Inter System Wellness

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Describes the interactional

process between the nurse andthe patient/client when nursing

assistance is needed.

In the interactional process, two

systems come together to forman intersystem characterized by

a specific set of relations that

connect them to each other





Starts with the assessment of the

effect of the developmentalenvironment on the biological,

psychosocial, and spiritualsubsystems of both the client

and the nurse and an analysis of the intrasystem processing of the

client situation by both client

and nurse as database so as tobegin interaction at the

intersystem level



Situational sense of coherence is

a narrower construct that

measures the integrativepotential in the person’s

understanding of the situation,

willingness to work on thechallenges and the ability to

marshal resources

SSOC



Comprehensibility-extent to which oneperceives that a stimuli present in thesituational environment makes

cognitive sense, that is ordered,consistent, structured, and clear

Meaningfulness-extent to which onefeels that life makes sense emotionally,problems and demands are worthinvesting energy in, worthy of commitment, and are challenges forwhich meaning and purpose is sought,rather than viewed as burdens

Manageability-extent to which oneperceives that resources are at adisposal, adequate enough to meet thedemands posed by the stimuli

COMPONENTS OF SSOC



After identifying those

components on which the clientscored low, a nursing diagnosis

can be made

By negotiating values, goals can

be developed and a plan can bedecided upon

By organizing behaviors, the plan

can be implemented with thegoal of increasing or maintaining

the client’s SSOC



Evaluation is done by again scoringthe client on SSOC

high SSOC means that theintervention assisted the client touse coping resources to adaptively

manage the stressors in theinternal and external environmentand thus achieve a higher state of health

low SSOC means that additionalassessment is needed to formulatea new plan



INTERSYSTEM WELLNESS NURSINGMODEL



INTERSYSTEM WELLNESS NURSINGMODEL

Detector Detector

Selector Selector

Effector Effector

IMPLEMENTATION

ASSESSMENT

DIAGNOSIS

PLANNING

EVALUATION





Patientstated

need forhelp or

nurse’s

identification ofneed

Formulation of

tentativediagnosis

Assessment of

developmentalenvironmentandsubsystems

Intrasystem

assessment ofpatientandnurse

If response is notadaptive

Score onSSOC

Formulation ofnursingdiagnosi

s

Development ofgoals withpatient/cli

ent

Collaborativedecisionon plan to

increaseormaintainSSOC

Implementation ofplanthrough

intersysteminteractionEvaluation

of plan:rescoreon SSOC

Identification ofstressorsand

copingresources

Assessment ofadditionalresources,knowledge,motivationnecessary forpatient to attaina higher SSOC

Ifresponse isadaptive

Patient onhigher level ofhealth-illnesscontinuum asmeasured by

increasedSSOC

No further need fornursing interventionfor this problem

Identification ofother problems ifthey occur



o Describes how two forces areinterconnected andinterdependent in the natural

world, and how they give rise toeach other in turno Many dualities-e.g., dark and light,

female and male, low and high,cold and hot-are thought of as

manifestations of yin and yango However, Taoist philosophy

discounts these moral judgments,in preference to the idea of balance



When I think about all the patients an

their loved ones that I have worked with ovethe years, I know most of them don't

remember me nor I them. But I do know thaI gave a little piece of myself to each of them

and they to me and those threads make upthe beautiful tapestry in my mind that is my

career in nursing.~Donna Wilk Cardillo, A Daybook for Beginning Nurses



When you're a nurse you know

that every day you will touch

a life or a life will touchyours.

~Author Unknown



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Inter System Wellness