Distinguishes symptoms of menopause from symptoms of fibromyalgia

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• Conservation of personal integrity: (1) Validate the illness experience; (2) encourage continued use of prayer, Bible reading, and humor to help her feel better; and (3) discuss strategies to help her manage her anxiety related to the irritable bowel syndrome, including both nonpharmacological and pharmacological approaches.

• Conservation of social integrity: (1) Praise Yolanda for the strong family relationships that she has built and encourage her to continue to work together with her family to optimize her health; (2) with Yolanda’s permission, talk with her husband to answer his questions about her condition and discuss how they can continue to work together to improve her health; and (3) praise Yolanda for continuing to seek achievement of her goal of completing her English degree and discuss strategies to manage the irritable bowel syndrome and manage problems to help her feel more confident about going to school.

In Yolanda’s follow-up care, these outcomes suggest effective adaptation that is conserving wholeness and integrity:

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• Feels rested, with 6 hours of uninterrupted sleep

• Reduction in pain and fatigue

• Distinguishes symptoms of menopause from symptoms of fibromyalgia

• Collaborates with health care providers to manage symptoms of menopause

• Reports comfort as a result of prayer, Bible reading, and humor

• Minimal adverse bowel symptoms and adequate nutritional intake

• Healthy relationships with family and friends.

• Attends school and participates in other social activities with minimal limitations.

*This case study was developed from a fibromyalgia study (Schaefer, 2005). A fictitious name was used to protect privacy and anonymity.

Critical thinking activities

1. Are there any aspects of Yolanda’s care that you would add to the plan as you consider nursing care with the conservation principles?

2. Keep a reflective journal about a personal health or illness experience and apply the conservation model to that experience.

3. As you consider application of the conservation principles in question 2, what aspects of care are assessed that previously were not included in your plans of care?

4. Use the perspective of the conservation model to identify what may be missed in simulation experiences of nursing practice. What does it capture that other perspectives miss?

5. Suggest how you might begin to develop your style of nursing practice using the conservation model.

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