Myra Levine and the Conservation Model Melissa Parker James Madison University

History Born in Chicago 1920 Diploma in Nursing 1944 BSN University of Chicago 1949 MSN Wayne State University 1962 Honorary doctorate Loyola University 1992 Worked as an oncology nurse and instructor Introduction to Clinical Nursing published 1969 (Petiprin, 2016)

Conservation Model States the goal of nursing as the conservation of a patient’s energy to allow for healing and promotion of wholeness A disruption to either internal or external environment is a threat to patient health Disruption requires nursing interventions related to conservation principles to restore wholeness (Mefford, 2004)

Adaptation Unique and individual response to illness based upon: Heredity Age Gender Illness progression “Adaptation is an on-going process of change in which the patient is able to maintain his or her integrity while staying within the realities of the environment.” (Petiprin, 2016)

Conservation Principles Conservation of energy Conservation of structural integrity Conservation of personal integrity Conservation of social integrity (Texas Woman's University, 2017)

(Mefford, 2004)

Conservation of Energy Involves optimizing balance of energy intake and usage Rest Nutrition Exercise (Petiprin, 2016)

Conservation of Structural Integrity Preserve and heal physical body Maintenance of mucous membrane and skin Prevents pathogens from entering body (Texas Woman's University, 2017)

Conservation of Personal Integrity Provide support for individual personality Respect sense of self and self-esteem Respect need for personal space (Texas Woman's University, 2017)

Conservation of Social Integrity Preservation of patient’s family and community function Interaction with family and friends Religious support Illness separates patients from society (Texas Woman's University, 2017)

9 Models of Guided Assessment Vital signs Body movement and positioning Meeting personal hygiene needs Pressure gradient system in nursing interventions Nursing determination in provision of nutritional needs Pressure gradient system in nursing Local application of hot and cold Administration of medicine Establishing an aseptic environment (Petiprin, 2016)

Nursing Process Assessment Trophicognosis (Judgment) Hypothesis Interventions Evaluation (Petiprin, 2016)

Levine’s Assumptions The nurse creates an environment in which healing can occur. A human being is more than the sum of his or her parts. Human beings respond in a predictable way. Human beings are unique in their responses. Human beings know and appraise objects, conditions, and situations. Human beings sense, reflect, reason, and understand. Human beings actions are self-determined, even when emotional. Human beings are capable of prolonging reflection through strategies such as asking questions (Petiprin, 2016)

Relevance to my Practice Long-term Acute Care Patients Extended hospital stay Poor nutrition Lack of exercise Separation from family and friends Dependence upon others to fulfill needs

Relevance to my Practice Wound care Importance of nutrition Exercise and repositioning to provide pressure-relief Preservation of skin barrier

Conclusion Multiple facets to each patient Internal and external factors Important to meet their personal needs to ensure wholeness of self

References Mefford, L. C. (2004). A theory of health promotion for preterm infants based on Levine’s Conservation Model of nursing. Nursing Science Quarterly, 17(3). 260-266. Petiprin, A. (2016). Myra Estrin Levine – Nursing Theorist. Retrieved from http://nursing- theory.org/nursing-theorists/Myra-Estrine- Levine.php Texas Woman’s University. (2017). Nursing Theorist: Levine. Retrieved from http://libguides.twu.edu/ c.php?g=270174&p=1803331