Faye Glenn Abdellah: Patient - Centered Approaches

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FAYE GLENN ABDELLAH

PATIENT - CENTERED
APPROACHES
SIGNIFICANT CONTRIBUTIONS TO
NURSING/HEALTH CARE
• CHANGED NURSING FOCUS FROM DISEASE
CENTERED TO PATIENT CENTERED.

• PATIENT ASSESSMENT OF CARE EVALUATION IS


THE STANDARD OF CARE USED IN THE US.
SIGNIFICANT CONTRIBUTIONS TO
NURSING/HEALTH CARE
• PIONEERED IN NURSING RESEARCH & EDUCATION,
DEVELOPMENT OF THE 1ST NURSE SCIENTIST PROGRAM
& EXPERTISE IN INTERNATIONAL HEALTH POLICY.

• FIRST WOMAN & NURSE AS DEPUTY SURGEON GENERAL


IN 1981.
CONCEPTS

• NURSING AS AN ART AND SCIENCE


THAT MOLDS THE ATTITUDES,
INTELLECTUAL COMPETENCIES AND
TECHNICAL SKILLS OF THE NURSE TO
HELP PEOPLE COPE WITH THEIR
HEALTH NEEDS.
MAJOR CONCEPTS

Individuals/families: recipients of care

Health: the purpose of nursing services

Society: planning for optimum health

Nursing Problems: patient’s health need

Problem solving: Quality professional


nursing care, requires that nurses be
SUB
CONCEPTS
able to identify & solve nursing
problems 21 nursing
problems
BASIC NEEDS

3. Topromote safety
2. Topromote 4. To
maintain good
1. To
maintain good through prevention
optimal activity: body mechanics &
hygiene and of accidents, injury,
exercise, rest & prevent & correct
physical comfort. trauma & spread of
sleep. deformity.
infections.
SUSTENA 5. To
facilitate 6.To facilitate 7. Tofacilitate
maintenance of maintenance of
L CARE oxygen supply to all nutrition of all body
maintenance of
elimination.
NEEDS body cells.
.
cells.
.
8. To facilitate 9. To recognize the 10. Tofacilitate
maintenance of physiological body maintenance of 11. To facilitate
fluids & electrolyte responses to disease regulatory maintenance of
balance. conditions. mechanisms & sensory function.
functions.
REMEDI 12. To identify &
accept
13. To identify &
accept the
14.To facilitate
maintenance of
AL CARE positive/negative interrelatedness of
effective
expressions, emotions & organic
NEEDS feelings & reactions. illness.
communication.
15.To promote the 16. Tofacilitate 18. To facilitate self-
17. To
development of progress toward awareness as an
productive achievement of create/maintain a individual with
interpersonal personal spiritual therapeutic physical, emotional
relationships. goals. environment. & developmental
needs.
20. To use
21. To understand the
19. To accept the community
optimum possible resources as an aid
role of social RESTORATI
problems as
goals in the light of in resolving
influencing factors VE CARE
limitations, physical problems arising
& emotional. from illness.
in illness. NEEDS
10 STEPS TO IDENTIFY THE
PATIENT PROBLEMS
3. Make
1. Learnto generalizations
2. Sort
out relevant about available
know the & significant data. data in relation to
patient. nursing problems
by other patients.

4. Identifythe
5. Testgeneralizations
therapeutic plan.
with the patient.
7. Continue to observe &
evaluate the patient over a
6. Validate period of time to identify
attitudes & clues affecting his
patient’
behavior.
conclusions
about his
nursing
problems.
9. Identify
how the
nurse feels about 8. Explore the
the patient’s patient’s/family’s
nursing problems. reactions to the
10. Discuss& therapeutic plan &
develop a involve them in the
comprehensive plan.
nursing care plan.
2.
1. Observation 3. Knowledge
Communication
of health status application
skills
4. Teaching of 5. Planning & 6. Use of
patients & organization of resource
families work materials
7. Use of 11 PROBLEM
8. Problem- 9. Direction of
personal
work of others SOLVING
resources solving
NURSING
10. Therapeutic 11. Nursing
SKILLS
use of self procedures
LINK BETWEEN THEORY &
CLINICAL NURSING
PRACTICE
ASSESSMENT:
Identifies the patient’s
problems. (data
collection for each
problem identified)
NURSING
DIAGNOSIS: Patient
specific statement of the
problems that needs to
be addressed.
PLANNING:
Formulating goals with
patient involvement.
IMPLEMENTATION:
Carrying out the goals
previously formulated.
EVALUATION:
Reviewing the process
to see if the goal is
successfully met.
APPLICATION
Stages of Illness ABDELLAH NURSING NURSING EVALUATION
PROBLEM INTERVENTIONS

BASIC CARE 1. To maintain 1. Promote rest. Amount of pain or


NEEDS good hygiene & 2. Place in sitting degree of physical
physical position. comfort.
comfort. 3. Administer Good hygiene.
analgesics A sense of well-
as prescribed. being
Stages of Illness ABDELLAH NURSING NURSING EVALUATION
PROBLEM INTERVENTIONS
SUSTENAL 5. To facilitate the 1. Administer Vital signs
CARE NEEDS maintenance of oxygen. Skin color
oxygen supply to 2. Elevate
all body cells. headrest.
3. Reposition of
client
4. Promote deep
breathing &
coughing
exercises.
5. Implement
exercises
as tolerated.
Stages of Illness ABDELLAH NURSING NURSING EVALUATION
PROBLEM INTERVENTIONS

REMEDIAL 13. To identify & 1. To find the Knowledge of


CARE NEEDS accept the nature of his relationship
interrelatedness of job. between stress &
emotions & 2. Explore his his illness.
organic illness. work-related
goal.
3. Stress
associated
with his job.
Stages of Illness ABDELLAH NURSING NURSING EVALUATION
PROBLEM INTERVENTIONS

RESTORATIVE 20. To use 1. Teach early Knowledge of


CARE NEEDS community warning signs & appropriate use of
resources as an aid symptoms of certain community
in resolving cardiac distress. resources.
problems arising 2. Teach course of
from illness. action should
specific
symptoms occur.

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