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Margaret Newman Health as Expanding Consciousness
Transcript of Margaret Newman Health as Expanding Consciousness
•Nursing is seen as a partnership between the nurse and client, with both grow in the “sense of higher levels of consciousness” Nursing •Environment is described as a “universe of open systems” Environment •“The human is unitary, that is cannot be divided into parts, and is inseparable from the larger unitary field”
•“Persons as individuals and human beings as a species are identified by their patterns of consciousness”
•“The person does not possess consciousness-the person is consciousness”.
•Persons are “centers of consciousness” within an overall pattern of expanding consciousness” Human Description of the Theory “The theory of health as expanding consciousness (HEC) was stimulated by concern for those for whom health as the absence of disease or disability is not possible. Nurses often relate to such people: people facing the uncertainty, debilitation, loss and eventual death associated with chronic illness. The theory has progressed to include the health of all persons regardless of the presence or absence of disease. The theory asserts that every person in every situation, no matter how disordered and hopeless it may seem, is part of the universal process of expanding consciousness – a process of becoming more of oneself, of finding greater meaning in life, and of reaching new dimensions of connectedness with other people and the world” •The manifestation of disease depends on the pattern of individual so the pathology of the diseases exists before the symptoms appear so removal of disease symptoms does not change the individual structure. •Humans are open to the whole energy system of the universe and constantly interacting with the energy. With this process of interaction humans are evolving their individual pattern of whole. •Newman also redefines nursing according to her nursing is the process of recognizing the individual in relation to environment and it is the process of understanding of consciousness. •Time and space are the temporal pattern of the individual, both have complementary relationship. • Humans are constantly changing through time and space and it shows unique pattern of reality. •Can be applied in any setting
•“Generates caring interventions” Strengths •Abstract
•Little discussion on environment Weaknesses Newman's theory can be conceptualized as
•A grand theory of nursing
•Humans cannot be divided into parts
•Health is central to the theory and is seen “and is seen as a process of developing awareness of self and the environment”
•“Consciousness is a manifestation of an evolving pattern of person-environment interaction” Conclusion Theory Application •Mrs. PreEc, 29 years old, female, married, Filipino, Roman Catholic, resident of Dau, Mabalacat, Pampanga was admitted last August 31, 2012 with a chief complaint of nape pain, G2P2 (2001) 32 weeks age of gestation, (-) labor pains, (-) contractions, BP 240/100 mmHg; fetal heart tone of 172 bpm. Case 1 o Diagnosis: Severe Preeclampsia
o Medical Management
Emergency Caesarean Section
Analgesics, Antihypertensive drugs
o Nursing Care Plans:
Decreased cardiac output
Risk for infection •Ms. PTL, 20 years old, female, single, Filipino, Roman Catholic, resident of Dau, Mabalacat, Pampanga was admitted last August 30, 2012 with chief complaint of vaginal bleeding, with mild labor contractions, G1P0 (0000) 27-28 weeks age of gestation Case 2 oDiagnosis: Preterm Labor
Complete Bed rest without bathroom privileges
oNursing Care Plans:
Risk for infection Mobilizing Unhealthy Self by Increasing Consciousness MUSIC THEORY - Margaret Newman “Nurse and client become partners in living through the period of disharmony and emerging at a higher level of consciousness.” The MUSIC theory aims to increase health awareness amongst unhealthy people by nurses though health education. Assumptions:
1.Health includes disease and illness.
2.A state of good health is acquired when clients are conscious of the manifestations of diseases and illnesses.
3.Health is an increased awareness of oneself. Unhealthy self – persons that have less awareness of their own health
Nurse – are people in the profession who educate the unhealthy self with regards to their health.
Health – is a state of well-being and not merely the absence of illness. Definition of Terms: MUSIC Theory Thank You!