Faye Glenn Abdellah's Theory

Faye Glenn Abdellah's Theory
Submitted To:- Submitted By:-

Mrs. Annamma Sumon Bhanwar Lal Dewna
Associate Professor M.Sc. Nursing (Previous)
GCON Jodhpur GCON Jodhpur
Abdellah’s theory and the four major concepts
 Nursing
 Nursing is a helping profession.
 Nursing care is doing something to or for the person or
providing information to the person with the goals of
meeting needs, increasing or restoring self-help ability, or
alleviating impairment.
 Nursing is broadly grouped into the 21 problem areas to
guide care and promote use of nursing judgment.
 Nursing to be comprehensive service.
Abdellah’s theory and the four major concepts (cont.)
 Person
 Abdellah describes people as having physical,
emotional, and sociological needs.
 Patientis described as the only justification for the
existence of nursing.
 Individuals (and families) are the recipients of nursing
 Health, or achieving of it, is the purpose of nursing
services.
Abdellah’s theory and the four major
concepts (cont.)
Health
 InPatient–Centered Approaches to Nursing,
Abdellah describes health as a state mutually
exclusive of illness.
 Although Abdellah does not give a definition of
health, she speaks to ―total health needs and ―a
healthy state of mind and body in her description
of nursing as a comprehensive service.
Abdellah’s theory and the four major
concepts (cont.)
 Society and environment
Society is included in planning for optimum
health on local, state, national, and
international levels. The focus of nursing
service is clearly the individual.
The environment is the home or community
from which patient comes.
Major assumptions, concepts & relationships
 She uses the term ‗she‘ for nurses, ‗he‘ for doctors and patients, and refers
to the object of nursing as ‗patient‘ rather than client or consumer.
 Shereferred to nursing diagnosis during a time when nurses were taught that
diagnosis was not a nurses‘ prerogative.
 change and anticipated changes that affect nursing;
 the
need to appreciate the interconnectedness of social enterprises and social
problems;
 theimpact of problems such as poverty, racism, pollution, education, and so
forth on health care delivery;
 changing nursing education
10 Steps to identify clients' problems
 Learn to know the patient

 Sort out relevant and significant data
 Make generalizations about available data in relation to similar nursing problems presented by
other patients
 Identify the therapeutic plan
 Test generalizations with the patient and make additional generalizations
 Validate the patient‘s conclusions about his nursing problems
 Continue to observe and evaluate the patient over a period of time to identify any attitudes and
clues affecting his behaviour
 Explore the patient‘s and family‘s reaction to the therapeutic plan and involve them in the plan
 Identify how the nurses feels about the patient‘s nursing problems
 Discuss and develop a comprehensive nursing care plan
11 Nursing skills
1. Observation of health status

2. Skills of communication
3. Application of knowledge
4. Teaching of patients and families
5. Planning and organization of work
6. Use of resource materials
7. Use of personnel resources
8. Problem-solving
9. Direction of work of others
10. Therapeutic use of the self
11. Nursing procedure
Nursing problems
Basic to all patients

1. 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
Nursing problems
Sustenal care needs

5. To facilitate the maintenance of a supply of oxygen to all body cells
6. To facilitate the maintenance of nutrition of all body cells
7. To facilitate the maintenance of elimination
8. To facilitate the maintenance of fluid and electrolyte balance
9. To recognize the physiological responses of the body to disease
conditions
10. To facilitate the maintenance of regulatory mechanisms and functions
11. To facilitate the maintenance of sensory function.
Nursing problems
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
14. To facilitate the maintenance of effective verbal and non-verbal communication
15. To promote the development of productive interpersonal relationships
16. To facilitate progress toward achievement of personal spiritual goals
17. To create and / or maintain a therapeutic environment
18. To facilitate awareness of self as an individual with varying physical , emotional,
and developmental needs
Nursing problems
Restorative care needs

19. To accept the optimum possible goals in the light of limitations,
physical and emotional
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
Strengths
 Theproblem-solving approach is readily generalizable to the client

with specific health needs and specific nursing problems.
 With the model‘s nature, healthcare providers and practitioners can use
Abdellah‘s problem-solving approach to guide various activities within
the clinical setting. This is true when considering a nursing practice that
deals with clients with specific needs and specific nursing problems.
 The
language of Faye Abdellah‘s framework is simple and easy to
comprehend.
 The theoretical statement greatly focuses on problem-solving, an
activity that is inherently logical in nature.
Weaknesses
 The major limitation to Abdellah‘s theory and the 21 nursing problems is their robust nurse-
centered orientation. She rather conceptualized nurses‘ actions in nursing care which is
contrary to her aim.
 Another point is the lack of emphasis on what the client is to achieve was given in client care.
 The framework seems to focus quite heavily on nursing practice and individuals. This
somewhat limits the generalizing ability, although the problem-solving approach is
readily generalizable to clients with specific health needs and specific nursing.
 Also, Abdellah‘s framework is inconsistent with the concept of holism. The nature of
the 21 nursing problems attests to this. As a result, the client may be diagnosed with
numerous problems leading to fractionalized care efforts. Potential problems might be
overlooked because the client is not deemed to be in a particular illness stage.

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Faye Glenn Abdellah's Theory

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Faye Glenn Abdellah's Theory

Submitted To:- Submitted By:-

 Learn to know the patient

1. Observation of health status

Basic to all patients

Sustenal care needs

Remedial care needs

Restorative care needs

 Theproblem-solving approach is readily generalizable to the client

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