Nursing Diagnosis (to be included in the paper) => Fatigue related to overwhelming psychological and emotional demands as evidenced by patient’s comments.

Nursing Philosophy, Theorist, Model or Conceptual Model Paper:
APA format paper – The intent of this assignment is for the student to demonstrate
the ability to synthesize readings and write clearly using the APA style. The student can
select a nursing philosophy, a conceptual model, or nursing theory of a nursing theorist.
The body of the paper is not to exceed 6 pages in length, 12 font, double spaced. It
will be graded based on compliance with APA format and ability to present material
through the written word. Students should review the Criteria for grading of the APA
Format Paper located within the syllabus.

This paper should reflect the components as outlined in grading rubric below. Review of
professional nursing and health care literature must be reflected in the reference list. A
typical reference list would include three to five journal articles, one or two related web
sites, and any applicable books. A reference list containing only web resources or only
books is not appropriate.
Nursing Philosophies(The nursing philosophy we are using is the one below, this philosophy is to be applied to the 2 patient scenarios):
Adaptation Model of Nursing by Callista Roy
Adaptation Modes
A. Physiologic Mode
1. To what extent is the family able to meet the basic survival needs of its members?
2. Are any family members having difficulty meeting basic survival needs?
B. Self-Concept Mode
1. How does the family view itself in terms of its ability to meet its goals and to assist its members to achieve their goals? To what

extent do they see themselves as self-directed? Other directed?
2. What are the values of the family?
3. Describe the degree of companionship and understanding given to the family members
C. Interdependence Mode
1. To what extent are family members and subsystems within the family allowed to be independent in goal identification and achievement (e.g.,

2. To what extent are the members supportive of one another?
3. What are the family’s support systems? Significant others?
4. To what extent is the family open to information and assistance from outside the family unit? Willing to assist other families

outside the family unit?
5. Describe the interaction patterns of the family in the community.

Adaptive Mechanisms
A. Regulator: Physical status of the family in terms of health? i.e., nutritional state, physical strength, availability of physical resources
B. Cognator: Educational level, knowledge base of family, source of decision making, power base, degree of openness in the system to input,

ability to process

SCHOLARLY PAPER: Nursing Philosophy or Nursing Conceptual Model ofTheories of Nursing (Nursing Theorist)
Grading Rubric:
Paper Content: Nursing philosophy or Nursing Conceptual Models, or Theories of Nursing.
Introduction and Purpose: 5%
Discuss: Why you selected above: 10%
Provide Overview of your selection: nursing philosophy, or nursing conceptualmodel or Theory of Nursing Selected: 50%
Discuss how this selection impacts professional nursing and contribution to practice: 10%
Provide a descriptive example of how you will incorporate this into 2 patients you have cared for:Provide the nursing diagnosis for each patient

toreinforce this application. May utilize a research article (attach to paper). 20%
• Patient 1:
o Nursing Diagnosis (to be included in the paper) => Fatigue related to overwhelming psychological and emotional demands as evidenced by

patient’s comments.
o Patient Scenario:
A 57-year-old man presented with crusted lesions on his thorax that had developed over a period of 2 months. He had occasional bloody discharge,

without pain, and did not have constitutional or other systemic symptoms. Multiple skin biopsies eventually confirmed the diagnosis of cutaneous

T-cell lymphoma. Computed tomography revealed no lymphadenopathy or metastases. No evidence of bone marrow involvement was found. The patient

received a course of photopheresis, with a good response. Three months later, he presented with ataxia. Imaging revealed infiltration involving

the pons and cerebellum, with new pleuropulmonary nodules. Lung-biopsy findings were consistent with recurrent low-grade T-cell lymphoma. The

patient received photopheresis therapy and then underwent autologous stem-cell transplantation. During his today’s visit, 10 months after

transplantation, he continued to have remission but continues to receive photopheresis treatment.
• Patient 2:
o Nursing Diagnosis (to be included in the paper) =>Anxiety related to social pressures of invasive and life changing surgery of gender

reassignment surgery.
o Patient Scenario:
25-year-old patient is admitted for part 2 of gender reassignment surgery from female to male. Patient expressed cues of anxiety due to the

number of surgeries requires to complete part 2. These surgeries include Hysterectomy and bilateral salpingo-oophorectomy and a phalloplasty.

The healing process of these multiple surgeries include months of recovery time and physical therapy. Patient will need to focus on the end goal

of this elective surgery and understand the possible complications that can arise. Adaption is key to the new physical and psychological

Summary: Highlight important points of paper: 5%




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