Question

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn't sure which was worse, the "morning after" headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn't know what that was and really didn't believe them anyway. He was still thinking just fine. His friend Joe wasn't so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn't work right now. He guessed it didn't matter much since he really didn't have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

• Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.

Answer 1

1. Intrapersonal - Sgt. Johns’s emotions and feelings.

2. Interpersonal - its between Sgt. John's and his friend Joe's situation and conditions.

3. Extrapersonal - Sgt’ John's job or financial pressures

There is only 3 stressors in Neuman's Model.

- If than also we want to list one more stressor we can have Pain (Physical stressor) in case of Sgt. John.

Plan of Care:-

Primary Prevention:- nurse and family should support to prevent development of further emotional problems.

Secondary Prevention:- Nurse should provide a nursing management for pain and emotional instability which John is undergoing.

Tertiary Prevention:- A well planed rehabilitative services can prevent any further complications and stress in John.