-reproductive ● Coping-stress tolerance patterns ● value -belief pattern *****Integration of Gordon and Myra Levine**** ● Personal-health perception/health management, self-concept, value-belief system ● Structural-elimination pattern cognitive-perceptual ● Social-sexuality, reproduction, role relationship ● Energy- nutrition, metabolic, activity, exercise