Concept in Theories in Nursing Case Study

Question Description

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 outside references and the textbook. The paper should be in APA format with a title page, level headings, and reference page.

Final Answer



Applying Nightingale’s Environmental Theory
Institutional Affiliations




Applying Nightingale’s Environmental Theory
The Nightingale environmental theory is one of the conceptions of nursing that emerged
from Nightingale’s idea of a holistic approach towards nursing. The environmental theory is just
as the concept suggests and has to do with establishing an environment that supports the proper
recovery of the patient. According to Mediero, Enders & Lira, (2015), the environment has to do
with all the conditions that can affect organism development and thus influencing the treatment
process by prevention, suppressing or advancing the patient’s condition. The role of the nurse
therefore is to balance the environment of the patient so that they are able to gain more energy to
heal from their disease. In this context, therefore, the role of the nurse would be to make
enhancements on the lighting and air flow of the room. For instanc, the nurse may first identify
ways of ventilating the room.
Next, the patient ought to be comfortable as they recover from within their premise.
According to Nightingale’s environmental theory, the individual is a part of nature (Medeiro,
Enders & Lira, 2015). The nurse should therefore not forget that the patient as a human will
respond to their surrounding in the same way that other plant and animals in nature respon...

Chancellor_Ivy (19567)
New York University

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