Mid-Range or Situation-Specific Theories Response 1
Provides peer responses. Demonstrates building on peer postings and extending the discussion. Questions posed are thoughtful and relevant. Includes substantial factually correct content which demonstrates evidence of comprehension, application, and/or appraisal. Includes evidence of self-reflective content which demonstrates views, beliefs, and/or feelings. Interaction demonstrates respect and sensitivity to others.
In your response to the case scenario for Calvin Lewis, a 20-year man who has asthma, you have indicated that the most suitable mid-range theory for the scenario is the theory of Self-Care of Chronic Illness. The choice of the theory is well connected to the provided case since, as noticed, most of the issues require self-care intervention. According to Riegel et al. (2019), self-care is long-term management of chronic diseases that ensures the patients employ practices that improve their health and reduce chronicity and exacerbations. You have noted that the required self-care practices include avoiding environments that may trigger exacerbations or attacks, such as the cats, adhering to the prescribed medications, and avoiding alcohol which is a risk factor for the asthmatic condition he is facing.
Apart from identifying the relationship between the patient’s case and the theory, you have also offered intervention programs that, if adopted, can lead to the improvement of the patient’s condition for long-term wellness. The patient understands the healthcare issues and the self-care procedures required to respond to the clinical interventions given. As you have noted, the patient requires a referral smoking cessation program to help the patient cease smoking tobacco psychologically. Apart from the smoking cessation program, you may also indicate the need for education and monitoring programs in ensuring that the patient continues avoiding the risk factors. The patient may have an overview of asthma triggers but requires clinical education and training on how to avoid regular exacerbations. The patient requires monitoring to assess his adherence to the medications and medical instructions alongside the self-care program. Combining the behavioral change programs with the clinical treatment and monitoring programs highly contribute to an effective self-care program and thus should be combined.
- Riegel, B., Jaarsma, T., Lee, C. S., & Strömberg, A. (2019). Integrating symptoms into the middle-range theory of self-care of chronic illness. ANS. Advances in nursing science, 42(3), 206.