SlideShare a Scribd company logo
1 of 44
Download to read offline
PRESENTED BY
Mr. NAVJYOT SINGH Choudhary
M.SC NURSING 1st YEAR
Dept. of Pediatric Nursing
Faye Glenn Abdellah was
 one of the most influential
 nursing theorist and public
 health scientists . It is
 extremely rare to find
 someone who has
 dedicated all her life to the
 advancement of the nursing
 profession and accomplish
 this feat with so much
 distinction and merit.
Faye Glenn Abdellah was born on March
 13, 1919, in New York City.



EDUCATIONAL ACHIEVEMENTS

In 1942, Abdellah earned a nursing diploma from
 Fitkin Memorial Hospital's School of Nursing New
 Jersey (now Ann May School of Nursing).
 She received her Bachelor of Science Degree in
 1945, a Master of Arts degree in 1947 and Doctor
 of Education in Teacher’s College, Columbia
 University. In 1947 she also took Master of Arts
 Degree in Physiology.
Abdellah went on to become a nursing instructor and
 researcher and helped transform the focus of the
 profession from disease centered to patient centered.
 She expanded the role of nurses to include care of
 families and the elderly.


She worked in many settings. She had been a staff
 nurse, a head nurse, a faculty member at Yale
 University and at Columbia University, a public health
 nurse, a researcher and an author of more than 147
 articles and books.
She was selected as Deputy Surgeon General in 1982.
 She retired in 1989.
1937 – She wanted to be a nurse on the day she saw
 Hindenburg explode.
1949 – She spent 40 years in Public Health Service where
 she first became involved in research, being assigned to
 perform studies to improve nursing practices.
1960 – She was influenced by the desire to promote client-
 centered comprehensive nursing care.
BASIC TO ALL PATIENTS
1. To maintain good hygiene and physical comfort –
After colonoscopy, patients are usually soiled from the
procedure. It is therefore important to clean them
properly. Physical comfort through proper positioning
in bed.
2. To promote optimal activity: exercise, rest, and
sleep – Patients who were sedated during the
procedure stay in the unit until the effect of the
sedation has decreased to a safe level. As a
nurse, make sure the patients are able to rest and
sleep well by providing a conducive environment for
rest, such as decreasing environmental noise and
dimming the light if necessary.
3. To promote safety through prevention of
accident, injury, or other trauma and through the
prevention of the spread of infection – Making sure
the side rails are always up when leaving the patient .
one way we prevent the spread of infection is through
proper disinfection of the equipments .
4. To maintain good body mechanics and prevent and
correct deformity – Positioning the patient
properly, allowing for the normal anatomical position
of body parts.
5. facilitate the maintenance of a supply of oxygen to all body cells –
when patients manifest breathing problems, oxygen is attached to
them, usually via nasal cannula. Sedated patients are attached to
cardiac monitor and pulse oxi meter while having the oxygen
delivered. When the oxygen saturation falls below the normal
levels, the rate of oxygen is increased accordingly, as per physician's
order.



6. To facilitate the maintenance of nutrition of all body cells –
patients undergoing endoscopic procedures are on NPO. For this
reason it is important to monitor the blood glucose level. When the
patient's blood glucose falls from the normal value, we inject D50W
to the patient or we change the patient's IVF to a dextrose containing
fluid.
7. To facilitate the maintenance of elimination – Providing
bedpans or urinals to patients and at times, insertion of Foley
catheter when the patient is not able to void.



8. To facilitate the maintenance of fluid and electrolyte
balance – Proper regulation of the intravenous solutions as well
as proper incorporations it may have. An example is when
patients have low serum potassium; KCl is incorporated in the
solution.
9. To recognize the physiological responses of the body to
disease conditions—pathological, physiological, and
compensatory – it is important to check the patients for signs of
internal gastrointestinal bleeding by monitoring the blood
pressure and cardiac rate.

10.To facilitate the maintenance of regulatory mechanisms and
functions – When a patient has a difficulty in breathing and is
showing an increase respiratory rate, elevating the head part of
the bed is done to facilitate the respiratory function.
11. To facilitate the maintenance of sensory function –
Sometimes there are semi-conscious patients, in these cases, it
is still necessary to talk to them while performing nursing
interventions to maintain their auditory sense.
12. To identify and accept positive and negative
expressions, feelings, and reactions – most patients feel anxious
before undergoing the procedures. It is necessary to listen to the
patients' expressions and allow them to ask questions. To decrease
their anxiety, proper instructions are given, what they are to
expect, how long the procedure will take, what they should do
during and after the procedure as well as other concerns.

