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. Sally is using what level of prevention according to the Neuman Systems Model?

Sally is using tertiary prevention according to the Neuman Systems Model. This level of prevention involves interventions that aim to reduce or eliminate symptoms and restore the client’s ability to function effectively in their environment. The goal here is not only to help the patient manage their condition, but also promote a better quality of life for them. Sally’s approach with Sam includes providing appropriate interventions such as medication, therapy sessions, and monitoring his compliance with taking those medications correctly. Through this process, she can help him stabilize his mental health condition by mitigating symptoms and providing support while he works toward improving his overall wellbeing.

The Neuman Systems Model is founded upon five primary principles: open systems, lines of defense/resistance/stressors, response/dynamic processes, reference points for wellness/illness states, and total person-environmental field interaction (Giger & Davidhizar 2019). With Sam specifically, Sally must recognize how any given stressor may affect his system and intervene accordingly in order to protect him from further harm or deterioration of health while at the same time promoting wellness through restoration of functioning levels. She takes into account both the individual’s biophysical needs as well as social influences when planning strategies for intervention and making referrals if necessary. Furthermore her knowledge acquired from nursing practice combined with an understanding of each individual’s culture can provide additional insight into what type of treatments will be most effective for a particular client’s situation given their unique circumstances.

In conclusion Sally uses tertiary prevention which focuses on rehabilitative care when addressing mental health issues within her community setting in combination with preventive measures incorporating holistic approaches tailored towards specific individuals needs which are based upon core nursing principles outlined by Neuman Systems Model thereby allowing her to provide optimal quality care even under challenging scenarios caused by limited resources or lack thereof available due external sources like insurance companies governmental organizations etc..