The Stuart Stress Adaptation Model of Psychiatric Nursing Care课件.pptVIP

The Stuart Stress Adaptation Model of Psychiatric Nursing Care Models provide a structure for thinking, observing, and interpreting what is seen. Conceptual nursing models are frames of reference within which patients, their environment and health states, and nursing activities are described. This textbook is based on the Stuart Stress Adaptation Model of psychiatric nursing care, which integrates biological, psychological, sociocultural, environmental, and legal-ethical aspects of patient care into a unified framework for practice. Theoretical Assumptions: The first assumption of the Stuart Stress Adaptation Model is that nature is ordered as a social hierarchy from the simplest unit to the most complex. Each level also is a part of the next higher level, so nothing exists in isolation. Thus the individual is a part of family, group, community, society, and the larger biosphere. The second assumption of the model is that nursing care is provided within a biological, psychological, sociocultural, environmental, and legal-ethical context. The nurse must understand each of them in order to provide competent, holistic psychiatric nursing care. The theoretical basis for psychiatric nursing practice is derived from nursing science as well as from the behavioral, social, and biological sciences. This means that a person with a medically diagnosed illness may be adapting well to it. An example of this is the adaptive coping responses used by some people who have chronic physical or psychiatric illnesses. In contrast, a person without a medically diagnosed illness may have many maladaptive coping responses. These two continuums thus reflect the complementary nature of the nursing and medical models of practice. The fourth assumption is that the model includes the primary, secondary, and tertiary levels of prevention by describing four discrete stages of psychiatric treatment: crisis, acute, maintenance, and health promotion. For each stage of treatment the model