13. To identify and accept interrelatedness of emotions and organic
illness – Encourage patients to verbalize their feelings and allow
them to cry when they have the need to do so will help them
emotionally. Some patients are diagnosed with malignancy after
the procedure and during this time the emotional needs of the
patient is a priority.
14. To facilitate the maintenance of effective verbal and
nonverbal communication – when patients are not able to
express themselves verbally, it is important to assess for
nonverbal cues. For instance when patients are in pain, assessing
for facial grimacing.



15. To promote the development of productive interpersonal
relationships – allow the patient's significant others to stay with
the patient before and after the procedure. This allows for
bonding and promotes interpersonal relationship.
16. To facilitate progress toward achievement of personal
spiritual goals – nurse usually visits the patients in the unit.
Patients may benefit from this, allowing them time to practice
their faith.



17. To create and/or maintain a therapeutic environment -
providing proper lighting, proper room temperature, a quiet
environment are done to patients staying in the unit.
18. To facilitate awareness of self as an individual with varying
physical, emotional, and developmental needs – care to
patients vary according to their developmental needs. Allowing
the parents to stay during the procedure help the pediatric
patients in their emotional and developmental needs.
19. To accept the optimum possible goals in the light of
limitations, physical, and emotional – The goals for each patient
vary depending on the capability of the patient. The nutritional
goal for a patient with a PEG tube for instance will be
different, knowing that the patient has limited feeding options.



20. To use community resources as an aid in resolving problems
arising from illness – Some patients live far from the city and
thus referral to health centers is sometimes done.
21. To understand the role of social problems as influencing
factors in the cause of illness – Some patients who are
diagnosed with amoebic colitis for instance are advised to avoid
buying street foods to which the preparation they are not sure
of, and also avoid drinking water that are not safe.
Abdellah describes people as
 having physical, emotional, and
 sociological needs. These needs
 may overt, consisting of largely
 physical needs, or covert, such as
 emotional, sociological and
 interpersonal needs- which are
 often missed and perceived
 incorrectly
 The individuals (and families) are
 the recipients of nursing, and
 health, or achieving of it, is the
 purpose of nursing services.
 Emphasis should be placed upon
 prevention and rehabilitation.
 Holistic approach must be taken by
 the nurse to help the client achieve
 state of health. However the nurse
 must accurately identify the lacks or
 deficits regarding health that the
 client is experiencing. These lacks or
 deficits are the client’s health needs.
The environment is implicitly
 defined by Abdellah as the home or
 community from which patient
 comes. Society is included in
 “planning for optimum health.”
 However, as Abdellah further
 delineated her ideas, the focus of
 nursing service is clearly the
 individual.
These would mean a comprehensive
   nursing service, this would include:
1. Recognizing the nursing problems of the
patient.
2. Deciding the appropriate actions to take
in terms of relevant nursing principles.
3. Providing continuous care of the
individual’s total health needs.
4. Providing continuous care to relieve pain
and discomfort.
5. Adjusting total nursing care plan to meet
the patient’s individual needs.
6. Helping the individual to become more self directing in
attaining or maintaining a healthy state of mind and body.
7. Instructing nursing personnel and family to help the
individual
8. Helping the individual to adjust to his limitations and
emotional problems.
9. Working with allied health professional in planning for
optimum health

10. Carrying out continuous evaluation and research to improve
nursing techniques and to develop new techniques to meet all
the health needs of the people.
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 procedures
Physical, Sociological, emotional
                               Needs




