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.


 Manuel M

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Case Study

One of the key scientific assumptions identified by Roy suggests that person and environment integration influence an individual’s consciousness and help to shape meaning (Sensac & Roy, 2015, p. 156). This assumption is particularly important in this situation because the patient has to deal with traumatic events and procedures that will have a significant impact on his life. On the other hand, Neuman’s systems model may be ineffective in this situation because the author overlooked the importance of ideas and meaning (Lowry & Aylward, 2015, p. 169). First of all, a nurse has to cooperate with the patient’s friends and family members to assess the behaviors and stimuli that motivate and influence Mr. Reynolds and others. Such information may help a nurse to develop a set of tentative diagnoses. For example, it is possible that close interactions with family members help Mr. Reynolds to deal with depression and schizophrenia because social support is linked to activities of daily living (Anderson et al., 2017, p. 214). It should also be possible to identify which aspects of the patient’s routine would be affected by amputation. It is necessary to develop a set of goals that may be realistically reached. For example, it may be necessary to alter the environment to ensure that the patient’s routine is not significantly affected by amputation. Additionally, it is important to ensure that the patient’s depression is not complicated by traumatic experiences. A nurse has to address such aspects as pain because it is linked to increases in depression scores (Bhutani, Bhutani, Chhabra, & Uppal, 2016). The first intervention that may be proposed is to cooperate with friends and family members that care about the patient’s well-being and establish common goals that would help to alter the environment. Another intervention would to discuss coping strategies with the patient and identify additional resources that may be necessary to deal with the condition. Assessment forms would help to evaluate the effectiveness of interventions and keep track of the progress.


Anderson, D. R., Roubinov, D. S., Turner, A. P., Williams, R. M., Norvell, D. C., & Czerniecki, J. M. (2017). Perceived social support moderates the relationship between activities of daily living and depression after lower limb loss.Rehabilitation Psychology, 62(2), 214-220. http://dx.doi.org/10.1037/rep0000133

Bhutani, S., Bhutani, J., Chhabra, A., & Uppal, R. (2016). Living with amputation: Anxiety and depression correlates. Journal of Clinical & Diagnostic Research, 10(9), RC09–RC12. doi: 10.7860/JCDR/2016/20316.8417

Lowry, L. W., & Aylward, P. D. (2015). Betty Neuman’s Systems Model. In M. C. Smith & M. E. Parker (Eds.), Nursing theories and nursing practice (4th ed.) (165-184). Philadelphia, PA: F. A. Davis Company.

Sensac, P., & Roy, S. C. (2015). Sister Callista Roy’s Adaptation Model. In M. C. Smith & M. E. Parker (Eds.), Nursing theories and nursing practice (4th ed.) (153-164). Philadelphia, PA: F. A. Davis Company.

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