Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.

Basic dependent-care model consists of three main components: Dan (the care receiver), Jane (the care provider), and the demands for care. The basic conditioning factors (BCFs) are the factors that influence the care receiver’s ability to meet their therapeutic self-care demands.

Dan:

• Dan, 68 years of age, has hypertension and diabetes. He must take medications.
• Developmental: Dan’s age and medical history affect his ability to perform self-care activities.
• Sociocultural: Dan’s social support is limited, as his wife passed away two years ago, and he does not have any children or close relatives nearby.
• Dan’s rural location may make it difficult for him to access healthcare services.

The above-mentioned BCFs have a negative effect on Dan’s self-care agency, and he is unable to meet his therapeutic self-care demands. Dan’s hypertension, diabetes and medical conditions are poorly managed.

Dan’s self-care deficit is related to his inability to manage his chronic medical conditions effectively. The dependent care deficit of Dan is related to him not being able to do his everyday activities due to chronic health conditions.

Jane:

• Jane has been diagnosed with arthritis and is 60-years-old. This limits her capacity to do physical exercises.
• Jane may be experiencing changes to her mobility and health.
• Sociocultural: Jane is Dan’s daughter and primary caregiver, and she is responsible for managing his medical conditions.
• Jane’s rural location may restrict her ability to access healthcare.

The above-mentioned BCFs have a negative effect on Jane’s self-care agency, and she may struggle with managing her own health while caring for Dan.

In conclusion, the basic dependent-care system model helps to identify the factors that affect Dan and Jane’s ability to meet their self-care and dependent-care demands. Dan’s BCFs have a negative impact on his self-care agency, resulting in a self-care deficit and dependent-care deficit. Jane’s BCFs may also affect her self-care agency, as she is the primary caregiver for Dan.