Common Elements Of Patient                  Interpersonal Relationship
          Area
Nursing Practice
Abdeallah’s main goal is the
 improvement of the nursing education.
The most important impact of Abdellah’s
 theory to the nursing practice is that it
 helped transform the focus of the
 profession from being “disease-
 centered” to “patient-centered.”
The steps of the nursing process are
 assessment, diagnosis, planning, implem
 entation and evaluation
Professors and educators realized
 the importance of client centered
 care rather than focusing on
 medical interventions. Nursing
 education then slowly deviated its
 concentration from the
 complex, medical concepts, into
 exercising better attention to the
 client as the primary concern.
 It’s very strong nurse-centered
 orientation—is, on the other
 hand, it’s major contribution to
 nursing education.
Her theories continue to guide researchers
 to focus on the body of nursing knowledge
 itself, the identification of patient
 problems, the organization of nursing
 interventions, the improvement of nursing
 education, and the structure of the
 curriculum.
 The extensive research done regarding the
 patient’s needs and problems has served as
 a foundation for the development of what is
 now known as nursing diagnoses.
Nursing problems provide guidelines
 for the collection of data.
A principle underlying the problem
 solving approach is that for each
 identified problem, pertinent data are
 collected.
The overt or covert nature of the
 problems necessitates a direct or
 indirect approach, respectively.
NURSING DIAGNOSIS
The results of data collection would determine the client’s
 specific overt or covert problems.
These specific problems would be grouped under one or more
 of the broader nursing problems.
This step is consistent with that involved in nursing diagnosis
PLANNING PHASE
The statements of nursing problems most closely resemble
 goal statements. Once the problem has been diagnosed, the
 nursing goals have been established.
IMPLEMENTATION
Using the goals as the framework, a plan is developed and
 appropriate nursing interventions are determined.
EVALUATION
The most appropriate evaluation would be the nurse progress
 or lack of progress toward the achievement of the stated
 goals..
The case of Simar
He experienced severe chest pain. In addition he
 experienced shortness of breadth, tachycardia and
 profuse diaphoresis.
Assessment
reveals: cardiac   Past History : He
    damage         had gone through
                    similar episodes
                   since past 2 years.
PAIN

  IMPAIRED CARDIAC
  FUNCTIONING`

       WORK RELATED STRESS

         FAILURE TO SEEK MEDICAL
         ATTENTION
STAGES OF        Abdellah nsg          Nsg intervensions            Nsg
ILLNESS          problem                                            intervensions
Basic to care    1. To maintain good   1.   Administer oxygen       Amount of pain
                 hygiene and           2.   Elevate headrest
                 physical comfort      3.   Reposition of client
                                       4.   Administer analgesics
                                            as advised

Susternal care   5 to facilitate the   1 promote rest               Vital signs.
needs            maintenance of        2 Place in sitting
                 supply of oxygen to      position
                 body cells            3 Promote deep
                                          breathing and
                                          coughing exercises
                                       4 Implement exercises
                                          as tolerated
Remedial care    13 To identify and    1 to find the nature of his  knowledge of
needs            accept the            job.                        relationship
                 interrelatedness of   2 explore his work related between stress
                 emotional and         goal                        and his illness
                 organic illness       3 stress associated with
                                       jobs.
Stages of illness   Abdellah nsg       Nsg intervensions Criterion measure
                    problems
Restorative care    20 to use          1. Teach early       Knowledge about
needs               community             signs and         the use of
                    resources as an       symptoms of       community
                    aid in resolving      cardiac           resources.
                    problems arising      distress.
                    from illness       2. Teach course of
                                          action .
Abdellah’s theory has interrelated the
 concepts of health, nursing problems and
 problem solving as she attempts to create a
 different way of viewing nursing
 phenomenon.
The major limitation of Abdellah theory and
 the twenty one nursing problems is their very
 strong nursing centered orientation. With the
 orientation appropriate use might be the
 organization of teaching content for nursing
 students, the evaluation of a
 students, performance in the clinical area or
 both. But in terms of client care there is little
 emphasis on what the client is to achieve.
Using Abdellah’s concepts of health, nursing
 problems, and problem solving, the theoretical
 statement of nursing that can be derived is the use of
 the problem solving approach with key nursing
 problems related to health needs of people. From
 this framework, 21 nursing problems were
 developed.
Abdellah’s theory provides a basis for determining
 and organizing nursing care. The problems also
 provide a basis for organizing appropriate nursing
 strategies.
Abdellah’s theory

More Related Content

What's hot

Ida Jean Orlando’s Nursing Process Theory
Ida Jean Orlando’s Nursing Process TheoryIda Jean Orlando’s Nursing Process Theory
Ida Jean Orlando’s Nursing Process TheoryJosephine Ann Necor
 
Chapter 2 significance of nursing theory as a discipline and profession
Chapter 2 significance of nursing theory as a discipline and professionChapter 2 significance of nursing theory as a discipline and profession
Chapter 2 significance of nursing theory as a discipline and professionJaypee Sidon
 
