What is Levine’s conservation model and how was it used in the assessment and planning of care for Yolanda, a 55-year-old woman with fibromyalgia?
Levine’s conservation model is a theoretical framework that explains how individuals use their internal and external resources to conserve energy, maintain structural integrity, promote personal integrity, and preserve social integrity. This model was used to assess Yolanda’s situation and develop a plan of care.
The assessment of Yolanda’s internal environment (physiological and pathophysiological processes) was performed through a physical examination and diagnostic tests. She was assessed based on perceptual factors and operational and conceptual ones, including her personal and cultural values regarding health care and the meaning of illness.
The nurse practitioner assessed Yolanda’s adequacy of adaptive fit in response to changing environmental conditions produced by her health challenge. The nursing care plan was based on conservation principles. It focused on the energy balance to avoid excessive fatigue.
A plan of initial care was created for Yolanda based on the assessment. This included interventions that promote energy conservation and structural integrity. The plan included strategies to achieve restful sleep and manage pain. The plan also took into account Yolanda’s personal and social integrity, including her spirituality, coping mechanisms, and support system.