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Betty Neuman’s
Systems Model
“Health is a condition in which
all parts and subparts are in
harmony with the whole of the
client.”
METAPARADIGM
Person


an open system that works together with other parts of
its body as it interact with the environment



a dynamic composite of the interrelationship of five
variables: (1.) physiological, (2.) psychological, (3.) sociocultural,
(4.) developmental, and (5.) spiritual



has protective mechanisms for the basic structure, and
maintains client’s system stability: (1.) flexible line of
defense, (2.) normal line of defense, and (3.) lines of resistance
Flexible Line of Defense
Normal Line of Defense
CORE
CORE

Lines of Resistance
Health


dynamic condition



equated with stability of normal line of defense



Wellness exists when all the part or system of
person works harmoniously
Health
Sta
bil
it

y
on
a rm
H

y
Flexible Line of Defense
Normal Line of Defense

Lines of Resistance

c
al an
B

W
W
W
W
W
W
e l l ne
e l l ne
e l l ne
e l l ne
e l l ne
e l l ne
s
s
s
s
s
s

e

CORE
CORE

s
s
s
s
s
s

Health
Environment


can be internal, external, and created force
(stressors) that interacts with a person’s state
of health



has the potential to alter or improve stability of
systems
Interpersonal

S

Intrapersonal

T

Extrapersonal

R

S
T
R

E
Flexible Line of Defense

E

S

S

Normal Line of Defense
CORE
CORE

S
O

Interpersonal

Lines of Resistance

S
O
R

R

Intrapersonal

S

Extrapersonal

S
Nursing


a unique profession hat requires holistic
approach – considers all factors affecting
a client’s health



aims to promote optimal wellness to its
client through retention, attainment, or
maintenance of the stability of client’s
system
Nursing (cont.)


nurse helps the different levels of clientele:
individual, family, and groups in achieving and
maintaining an optimal wellness through
intervention with the goal of reducing stress
factors and its adverse effects to the optimal
functioning of an individual in any given
situation



nursing consists of intervention modalities of
prevention which can be: (1.) primary, (2.)
secondary, (3.) tertiary
Health
Sta
bil
it

y
on
a rm
H

y
Flexible Line of Defense
(Primary Prevention)
Normal Line of Defense
(Secondary Prevention)
Lines of Resistance
(Tertiary Prevention)

c
al an
B

W
W
W
W
e l l ne
e l l ne
e l l ne
e l l ne
s
s
s
s

e

CORE
CORE

s
s
s
s

Health
Once an individual is exposed to stress,
the flexible line of defense will be “alarmed” to protect the
normal (solid) line of defense to keep the system free from
stressor reactions. However, if this individual is continuously
exposed to stress and if the flexible line of defense is unable
anymore to cope up with the stressors, the normal line of
defense will be altered. If this happens, there will be a
threat to the wall that protects the basic structure of the
individual and therefore causing instability of the systems
and illness develops.
Flexible Line of Defense

Normal Line of Defense

STRESSORS

CORE
CORE

(Intrapersonal, Interpersonal,
Extrapersonal)

ILLNESS

Lines of Resistance
Thank you!!!

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betty newman systems model

  • 2. “Health is a condition in which all parts and subparts are in harmony with the whole of the client.”
  • 4. Person  an open system that works together with other parts of its body as it interact with the environment  a dynamic composite of the interrelationship of five variables: (1.) physiological, (2.) psychological, (3.) sociocultural, (4.) developmental, and (5.) spiritual  has protective mechanisms for the basic structure, and maintains client’s system stability: (1.) flexible line of defense, (2.) normal line of defense, and (3.) lines of resistance
  • 5. Flexible Line of Defense Normal Line of Defense CORE CORE Lines of Resistance
  • 6. Health  dynamic condition  equated with stability of normal line of defense  Wellness exists when all the part or system of person works harmoniously
  • 7. Health Sta bil it y on a rm H y Flexible Line of Defense Normal Line of Defense Lines of Resistance c al an B W W W W W W e l l ne e l l ne e l l ne e l l ne e l l ne e l l ne s s s s s s e CORE CORE s s s s s s Health
  • 8. Environment  can be internal, external, and created force (stressors) that interacts with a person’s state of health  has the potential to alter or improve stability of systems
  • 9. Interpersonal S Intrapersonal T Extrapersonal R S T R E Flexible Line of Defense E S S Normal Line of Defense CORE CORE S O Interpersonal Lines of Resistance S O R R Intrapersonal S Extrapersonal S
  • 10. Nursing  a unique profession hat requires holistic approach – considers all factors affecting a client’s health  aims to promote optimal wellness to its client through retention, attainment, or maintenance of the stability of client’s system
  • 11. Nursing (cont.)  nurse helps the different levels of clientele: individual, family, and groups in achieving and maintaining an optimal wellness through intervention with the goal of reducing stress factors and its adverse effects to the optimal functioning of an individual in any given situation  nursing consists of intervention modalities of prevention which can be: (1.) primary, (2.) secondary, (3.) tertiary
  • 12. Health Sta bil it y on a rm H y Flexible Line of Defense (Primary Prevention) Normal Line of Defense (Secondary Prevention) Lines of Resistance (Tertiary Prevention) c al an B W W W W e l l ne e l l ne e l l ne e l l ne s s s s e CORE CORE s s s s Health
  • 13. Once an individual is exposed to stress, the flexible line of defense will be “alarmed” to protect the normal (solid) line of defense to keep the system free from stressor reactions. However, if this individual is continuously exposed to stress and if the flexible line of defense is unable anymore to cope up with the stressors, the normal line of defense will be altered. If this happens, there will be a threat to the wall that protects the basic structure of the individual and therefore causing instability of the systems and illness develops.
  • 14. Flexible Line of Defense Normal Line of Defense STRESSORS CORE CORE (Intrapersonal, Interpersonal, Extrapersonal) ILLNESS Lines of Resistance