Patricia Benner (Novice to Expert Theory)
Patricia Benner (Novice to Expert Theory)Patricia Benner (Novice to Expert Theory)
Patricia Benner (Novice to Expert Theory)Mary Ann Adiong
 
Application of nursing theories
Application of nursing theories Application of nursing theories
Application of nursing theories Arun Madanan
 
Virginia henderson's theory of nursing
Virginia henderson's theory of nursingVirginia henderson's theory of nursing
Virginia henderson's theory of nursingMandeep Gill
 
Faye Glenn Abdellah''s Theory - Ms. Ritika soni
Faye Glenn Abdellah''s Theory - Ms. Ritika soniFaye Glenn Abdellah''s Theory - Ms. Ritika soni
Faye Glenn Abdellah''s Theory - Ms. Ritika soniShimla
 
Ernestine Wiedenbach's The Helping Art of Clinical Nursing
Ernestine Wiedenbach's The Helping Art of Clinical NursingErnestine Wiedenbach's The Helping Art of Clinical Nursing
Ernestine Wiedenbach's The Helping Art of Clinical NursingJosephine Ann Necor
 
Roy's Adaptation Model
Roy's Adaptation ModelRoy's Adaptation Model
Roy's Adaptation ModelSana Sultan
 
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation TheorySister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation TheoryJosephine Ann Necor
 
Imogene King’s Goal Attainment Theory
Imogene King’s Goal Attainment TheoryImogene King’s Goal Attainment Theory
Imogene King’s Goal Attainment TheoryJosephine Ann Necor
 
Madeleine Leininger’s Transcultural Nursing
Madeleine Leininger’s Transcultural NursingMadeleine Leininger’s Transcultural Nursing
Madeleine Leininger’s Transcultural NursingJosephine Ann Necor
 
CARING THEORIES By: Locsin, Boykin & Shonhoefer
CARING THEORIES By: Locsin, Boykin & ShonhoeferCARING THEORIES By: Locsin, Boykin & Shonhoefer
CARING THEORIES By: Locsin, Boykin & ShonhoeferHannah Bagu RN
 
Dorothea Orem's Self Care Theory
Dorothea Orem's Self Care TheoryDorothea Orem's Self Care Theory
Dorothea Orem's Self Care TheoryJosephine Ann Necor
 
Martha rogers theory
Martha rogers theoryMartha rogers theory
Martha rogers theoryankita Patel
 
Imogene King: Goal Attainment Theory
Imogene King: Goal Attainment TheoryImogene King: Goal Attainment Theory
Imogene King: Goal Attainment TheoryJen Gragera
 
Betty Neuman Theory.pptx
Betty Neuman Theory.pptxBetty Neuman Theory.pptx
Betty Neuman Theory.pptxProf Vijayraddi
 
NURSING THEORY Martha Rogers - The Science of Unitary Human Beings
NURSING THEORY Martha Rogers - The Science of Unitary Human BeingsNURSING THEORY Martha Rogers - The Science of Unitary Human Beings
NURSING THEORY Martha Rogers - The Science of Unitary Human BeingsAjeshkumar Tk
 

What's hot (20)

Nursing Theories
Nursing TheoriesNursing Theories
Nursing Theories
 
Ida Jean Orlando’s Nursing Process Theory
Ida Jean Orlando’s Nursing Process TheoryIda Jean Orlando’s Nursing Process Theory
Ida Jean Orlando’s Nursing Process Theory
 
Chapter 2 significance of nursing theory as a discipline and profession
Chapter 2 significance of nursing theory as a discipline and professionChapter 2 significance of nursing theory as a discipline and profession
Chapter 2 significance of nursing theory as a discipline and profession
 
Patricia Benner (Novice to Expert Theory)
Patricia Benner (Novice to Expert Theory)Patricia Benner (Novice to Expert Theory)
Patricia Benner (Novice to Expert Theory)
 
Application of nursing theories
Application of nursing theories Application of nursing theories
Application of nursing theories
 
Imogene king
Imogene kingImogene king
Imogene king
 
Virginia henderson's theory of nursing
Virginia henderson's theory of nursingVirginia henderson's theory of nursing
Virginia henderson's theory of nursing
 
Faye Glenn Abdellah''s Theory - Ms. Ritika soni
Faye Glenn Abdellah''s Theory - Ms. Ritika soniFaye Glenn Abdellah''s Theory - Ms. Ritika soni
Faye Glenn Abdellah''s Theory - Ms. Ritika soni
 
