Social-Ecological Model Offers New Approach

Running head: SOCIOECOLOGICAL FRAMEWORK MODEL
Development of Care Plan Using Socioecological Framework Model
Name of the Student
Name of the University
Author Note

SOCIOECOLOGICAL FRAMEWORK MODEL1
Introduction
The paper aims for the development of a care plan for the patient mentioned in the
case study provided following the illness trajectory model proposed by Corbin and Strauss.
The case study reviews a woman named Amy, who is recently diagnosed with breast cancer
and receiving the chemotherapy treatment for her condition. The patient have recently moved
from Wisconsin, USA to South Queensland, Australia with her husband Mark and the patient
is new to the treatment therapy, since she only have received the first dosage of the first
round of her chemotherapy treatment previously and is receiving the second dosage of the
round currently. The risk of infection in case of the patients who are receiving the
chemotherapy treatment is very high. Hence it can be considered as the trajectory phase in
case of Amy (Reed and Corner 2015). The goal of the care plan for her is to lower the risks of
chemotherapy associated infections in the patient during her stay at the hospital. The paper
will be focused on the development of the care plan based on a socio-ecological framework
along with discussing the factors that can either facilitate or hinder the achievement of the
goal. There will also be an evaluation of every plan.
Socio-ecological Framework for Care Plan Development
A socio-ecological framework in developing the nursing care plan can be described as
a framework that focuses on various aspects such as individualized care, interpersonal
relationships, organizational care, community support and equipment and other services,
while developing a trajectory care plan for a patient with chronic illness to achieve a nursing
goal (AuYoung et al. 2016).
The Person:
While attempting for management of the infection risks in the patients who are
receiving chemotherapy, it should be remembered the person is most at risk of developing the
infection after seven to twelve days of receiving the chemotherapy (Weycker et al. 2016).

SOCIOECOLOGICAL FRAMEWORK MODEL2
The care plan will include a regular measurement of the risks of infection in the patient,
promoting her safety by taking care of her food source, hygiene along with her social
interactions. The patient must be prevented from consuming food that have chances to
become contaminated, she should always remember to wash her hands properly along with
maintaining a proper hygiene and she also be allowed for limited social interactions,
especially that involves physical touch. Gardening is one of the hobbies of the patient.
However she must be prevented from continuing that hobby, since it will only raise the
chance of the infection in the patient (Tragust et al. 2015). The patient must also be prevented
from travelling.
The factors that can facilitate the plans are the patient’s strong determination to
cooperate in her own care and the effective of communication ability of the healthcare staff
while explaining the goals and interventions in relation to the patient care plan.
If the healthcare staff was unsuccessful in explaining the actual requirement of the
interventions to be adapted to the patient, then the patient could not be prevented from
resuming her hobby of gardening, it may factor negatively in the achievement of the goal
(Noyce and Simpson, 2018).
The evaluation of the interventions can be done by observing the signs and symptoms
of infections in the patient on a regular basis.
Microsystem- Interpersonal Relationship
The only interpersonal relationship that can be detected in this case study in the one
Amy has with her husband Marc. The care plan involving Marc should be that he must be
encouraged to provide the mental support to Amy along with helping her in following all the
instructions to prevent the risk of infection. The importance of maintaining proper hygiene
around Amy along with the risks associated with it must be explained to Marc in detail. He
must also be encouraged to follow a proper hygiene and be careful while interacting with