Utilizing Levine's conservation model in the care of patient with lithium toxicity : caring beyond the symptoms / Nikka Lei M. Arellano, Jonas Elmer V. Balneg, Sheri Anne Maximille C. Cabañes, Leopoldo N. Galan

Health professionals are trained to recognize and address cues which endanger the client's survival. In critical situations, we focus on ensuring the airway, breathing and circulation (ABC) in order to sustain life. Oftentimes, we feel great in performing dramatic interventions and save our patients from the brink of death. But is this enough? Does our role end here? Is this only how we define good nursing care? This is the case of DL, a 39 year old female who, upon admission to the pay ward in Philippine General Hospital, presented with respiratory distress, as evidenced by dyspnea and oxygen desaturation, necessitating intubation. Health history revealed the client as a diagnosed case of Bipolar I Disorder for 21 years. The goal of providing holistic care to a patient with a moodaffective disorder presenting with a medical emergency, like DL, poses a crucial challenge-the challenge in going beyond what meets the eye and focusing on human responses and not just the disease process. This case was then selected to serve as a reminder and a learning opportunity that we should not be limited to symptom management, but more importantly, to recognize the totality of human being, which is the true essence of nursing care.

Nursing