faye glenn abdella
TRANSCRIPT
FAYE GLENN ABDELLA21 NURSING PROBLEMS
▪ Born March 13, 1919 in NYC
▪ 1942–Graduated Basic Nursing Ed.,
magna cum laude from Fitkin Memorial Hospital School of Nursing in Neptune, NJ
FAYE GLENN ABDELLA
▪ 1945–Bachelor of Science in Nursing
▪ 1947–Master of Arts in Nursing
▪ 1955–Doctorate Degree
(Teachers College at Columbia University)
FAYE GLENN ABDELLA
▪ 1st nurse and woman to serve as Deputy Surgeon General of the United States
▪ Inducted into the US National Women’s Hall of Fame
▪ Dean of the Graduate School of Nursing at the Uniformed Services University in Bethesda, MD. (2002)
▪ Holds 12 honorary degrees from universities recognizing her pioneering work in nursing research and education
▪ Patient Assessment of Care Evaluation
ACHIEVEMENTS:
HER THEORY
21 NURSING PROBLEMS
▪ Changed the focus of nursing from Disease-Centered to Patient-centered approach
▪ The intension was to guide care of patients in the hospital
▪ Also has relevance for nursing care in community settings.
Nursing-Centered
Disease-Centered
Patient-Centered
Focus of care pendulum
• Attempt to bring nursing practice to its proper relationship with restorative and preventive measures for meeting total client needs
HER THEORY..
Theory was created to assist with nursing education, and is most applicable to the education of nurses
METAPARADIGM
▪ Recipients of nursing as individuals and families
▪ 21 nursing problems relate with biological, psychological and social aspects of individuals
PERSON:
Defined as the center and purpose of nursing service
describes health as a state mutually exclusive of illness.
hEalth:
§ All-inclusive services that is based on the disciplines of art and sciences that serves individual
§ Concept of nursing is grouped into 21 problem areas for the nurse to work out their judgment & appropriate care
NuRSiNg:
21 nursing problems
21 nursing problems
▪ the theory distinguished the practice of nursing, with a focus on the 21 nursing problems, from the practice of medicine, which focuses on disease and cure.
21 Nursing Problems
§The 21 problems are actually a model describing the "arenas" or concerns of nursing, rather than a theory describing relationships among phenomena.
Problem solving
Nursing Problems
Health
MAJORCONCEPTS
Nursing Problemso Health Needs
seen as Problems§ Overt§ Covert More nursing-centered
than Client-Centered
Nursing Problem
Nursing Goals
Nursing Functions
PROBLEMS-SOLVINGo nursing care requires that nurses be able
to identify and solve overt and covert nursing problems
o Can be achieved thru utilization of the Problem-Solving process
Problem Solving Process1. Identifying the problem2. Selecting Relevant Data3. Devising Hypotheses4. Testing hypotheses through assortment
of data5. Revising hypotheses when necessary
The theory identifies ten steps to identify the patient’s problem:
1. Learn to know the patient.2. Sort out relevant and significant data3. Make generalizations about available
data in relation to similar nursing problems presented by other patients.
Ten Steps :
4. Identify the therapeutic plan5. Test generalizations with the
patient and make additional generalizations
6. Validate the patient’s conclusions about his nursing problems
Ten Steps :7. Continue to observe and evaluate the
patient over a period of time to identify any attitudes and clues affecting his or her behavior
8. Explore the patient and his or her family’s reactions to the therapeutic plan and involve them in the plan
Ten Steps :
9. Identify how the nurses feel about the patient’s nursing problems
10. Discuss and develop a comprehensive nursing care plan
11 Nursing Skills Used To Develop A Treatment Typology:
1. observation of health status2. skills of communication3. application of knowledge4. teaching of patients and families5. planning and organization of work
11 Nursing Skills :6. use of resource materials7. use of personnel resources8. problem-solving9. direction of work of others10. therapeutic uses of the self11. nursing procedure
21 NURSING PROBLEMS & NPS
Assessment
Diagnosis
Planning
Implementation
Evaluation NPS
Identifying the problem
Selecting Relevant Data
Devising Hypotheses
Revising hypotheses when necessary
Testing hypotheses through assortment of data
21 nursing problems
BASIC NEEDS1. To maintain good hygiene and physical comfort
2. To promote optimal activity: exercise, rest and sleep
3. To promote safety through the prevention of accidents, injury, or other trauma and through the prevention of the spread of infection
4. To maintain good body mechanics and prevent and correct deformity
SUSTENAL CARE NEEDS5.To facilitate the maintenance of a
supply of oxygen to all body cells6.To facilitate the maintenance of
nutrition of all body cells7.To facilitate the maintenance of
elimination
SUSTENAL CARE NEEDS cont.8.To facilitate the maintenance of fluid
and electrolyte balance9.To recognize the physiological
responses of the body to disease conditions
SUSTENAL CARE NEEDS cont.10.To facilitate the maintenance
of regulatory mechanisms and functions
11. To facilitate the maintenance of sensory function.
REMEDIAL CARE NEEDS
12.To identify and accept positive and negative expressions, feelings, and reactions
13.To identify and accept the interrelatedness of emotions and organic illness
REMEDIAL CARE NEEDS
14.To facilitate the maintenance of effective verbal and non verbal communication
15.To promote the development of productive interpersonal relationships
REMEDIAL CARE NEEDS cont.
16.To facilitate progress toward achievement of personal spiritual goals
17.To create and / or maintain a therapeutic environment
REMEDIAL CARE NEEDS cont.
18.To facilitate awareness of self as an individual with varying physical , emotional, and developmental needs
RESTORATIVE CARE NEEDS
19.To accept the optimum possible goals in the light of limitations, physical and emotional
RESTORATIVE CARE NEEDS
20.To use community resources as an aid in resolving problems arising from illness
21.To understand the role of social problems as influencing factors in the case of illness
END