Concept Analysis Diagram - Immunity



Nursing Care Directed toward what contributes to a normal concept and is thereby related to all factors involved in or with the concept. Not always needed to have a normal outcome.AttributesDefining characteristics of the concept What property, quality, or data must be present for the concept to existAntecedentsWhat precedes the concept for it to existEvents or incidents that must happen before the conceptConsequencesUntoward events or outcomes that occur due to malfunction within the conceptPositive events or outcomes that occur due to proper functioning within the conceptInterrelated ConceptConcepts which can affect change in the otherConcepts which work together to ensure a normal process Concepts which if depleted or impaired can cause a negative consequence in the otherSub-ConceptCritical components of major concept AttributesLab--normal WBC and Differential CountsNegative Bacterial and Viral Cultures Soft, Non-Tender Lymph NodesRecognition of SelfRecognition of Foreign ProteinsNursing CarePrimary, Secondary,TertiaryComfortMobilityTissue IntegrityCopingNutritionCellular RegulationInterrelated ConceptsFunctional AbilityThermoregulationIMMUNITYA physiologic process that provides an individual with protection or defense from disease.AntecedentsIntact Non-Specific Defenses or BarriersFunctional Lymphatic SystemOptimal Innate Immune ResponseFunctional Inflammatory ResponseAppropriate Adaptive (Acquired) Immune Response—Active and PassiveConsequences(Outcomes)Infection-Localized or SystemicCancerNegativePositiveSub -ConceptsReplaces Damaged Tissue and Cells with Repaired or Functional Tissue (i.e., healing) functionalImmune SuppressionImmune DeficiencyInflammatory ResponseRecognizes and Removes Cell Mutations that have Demonstrated Abnormal Cell Growth and DevelopmentProtects From Invasion of Microorganisms and Other AntigensAllergic, Cytotoxic or Autoimmune ReactionExaggerated Immune ResponseChronicInflammatory ResponseImmune ResponseInfectious ResponseExplanation of Immunity Diagram:? The Immunity Concept Analysis Diagram begins with the definition of the concept, as based on the attributes and antecedents. The attributes - normal WBC and differential counts, negative bacterial and viral cultures, soft, non-tender lymph nodes, recognition of self and recognition of foreign proteins - are the defining characteristics of immunity or what constitutes immunity. The antecedents are events or incidents that must be in play in order for immunity?to?exist. The antecedents for immunity consist of intact non-specific defenses or barriers, a functional lymphatic system, an optimal innate immune response, a functional inflammatory response, and appropriate adaptive (acquired) immune response—active and passive.? With these attributes and antecedents, immunity is a physiologic process that provides an individual with protection or defense from disease. There are interrelated concepts that impact immunity throughout the lifespan. These interrelated concepts include tissue integrity, cellular regulation, thermoregulation, comfort, coping, nutrition, mobility and functional ability. There are also sub-concepts that are major components of the immunity concept – inflammatory response, infectious response, and immune response. The sub-concepts are manifested when immunity is challenged. Consequences, positive or negative, are reliant upon the performance of the immune system. If any of the antecedents fail, for example, the result would be a negative outcome, such as infection-localized or systemic, cancer, immune suppression, immune deficiency, and chronic inflammatory response or exaggerated immune response that may lead to an allergic, cytotoxic or autoimmune reaction. If the immune system is healthy, positive outcomes will result;?in that, damaged tissue and cells are replaced with repaired or functional tissue (i.e., healing), recognition and removal of cell mutations that have demonstrated abnormal cell growth and development is effected, and protection of the body from invasion of microorganisms and other antigens occurs. Last, but not least, nursing care may or may not be required, as indicated by the dotted directional lines on the diagram. Nursing care may/may not be needed to keep immunity intact, or assist with negative consequences. ................
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