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’s use of interventions to stabilize Sam’s condition, monitor his compliance with medication, and conduct therapy sessions aligns with the tertiary prevention level according to the Neuman Systems Model. The Neuman Systems Model is a holistic framework utilized in nursing practice to comprehend and promote health in individuals and groups. It encompasses three levels of prevention: primary prevention, secondary prevention, and tertiary prevention.

Primary prevention focuses on the prevention of illness and the promotion of health in individuals who have not yet developed any health problems. It comprises strategies such as health education, immunizations, and lifestyle modifications to prevent the onset of health conditions. When Sally intervenes to stabilize Sam’s condition and monitor his medication compliance, she is not focusing on preventing the illness from occurring in the first place. Rather, she is addressing the management and stabilization of an existing condition. This aligns more with the tertiary prevention level.

Tertiary prevention, the highest level of prevention, is concerned with minimizing the effects of an already established illness or condition. It aims to delay the progression of the disease, prevent complications and disabilities, improve quality of life, and maximize patient functioning. Sally’s interventions in stabilizing Sam’s condition and monitoring his medication compliance are examples of tertiary prevention since they are aimed at reducing the impact and managing the existing condition of psychosis and schizophrenia.

2. Tertiary prevention interventions in nursing encapsulate an array of actions and strategies that focus on reducing disability, promoting rehabilitation, and improving overall quality of life for individuals who already have a diagnosed health condition. In the case of Sam, a few examples of nursing actions using tertiary prevention strategies could include:

a) Individualized medication management: Sally may work closely with Sam and collaborate with his psychiatrist to ensure that he is receiving the appropriate medications at the correct dosages and schedules. By closely monitoring his medication compliance and effectiveness, Sally can aid in preventing medication complications and potential relapses.

b) Psychosocial support and therapy: Sally may engage in therapeutic sessions with Sam, utilizing evidence-based interventions such as cognitive-behavioral therapy (CBT) or supportive counseling. These interventions can help Sam manage his symptoms, improve coping skills, and enhance his overall psychological well-being.

c) Rehabilitation and recovery-focused activities: Sally may assist Sam in participating in various rehabilitation programs tailored to his specific needs. These programs may include vocational training, social skills development, and community integration activities aimed at improving Sam’s ability to function independently and reintegrate into society.

d) Education and psychoeducation: Sally may provide Sam and his family with education about his condition, treatment options, and strategies for managing symptoms. By enhancing his understanding of psychosis and schizophrenia, Sally can empower Sam to take an active role in his own care and make informed decisions regarding his treatment.

e) Collaborative care coordination: Sally may collaborate with other healthcare professionals involved in Sam’s care, such as psychiatrists, social workers, and occupational therapists. By coordinating care and ensuring effective communication among the healthcare team, Sally can optimize Sam’s treatment outcomes and provide comprehensive support across different domains of his life.

In conclusion, Sally’s nursing actions align with the tertiary prevention level according to the Neuman Systems Model. Through interventions aimed at stabilizing Sam’s condition, monitoring medication compliance, and conducting therapy sessions, Sally works towards minimizing the effects of Sam’s illness, enhancing his functioning, and improving his overall quality of life.