1. Course Project

2.  Patient – 11 year old girl, in good health  Physical Health  Very active – forgets to wear a helmet when riding bike  Bites her fingernails – gets colds many times  Needs taught proper hand washing techniques  Social/Cultural Health  No cultural issues  Has many friends and peers  Bullied a few times  Spiritual Health  Patient believes in God  Does not go to church  Does not want to go to Church

3.  Florence Nightingale  Environmental Theory  “the promotion of health, the restoration of the human being to a healthy state, and prevention of disease” (Fitne, 1990).  Believed “clean water, fresh air, cleanliness, and sunlight” (Nightingale, 2008) were what helped patients get better  Jean Watson  Theory of Human Caring  Main preface is spiritual caring.  Providing hope and caring  Get to know your patients  Therapeutic touch

4.  Physical Health – nail biter  Proper hand washing  Teaching risks of nail biting  Social Cultural Health  Prevention of bullying  Teaching methods of avoidance  Teach to feel good about herself  Spiritual Health  Patient will verbalize importance of relationship with God  Patient will go to church once a month

5.  Democratic leader  Cooperative  Involves others in decision making  Provides congruent care  Who’s on the team?  Social Worker  Pastor  Parents  Primary Provider  Patient herself

6.  Unfreezing  Realizes change needs to be made  Moving  Action stage – planning, interventions  Refreezing  Integrates patients own ideas

7.  Utilizing patient and parents builds compliance  Democratic leadership helps with cooperation and build congruent care  Change Theory helped guide my team  Improvement of quality of life for my patient and her family.