Ernestine Wiedenbach's The Helping Art of Clinical Nursing
Ernestine Wiedenbach's The Helping Art of Clinical NursingErnestine Wiedenbach's The Helping Art of Clinical Nursing
Ernestine Wiedenbach's The Helping Art of Clinical Nursing
 
Roy's Adaptation Model
Roy's Adaptation ModelRoy's Adaptation Model
Roy's Adaptation Model
 
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation TheorySister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
 
Imogene King’s Goal Attainment Theory
Imogene King’s Goal Attainment TheoryImogene King’s Goal Attainment Theory
Imogene King’s Goal Attainment Theory
 
Madeleine Leininger’s Transcultural Nursing
Madeleine Leininger’s Transcultural NursingMadeleine Leininger’s Transcultural Nursing
Madeleine Leininger’s Transcultural Nursing
 
Nursing Process Theory: Orlando
Nursing Process Theory: OrlandoNursing Process Theory: Orlando
Nursing Process Theory: Orlando
 
CARING THEORIES By: Locsin, Boykin & Shonhoefer
CARING THEORIES By: Locsin, Boykin & ShonhoeferCARING THEORIES By: Locsin, Boykin & Shonhoefer
CARING THEORIES By: Locsin, Boykin & Shonhoefer
 
Dorothea Orem's Self Care Theory
Dorothea Orem's Self Care TheoryDorothea Orem's Self Care Theory
Dorothea Orem's Self Care Theory
 
Martha rogers theory
Martha rogers theoryMartha rogers theory
Martha rogers theory
 
Imogene King: Goal Attainment Theory
Imogene King: Goal Attainment TheoryImogene King: Goal Attainment Theory
Imogene King: Goal Attainment Theory
 
Betty Neuman Theory.pptx
Betty Neuman Theory.pptxBetty Neuman Theory.pptx
Betty Neuman Theory.pptx
 
NURSING THEORY Martha Rogers - The Science of Unitary Human Beings
NURSING THEORY Martha Rogers - The Science of Unitary Human BeingsNURSING THEORY Martha Rogers - The Science of Unitary Human Beings
NURSING THEORY Martha Rogers - The Science of Unitary Human Beings
 

Similar to Abdellah’s theory

Abdulla's theory.ppt
Abdulla's theory.pptAbdulla's theory.ppt
Abdulla's theory.pptanjalatchi
 
ABDELLAH’S THEORY advanced nursing practice.pptx
ABDELLAH’S THEORY advanced nursing practice.pptxABDELLAH’S THEORY advanced nursing practice.pptx
ABDELLAH’S THEORY advanced nursing practice.pptxshivaguru23
 
60453137 case-study-pleural-effusion
60453137 case-study-pleural-effusion60453137 case-study-pleural-effusion
60453137 case-study-pleural-effusionhomeworkping4
 
Answerkeystudyguide.pdf
Answerkeystudyguide.pdfAnswerkeystudyguide.pdf
Answerkeystudyguide.pdfBecky Goins
 
Admission and discharge..pptx
Admission and discharge..pptxAdmission and discharge..pptx
Admission and discharge..pptxssuser8767171
 
Abdellah's ppt current
Abdellah's ppt currentAbdellah's ppt current
Abdellah's ppt currentradhika994
 
Faye Glenn A
Faye Glenn AFaye Glenn A
Faye Glenn Anva226
 
Nursing theory ppt.pptx
Nursing theory ppt.pptxNursing theory ppt.pptx
Nursing theory ppt.pptxalvinadeen9
 
Care of patient in acute biologic crisis
Care of patient in acute biologic crisisCare of patient in acute biologic crisis
Care of patient in acute biologic crisisTosca Torres
 
Abdellahs-21-Nursing-Problem.pptx
Abdellahs-21-Nursing-Problem.pptxAbdellahs-21-Nursing-Problem.pptx
Abdellahs-21-Nursing-Problem.pptxCarlaDianaBuenacosa
 
Role of nurse in medical surgical setting
Role of nurse in medical surgical setting Role of nurse in medical surgical setting
Role of nurse in medical surgical setting RakhiYadav53
 
Need Theory Virginia Henderson Theory
Need Theory Virginia Henderson TheoryNeed Theory Virginia Henderson Theory
Need Theory Virginia Henderson TheoryDaystar University
 
