Sally, a nurse for community mental health is caring for 3 clients today. First, she meets Sam. Sam has been admitted to a psychiatric unit with a diagnosis of psychosis and schizophrenia. Sally provides Sam with appropriate interventions to help stabilize his condition, monitors his compliance with medication and conducts therapy sessions. Explain in 200 words. 1. Sally is using what level of prevention according to the Neuman Systems Model? 2. Give a few examples of nursing actions using Tertiary preventions as interventions.

1. Sally is utilizing tertiary prevention according to the Neuman Systems Model. Tertiary prevention aims to minimize the effects of an existing condition or illness and prevent further deterioration or complications. In this case, Sam has already been admitted to a psychiatric unit with a diagnosis of psychosis and schizophrenia, indicating that the condition is already present and ongoing. Sally’s role as a nurse is to provide interventions that address the symptoms and manage the condition, seeking to stabilize Sam’s condition and prevent any exacerbation or relapse.

By employing appropriate interventions, such as monitoring Sam’s compliance with medication and conducting therapy sessions, Sally is actively working towards reducing the impact of Sam’s condition. Monitoring his compliance with medication ensures he is consistently taking prescribed medications, which can help manage symptoms and promote stability. Conducting therapy sessions allows Sally to engage with Sam in therapeutic activities aimed at understanding and coping with his symptoms, ultimately supporting and enhancing his overall well-being.

Through these interventions, Sally aims to optimize Sam’s functioning and reduce the severity of his symptoms, preventing any further decline in his mental health status. Tertiary prevention is crucial in offering support, promoting recovery, and preventing future episodes or complications.

2. Tertiary prevention in nursing involves specific actions and interventions aimed at reducing the impact of a condition or illness that has already occurred. In the context of mental health care, a few examples of nursing actions using tertiary prevention as interventions may include:

– Developing and implementing a relapse prevention plan: Nurses can work collaboratively with clients to create a personalized plan that identifies early warning signs and provides strategies to mitigate or manage the risk of relapse. This plan may include self-care practices, crisis management techniques, and ongoing monitoring of symptoms.

– Coordinating care and facilitating collaboration: Nurses can play a key role in coordinating care between different healthcare providers involved in the client’s treatment. This can include collaborating with psychiatrists, psychologists, and social workers to ensure a comprehensive and coordinated approach to care. By facilitating communication and information sharing between team members, nurses can help ensure that all aspects of the client’s treatment are properly addressed.

– Providing education and skills training: Nurses can offer education and training to clients that focus on self-management strategies and coping skills. This may include teaching stress reduction techniques, providing information on medication management and potential side effects, and promoting healthy lifestyle choices. By empowering clients with knowledge and skills, nurses can enhance their ability to effectively manage their condition and reduce the risk of further decline.

– Facilitating support groups and peer networks: Nurses can organize and facilitate support groups or peer networks that allow clients to connect with others who have similar experiences. Such groups can provide emotional support, share coping strategies, and foster a sense of belonging and understanding. By promoting social support and connectedness, nurses can contribute to the overall well-being and recovery of their clients.

– Advocating for community resources and services: Nurses can serve as advocates for their clients by identifying and connecting them with appropriate community resources and services. This may include linking clients to housing supports, vocational rehabilitation programs, or financial aid options. By ensuring access to necessary resources, nurses can help clients navigate their recovery journey and enhance their overall outcomes.

These examples demonstrate some of the nursing actions that can be taken in the context of tertiary prevention in mental health care. By focusing on reducing the impact of existing conditions, nurses contribute significantly to the well-being and recovery of clients.

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