The Model
Give an example of what the "core" might be comprised of
Individual/family most basic needs
Into what three prevention categories does Neuman's model group nursing interventions to manage stressors?
Primary, secondary, and tertiary prevention.
Which line represents the client's usual level of wellness and standard state of adaptation to surrounding stressors?
The normal line of defense.
What four components make up the community core?
Demographics, history, values, and beliefs
The Neuman System's model addresses the interaction between the core and _________
Stressors (internal and external)
What level of prevention focuses on health promotion programs and risk factor identification to extend the flexible line of defense?
Primary
How does the position of the flexible line of defense relative to the normal line affect protection?
Further away --> Greater protection
Closer --> Less protection
Give an example of a Normal Line of Defense resource at a community level
Access to Health services (primary care, emergency, urgent care, pharmacy), Community immunization status/heard immunity etc, stable employment
Name the three lines of protection
Lines of Resistance, Normal Line of Defense, Flexible Line of Defense
What is the goal of tertiary prevention?
Maintain current wellness status and prevent recurrence
On which line of defense does primary intervention hope to act upon?
The flexible line of defense
Give an example of a Flexible Line of Defense at a community level
free vaccination pop-ups during spikes in transmission, preemptive mobilization before severe weather, Opening code blue shelters for extreme cold
Flexible
What term describes the client system's recovery from stressors to regain equilibrium and wellness?
Reconstitution
Which internal defense mechanisms are triggered when an environmental stressor penetrates the normal line of defense?
The lines of resistance
What eight community subsystems are evaluated alongside the core during a windshield survey and assessment?
Physical environment, education, safety and transportation, politics and government, health and social services, communication, economics, and recreation.
Name the 5 variables the model addresses
Physiological, Psychological, Spiritual, Sociocultural, Developmental
A nurse caring for a family where the "sandwich" generation is caring for both their children and an aging parent living in their home. The nurse connects them with social services that can help provide part time home health nursing care for their aging family member. What level of prevention would this be?
Secondary
What three key factors determine the overall effect of an environmental stressor on a client system?
The number of stressors, stressor intensity, and current system stability
What level of prevention (at a community level) would a communication and mobilization effort after an FDA recall be?
Secondary, (but could be primary)