Chinmaya Institute of Nursing (CIN)
Chinmaya Institute of Nursing (CIN)Chinmaya Institute of Nursing (CIN)
Chinmaya Institute of Nursing (CIN)rachelvijaya
 
Community and Public Health (Week 7)
Community and Public Health (Week 7)Community and Public Health (Week 7)
Community and Public Health (Week 7)Ana Anastacio
 
OBJECTIVES , CHARACTERISTICS , CONCEPT AND PHILOSOPHY OF NURSING.pptx
OBJECTIVES , CHARACTERISTICS ,  CONCEPT AND PHILOSOPHY OF NURSING.pptxOBJECTIVES , CHARACTERISTICS ,  CONCEPT AND PHILOSOPHY OF NURSING.pptx
OBJECTIVES , CHARACTERISTICS , CONCEPT AND PHILOSOPHY OF NURSING.pptxKrishna Gandhi
 

Similar to Abdellah’s theory (20)

Abdulla's theory.ppt
Abdulla's theory.pptAbdulla's theory.ppt
Abdulla's theory.ppt
 
ABDELLAH’S THEORY advanced nursing practice.pptx
ABDELLAH’S THEORY advanced nursing practice.pptxABDELLAH’S THEORY advanced nursing practice.pptx
ABDELLAH’S THEORY advanced nursing practice.pptx
 
Abdellahs ppt
Abdellahs pptAbdellahs ppt
Abdellahs ppt
 
Abdellahs ppt
Abdellahs pptAbdellahs ppt
Abdellahs ppt
 
60453137 case-study-pleural-effusion
60453137 case-study-pleural-effusion60453137 case-study-pleural-effusion
60453137 case-study-pleural-effusion
 
Palliative Group 3.pptx
Palliative Group 3.pptxPalliative Group 3.pptx
Palliative Group 3.pptx
 
Answerkeystudyguide.pdf
Answerkeystudyguide.pdfAnswerkeystudyguide.pdf
Answerkeystudyguide.pdf
 
Admission and discharge..pptx
Admission and discharge..pptxAdmission and discharge..pptx
Admission and discharge..pptx
 
Abdellah's ppt current
Abdellah's ppt currentAbdellah's ppt current
Abdellah's ppt current
 
Faye Glenn A
Faye Glenn AFaye Glenn A
Faye Glenn A
 
Nursing theory ppt.pptx
Nursing theory ppt.pptxNursing theory ppt.pptx
Nursing theory ppt.pptx
 
Care of patient in acute biologic crisis
Care of patient in acute biologic crisisCare of patient in acute biologic crisis
Care of patient in acute biologic crisis
 
Orem group 9
Orem group 9Orem group 9
Orem group 9
 
Comprehensive Nursing
Comprehensive Nursing Comprehensive Nursing
Comprehensive Nursing
 
Abdellahs-21-Nursing-Problem.pptx
Abdellahs-21-Nursing-Problem.pptxAbdellahs-21-Nursing-Problem.pptx
Abdellahs-21-Nursing-Problem.pptx
 
Role of nurse in medical surgical setting
Role of nurse in medical surgical setting Role of nurse in medical surgical setting
Role of nurse in medical surgical setting
 
Need Theory Virginia Henderson Theory
Need Theory Virginia Henderson TheoryNeed Theory Virginia Henderson Theory
Need Theory Virginia Henderson Theory
 
Chinmaya Institute of Nursing (CIN)
Chinmaya Institute of Nursing (CIN)Chinmaya Institute of Nursing (CIN)
Chinmaya Institute of Nursing (CIN)
 
Community and Public Health (Week 7)
Community and Public Health (Week 7)Community and Public Health (Week 7)
Community and Public Health (Week 7)
 
OBJECTIVES , CHARACTERISTICS , CONCEPT AND PHILOSOPHY OF NURSING.pptx
OBJECTIVES , CHARACTERISTICS ,  CONCEPT AND PHILOSOPHY OF NURSING.pptxOBJECTIVES , CHARACTERISTICS ,  CONCEPT AND PHILOSOPHY OF NURSING.pptx
OBJECTIVES , CHARACTERISTICS , CONCEPT AND PHILOSOPHY OF NURSING.pptx
 

More from Navjyot Singh

More from Navjyot Singh (10)

