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The patient can monitor the patient for the signs of heart disease, and be aware of the fact that women may be more at risk, and have different symptoms than men. The nurse can make the patient aware of the signs of heart-related ailments caused by the environment. Of course, the patient's increased efficacy in such self-care will not change federal environmental regulations, nor improve the quality of the air in the city block where the patient lives. But the nurse can provide knowledge, and if the patient is unable to do so, improve the indoor air quality of the patient's immediate environment by adjusting ventilation systems to decrease the exposure emissions, and advise the patient to eliminate sources of asbestos, dust, and other toxins within the home. "In many cases, source control is also a more cost-efficient approach to protecting indoor air quality than increasing ventilation because increasing ventilation can increase energy costs," which can be of concern to elderly patients living on a fixed income, and also because levels of pollutants may be high outside as well as inside the home ("An Introduction to Indoor Air Quality," 2006, EPA).
Encouraging proper ventilation when patients engaging in routine home maintenance activities like cleaning, which can unsettle dust and other forms of grit is also important. Patients may benefit from an air effective air cleaner to collect pollutants from indoor air and pass them through a filter. Finally, although not directly environmental, for patients who smoke, reminding patients that exposure to toxins in cigarettes can increase their risk...
Patients most at risk may live in the most particle-ridden environments, and may embrace lifestyle practices that contribute to heart disease. By raising awareness of signs and symptoms, and by helping the patient minimize the environmental risks of exposure to grit by increasing patient knowledge and thus enabling better self-care, the nurse can put what she has learned from the Orem model into more effective practice.
Works Cited
Goodwin, Marianne. (1990). "Is it feasible for the nursing division at St. Vincent's
Hospital to adopt Dorothea Orem's model of nursing?" Health News. Retrieved 4 Feb 2007 at http://www.ciap.health.nsw.gov.au/hospolic/stvincents/1990/a06.html#3
An Introduction to Indoor Air Quality." (2006). U.S. Environmental Protection Agency. Retrieved 4 Feb 2007 at http://www.epa.gov/iaq/is-imprv.html
Study Finds Gritty Air Raises Heart Disease Risk in Older Women." (31 Jan 2006)
The Associated Press. Retrieved 4 Feb 2007 a from the New York Times website at http://www.nytimes.com/2007/02/01/health/01heart.html?_r=1&ref=health&oref=slogin
Works Cited
Goodwin, Marianne. (1990). "Is it feasible for the nursing division at St. Vincent's
Hospital to adopt Dorothea Orem's model of nursing?" Health News. Retrieved 4 Feb 2007 at http://www.ciap.health.nsw.gov.au/hospolic/stvincents/1990/a06.html#3
An Introduction to Indoor Air Quality." (2006). U.S. Environmental Protection Agency. Retrieved 4 Feb 2007 at http://www.epa.gov/iaq/is-imprv.html
Study Finds Gritty Air Raises Heart Disease Risk in Older Women." (31 Jan 2006)
The Associated Press. Retrieved 4 Feb 2007 a from the New York Times website at http://www.nytimes.com/2007/02/01/health/01heart.html?_r=1&ref=health&oref=slogin
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