Nightingale Case Study
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, 2
Nightingale Case Study
The Environmental Theory created by Florence Nightingale is applicable in
contemporary nursing care. It highlights that healing is highly subject to the state of the
environment when it comes to sanitation, light, fresh air, and security in the home where the
patient lives. Mrs. Adams introduces a community health scenario that is in need of keen nursing
evaluation, planning and interventions in accordance with the theory. She is extremely old,
chronically sick, is post-operative, and is exposed to poor environmental factors that pose a risk
to recovery. A bad home environment can lead to considerable complications, infections, and
readmission rates in older adults who are still undergoing postoperative stages (Dunn, 2004). In
this paper, the Environmental Theory developed by Nightingale is applied to the case of Mrs.
Adams where nursing actions are outlined, a priority-based care plan is elaborated, and the
application of the theory in contemporary nursing practice is discussed.
Initial Nursing Actions
When analyzing the situation in the first assessment, the nurse needs to analyze the
environmental conditions such as the safety, comfort, and ability of Mrs. Adams to recover well
at home. The apartment is poorly maintained, rather poorly ventilated, there is insufficient light,
food is not enough, and the temperature is not properly controlled as there is a broken air
conditioner. Studies have shown that environmental risks reduce wound recovery and risk of
infection amidst postoperative community older adults (Armish & Kausar, 2020). The nurse is
supposed to evaluate airflow, lighting, sanitation, food availability, pet-related risks as well as
functional and emotional status of Mrs. Adams.
She requires urgent referrals to social, and home health services, to help manage the
urgent environmental and care needs. Infection prevention is a priority to the nurse since Mrs.