Mental retardation
Mental retardationMental retardation
Mental retardation
 
Seminar
SeminarSeminar
Seminar
 
Panel
PanelPanel
Panel
 
Ftt
FttFtt
Ftt
 
Common disorder
Common disorderCommon disorder
Common disorder
 
Tracheo oesophageal fistula
Tracheo oesophageal fistulaTracheo oesophageal fistula
Tracheo oesophageal fistula
 
Child guidance clinic
Child guidance clinicChild guidance clinic
Child guidance clinic
 
Evaluation of educational programs in nursing
Evaluation of educational programs in nursingEvaluation of educational programs in nursing
Evaluation of educational programs in nursing
 
Parents child relationship
Parents child relationshipParents child relationship
Parents child relationship
 
Parents child relationship
Parents child relationshipParents child relationship
Parents child relationship
 

Abdellah’s theory

  • 1. PRESENTED BY Mr. NAVJYOT SINGH Choudhary M.SC NURSING 1st YEAR Dept. of Pediatric Nursing
  • 2. Faye Glenn Abdellah was one of the most influential nursing theorist and public health scientists . It is extremely rare to find someone who has dedicated all her life to the advancement of the nursing profession and accomplish this feat with so much distinction and merit.
  • 3. Faye Glenn Abdellah was born on March 13, 1919, in New York City. EDUCATIONAL ACHIEVEMENTS In 1942, Abdellah earned a nursing diploma from Fitkin Memorial Hospital's School of Nursing New Jersey (now Ann May School of Nursing). She received her Bachelor of Science Degree in 1945, a Master of Arts degree in 1947 and Doctor of Education in Teacher’s College, Columbia University. In 1947 she also took Master of Arts Degree in Physiology.
  • 4. Abdellah went on to become a nursing instructor and researcher and helped transform the focus of the profession from disease centered to patient centered. She expanded the role of nurses to include care of families and the elderly. She worked in many settings. She had been a staff nurse, a head nurse, a faculty member at Yale University and at Columbia University, a public health nurse, a researcher and an author of more than 147 articles and books. She was selected as Deputy Surgeon General in 1982. She retired in 1989.
  • 5. 1937 – She wanted to be a nurse on the day she saw Hindenburg explode. 1949 – She spent 40 years in Public Health Service where she first became involved in research, being assigned to perform studies to improve nursing practices. 1960 – She was influenced by the desire to promote client- centered comprehensive nursing care.
  • 6. BASIC TO ALL PATIENTS 1. To maintain good hygiene and physical comfort – After colonoscopy, patients are usually soiled from the procedure. It is therefore important to clean them properly. Physical comfort through proper positioning in bed. 2. To promote optimal activity: exercise, rest, and sleep – Patients who were sedated during the procedure stay in the unit until the effect of the sedation has decreased to a safe level. As a nurse, make sure the patients are able to rest and sleep well by providing a conducive environment for rest, such as decreasing environmental noise and dimming the light if necessary.
  • 7. 3. To promote safety through prevention of accident, injury, or other trauma and through the prevention of the spread of infection – Making sure the side rails are always up when leaving the patient . one way we prevent the spread of infection is through proper disinfection of the equipments . 4. To maintain good body mechanics and prevent and correct deformity – Positioning the patient properly, allowing for the normal anatomical position of body parts.
  • 8. 5. facilitate the maintenance of a supply of oxygen to all body cells – when patients manifest breathing problems, oxygen is attached to them, usually via nasal cannula. Sedated patients are attached to cardiac monitor and pulse oxi meter while having the oxygen delivered. When the oxygen saturation falls below the normal levels, the rate of oxygen is increased accordingly, as per physician's order. 6. To facilitate the maintenance of nutrition of all body cells – patients undergoing endoscopic procedures are on NPO. For this reason it is important to monitor the blood glucose level. When the patient's blood glucose falls from the normal value, we inject D50W to the patient or we change the patient's IVF to a dextrose containing fluid.
  • 9. 7. To facilitate the maintenance of elimination – Providing bedpans or urinals to patients and at times, insertion of Foley catheter when the patient is not able to void. 8. To facilitate the maintenance of fluid and electrolyte balance – Proper regulation of the intravenous solutions as well as proper incorporations it may have. An example is when patients have low serum potassium; KCl is incorporated in the solution.
  • 10. 9. To recognize the physiological responses of the body to disease conditions—pathological, physiological, and compensatory – it is important to check the patients for signs of internal gastrointestinal bleeding by monitoring the blood pressure and cardiac rate. 10.To facilitate the maintenance of regulatory mechanisms and functions – When a patient has a difficulty in breathing and is showing an increase respiratory rate, elevating the head part of the bed is done to facilitate the respiratory function.
