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Assignment: Research and Nightingale. (You will be writing an essay in APA format)

Case Study:

Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy. Mrs. Adams apartment is located in a low-income area of the city where crime is prevalent. Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her cloths appeared unchanged and she had no food in the apartment. The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner.

  • Using Nightingales Environmental Theory, what actions would the nurse take upon the first assessment? What are the five essential components?

  • What would be an appropriate plan of care be for Mrs. Adams? How would you prioritize the care plan?

  • Apply Nightingale’s Environmental Theory to an area of your nursing practice? What patient population would benefit from this approach? Support this practice change with at least one evidenced-based article.

The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 3 current outside references and the textbook.

Please do NOT include a copy of the Case Study in any assignment! This assignment explores Nightingale’s Environmental Theory. Be sure to provide a bold level heading for each answer to each question within the essay to be very clear as to what you are answering and read the instructions carefully. Answer each question in the order asked. An Introduction and Conclusion paragraph are required to meet APA requirements. Do Not include an Abstract (this does not count toward the assignment or toward minimum word count).

Regarding this part of the essay:

What would be an appropriate plan of care be for Mrs. Adams? How would you prioritize the care plan?

You do NOT need to include a formal care plan. It is simply applying Nightingale's theory to prioritize care for the client.  For example, Nightingale placed emphasis on environment and cleanliness.  What can you do to help this client?  Can you connect her with local charities that will fix her A/C or a food pantry?  Or just open the curtains?  Then, be sure to connect each of your recommendations to Nightingale's theory.  

Required Textbook:

Smith, M. C., & Parker, M. E. (2015). Nursing Theories and Nursing Practice (4th ed.). Philadelphia, PA: F.A. Davis. ISBN 978-0-8036-3312-4