[A nursing case experience using Levine's conservation model to provide sepsis care].

Area of Science:

• Nursing Care
• Critical Care Medicine
• Infectious Diseases

Background:

• Sepsis, a life-threatening systemic inflammatory response to infection, requires effective clinical management.
• Existing sepsis care models emphasize medical interventions, highlighting the need for comprehensive nursing protocols.
• Levine's Conservation Model offers a framework for holistic patient care, focusing on integrity and adaptation.

Observation:

• A case study was conducted on a sepsis patient in intensive care from June 10th to July 5th, 2011.
• Data collection involved physical assessments, chart reviews, patient/family interviews, and direct observation.
• Levine's Conservation Model guided the identification of patient issues related to energy, structural, personal, and social integrity.

Findings:

• Nursing interventions based on Levine's model addressed identified patient issues.
• Key interventions included sepsis bundles and early goal-directed therapy to conserve energy.
• Maintaining structural integrity involved infection prevention, while personal and social integrity were supported through self-esteem enhancement, privacy, and family/social engagement.

Implications:

• The integrated nursing approach successfully helped the patient adapt to sepsis-related physiological imbalances.
• This case report provides valuable insights for developing nursing care protocols for sepsis patients.
• Applying Levine's Conservation Model offers a holistic strategy to improve outcomes in critical care settings.