Action, G. J., & Malathum, P. (2000). Basic need Status and Health-Promoting self-care Behavior in Adults (PDF). Western Journal of Nursing Research, 22(7), 796-811.(article attached) Apply the selected model (highlighted) to Family Nurse Practitioner specialty, caring for a 45 years old male patient presenting with asthma exacerbation with heroin use. Describe how you would use the model in intervening with the patient-care problem focusing on assessment, counseling, and teaching 1.5 pages APA 2 Scholarly articles
Title: Basic Need Status and Health-Promoting Self-Care Behavior in Adults
Introduction:
The provided article by Action and Malathum (2000) explores the relationship between basic need status and health-promoting self-care behavior in adults. This research investigates how individuals’ ability to meet their basic needs influences their engagement in health-promoting activities. The study measures basic need status using the Basic Need Status Scale (BNSS), which assesses levels of safety, belongingness and love, esteem, and self-actualization needs. It then examines how this status relates to health-promoting behaviors, such as self-care, exercise, stress management, and health responsibility.
Application of the Model to Family Nurse Practitioner Specialty:
In the context of the Family Nurse Practitioner (FNP) specialty, caring for a 45-year-old male patient presenting with asthma exacerbation and heroin use, understanding the relationship between basic need status and health-promoting self-care behavior can be instrumental in developing an effective intervention plan. This issue necessitates comprehensive assessment, counseling, and teaching interventions to address both the asthma exacerbation and the substance use disorder. The selected model can provide guidance for the FNP in approaching the patient-care problem.
Assessment:
Assessment is a crucial component of care delivery, enabling the FNP to gather essential information about the patient’s health status. Using the model from Action and Malathum (2000), the FNP can incorporate a comprehensive assessment that includes not only physical health but also the patient’s basic need status. As the article highlights, individuals with compromised basic need status may have lower engagement in health-promoting behaviors. Therefore, assessing the patient’s level of safety, belongingness and love, esteem, and self-actualization needs can help identify potential barriers to self-care and develop a holistic understanding of the patient’s health.
In the case of the 45-year-old male patient with asthma exacerbation and heroin use, the FNP can employ the BNSS to assess the patient’s basic need status. Understanding the patient’s level of basic need satisfaction can provide valuable insights into possible factors contributing to his health conditions. For instance, a lack of safety needs fulfillment may indicate an unstable living environment or exposure to unsafe conditions, which can exacerbate the patient’s asthma symptoms. Assessing belongingness and love needs may reveal social support deficits that can contribute to substance use, while esteem needs can shed light on any self-esteem issues that may be impacting his self-care behaviors.
Counseling:
Once the assessment is complete, the FNP can use the model to guide counseling interventions tailored to the patient’s specific basic need status. The identified needs can serve as areas of focus during counseling sessions, with the aim of promoting better self-care behavior. For example, if the patient’s safety needs are compromised due to unstable living conditions, the FNP can refer him to appropriate resources such as housing assistance programs or provide education on strategies to mitigate environmental triggers that can exacerbate asthma symptoms.
Additionally, addressing belongingness and love needs can involve counseling the patient on building a social support network to enhance personal well-being and minimize reliance on substances. This can involve connecting the patient with peer support groups or providing information on community resources that can aid in establishing healthy relationships. The FNP can also explore the patient’s self-esteem needs and work on promoting positive self-image and self-worth, which can positively impact his motivation to engage in self-care activities.
Teaching:
Educating the patient is an essential aspect of nursing practice, and the selected model can guide the teaching interventions for the FNP. Based on the patient’s basic need status, the FNP can tailor educational materials and interventions that address the factors identified during the assessment and counseling stages. For example, if the patient’s basic need for safety is compromised, teaching materials can focus on home safety measures and strategies to create a better living environment.