I Need ONE Response Per Each Discussion Total 6 Responses. Attached Are The Discussions Please Follow Them. Posts Will Be A Minimum Of 100 Words, APA Format.


Evelyn Dominquez


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Case study: Mr. Reynolds is a 32-year-old male patient hospitalized on the orthopedic unit of the hospital. He is status-post motorcycle accident and right leg below the knee amputation. He has a history of Depression and Schizophrenia. He is currently separated from his wife and estranged from his family. He is awaiting social work for placement in a rehabilitation facility, where he will continue his recovery. 

Theory selected is Betty Neuman’s Systems Model (NSM).

Perspective: Many known, unknown, and universal environmental stressors exist. Each differs in its potential for disturbing a client’s usual stability level, or normal line of defense. The particular interrelationships of client variables—physiological, psychological, sociocultural, developmental, and spiritual— at any point in time can affect the degree to which a client is protected by the flexible line of defense against possible reaction to a single stressor or a combination of stressors (Gigliotti, 2012).

A nurse guided by Neuman’s system model assessment and intervention tool helps in the diagnosis, setting of goals including plans for intervention and affects the nursing outcomes. Mr. Reynolds status-post motorcycle accident and right leg below the knee amputation are his major stressors. His hospitalization, status-post motorcycle accident, his history of depression and schizophrenia, separation from his wife and family, awaiting social placement all contribute to his psychological, sociocultural, developmental state which make up his intrapersonal, interpersonal, and extrapersonal factors.

The intervening goal may include helping him wrap his head around his status-post accident and the amputation, and finding the right placement for him in a rehabilitation facility which will help him get the much needed support for his recovery process. He could also join a support group for his depression and schizophrenia by a certain set date, where he will share his feelings about the whole situation. This will cover the secondary and tertiary prevention as intervention (TK & Chandran, 2017).


Gigliotti, E. (2012). Honoring Dr. Betty Neuman’s Contributions to Nursing Science. Nursing Science Quarterly, 25(4), 297-299. doi:10.1177/0894318412457064

TK, A., & Chandran, S. (2017). Chapter-08 Betty Neuman: Systems Theory. Application of Nursing Theories, 87-94. doi:10.5005/jp/books/13072_9

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