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Chapter: Medical Surgical Nursing: Homeostasis, Stress, and Adaptation

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Nursing Implications

It is important for the nurse to realize that the optimal point of intervention to promote health is during the stage when the in-dividual’s own compensatory processes are still functioning.

NURSING IMPLICATIONS

 

It is important for the nurse to realize that the optimal point of intervention to promote health is during the stage when the in-dividual’s own compensatory processes are still functioning. Early identification of both physiologic and psychological stressors re-mains a major role of the nurse, and information on the interre-lationships between physical and emotional health can be found in research journals. The nurse should be able to relate the pre-senting signs and symptoms of distress to the physiology they rep-resent and identify the individual’s position on the continuum of function, from health and compensation to pathophysiology and disease. For example, if an anxious middle-aged woman pre-sented for a checkup and was found to be overweight, with a blood pressure of 130/85 mm Hg, the nurse would counsel her with respect to diet, stress management, and activity. The nurse would also encourage weight loss and discuss the woman’s in-take of salt (which affects fluid balance) and caffeine (which pro-vides a stimulant effect). The patient and the nurse would identify both individual and environmental stressors and discuss strategies to decrease the lifestyle stress, with the ultimate goal being to create a healthy lifestyle and prevent hypertension and its sequelae.

 

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