Abstract
Diabetic foot is such a life threatening condition for people with Diabetes Mellitus which it can be result in hemodynamic instability and loss of consciousness. In order to improve quality of nursing care in patient with diabetic foot, nurses should apply a nursing model approach. Levine conservation theoretical model is one of comprehensive model theory that can be applied in patients with critical diabetic foot in Emergency Department (ED). This case study describes a nursing care using Levine's Conservation Model to care for a patient with diabetic foot. This study was a case study with a single case design. Data were collected using physical assessment, written communications with the patient, interviews patient family members, and observing the patient during intensive care in the ED of Lawang General Hospital on December 21th, 2015. Levine's Conservation Model used as the nursing guideline successfully identified patient issues including ineffective breathing pattern as a major priority of energy conservation problem and damage tissue integrity as a problem of structural conservation. Both of conservation problem were caused by patient's personal integrity conservation maladaptive that caused by ineffective therapeutic regimen management. Levine’s conservation model is useful to investigate nursing problem and applicable to solve the emergency condition of damage tissue integrity in patients with diabetic foot.
 Index Terms— diabetic foot, nursing care, levine’s conservation model.
Highlights
Diabetic foot is such a life threatening condition for people with Diabetes Mellitus which it can be result in hemodynamic instability and loss of consciousness
One of the nursing models that can be applied in providing nursing care for patients with diabetic foot is the theory of conservation of Myra E
At 3:30 pm, condition of patient began to stabilize with GCS E4V5M6, Heart Rate (HR): 100 rpm, Respiratory Rate (RR): 24 bpm, Blood Pressure (BP): 130/80 mmHg, T: 36.50 C, urine output of 150 cc, and Blood Sugar (BS) decreased to 435 mmol /L and monitored every 1 hour
Summary
Diabetic foot is one of the complications of diabetes mellitus with prevalence about 15% of the total number people with DM [1]. Poor quality treatment of diabetic foot and hyperglycemia condition can cause hemodynamic instability and loss of consciousness [3]. It is not uncommon patients with diabetic foot was taken to the emergency room (ER) to receive emergency treatment. One of the nursing models that can be applied in providing nursing care for patients with diabetic foot is the theory of conservation of Myra E. The authors are interested to apply for Levine’s Model in Nursing Care of Patient with Diabetic Foot. The research applied the nursing process according to Levine’s Conservation Model to emphasize problem patients based on conservation of energy, structural integrity, personal integrity, and social integrity
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