  • 11. 11. To facilitate the maintenance of sensory function – Sometimes there are semi-conscious patients, in these cases, it is still necessary to talk to them while performing nursing interventions to maintain their auditory sense.
  • 12. 12. To identify and accept positive and negative expressions, feelings, and reactions – most patients feel anxious before undergoing the procedures. It is necessary to listen to the patients' expressions and allow them to ask questions. To decrease their anxiety, proper instructions are given, what they are to expect, how long the procedure will take, what they should do during and after the procedure as well as other concerns. 13. To identify and accept interrelatedness of emotions and organic illness – Encourage patients to verbalize their feelings and allow them to cry when they have the need to do so will help them emotionally. Some patients are diagnosed with malignancy after the procedure and during this time the emotional needs of the patient is a priority.
  • 13. 14. To facilitate the maintenance of effective verbal and nonverbal communication – when patients are not able to express themselves verbally, it is important to assess for nonverbal cues. For instance when patients are in pain, assessing for facial grimacing. 15. To promote the development of productive interpersonal relationships – allow the patient's significant others to stay with the patient before and after the procedure. This allows for bonding and promotes interpersonal relationship.
  • 14. 16. To facilitate progress toward achievement of personal spiritual goals – nurse usually visits the patients in the unit. Patients may benefit from this, allowing them time to practice their faith. 17. To create and/or maintain a therapeutic environment - providing proper lighting, proper room temperature, a quiet environment are done to patients staying in the unit.
  • 15. 18. To facilitate awareness of self as an individual with varying physical, emotional, and developmental needs – care to patients vary according to their developmental needs. Allowing the parents to stay during the procedure help the pediatric patients in their emotional and developmental needs.
  • 16. 19. To accept the optimum possible goals in the light of limitations, physical, and emotional – The goals for each patient vary depending on the capability of the patient. The nutritional goal for a patient with a PEG tube for instance will be different, knowing that the patient has limited feeding options. 20. To use community resources as an aid in resolving problems arising from illness – Some patients live far from the city and thus referral to health centers is sometimes done.
  • 17. 21. To understand the role of social problems as influencing factors in the cause of illness – Some patients who are diagnosed with amoebic colitis for instance are advised to avoid buying street foods to which the preparation they are not sure of, and also avoid drinking water that are not safe.
  • 18.
  • 19.
  • 20. Abdellah describes people as having physical, emotional, and sociological needs. These needs may overt, consisting of largely physical needs, or covert, such as emotional, sociological and interpersonal needs- which are often missed and perceived incorrectly  The individuals (and families) are the recipients of nursing, and health, or achieving of it, is the purpose of nursing services.
  • 21.  Emphasis should be placed upon prevention and rehabilitation. Holistic approach must be taken by the nurse to help the client achieve state of health. However the nurse must accurately identify the lacks or deficits regarding health that the client is experiencing. These lacks or deficits are the client’s health needs.
  • 22. The environment is implicitly defined by Abdellah as the home or community from which patient comes. Society is included in “planning for optimum health.” However, as Abdellah further delineated her ideas, the focus of nursing service is clearly the individual.
  • 23. These would mean a comprehensive nursing service, this would include: 1. Recognizing the nursing problems of the patient. 2. Deciding the appropriate actions to take in terms of relevant nursing principles. 3. Providing continuous care of the individual’s total health needs. 4. Providing continuous care to relieve pain and discomfort. 5. Adjusting total nursing care plan to meet the patient’s individual needs.
  • 24. 6. Helping the individual to become more self directing in attaining or maintaining a healthy state of mind and body. 7. Instructing nursing personnel and family to help the individual 8. Helping the individual to adjust to his limitations and emotional problems. 9. Working with allied health professional in planning for optimum health 10. Carrying out continuous evaluation and research to improve nursing techniques and to develop new techniques to meet all the health needs of the people.
  • 25. 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 procedures
  • 26. Physical, Sociological, emotional Needs Common Elements Of Patient Interpersonal Relationship Area
  • 27. Nursing Practice Abdeallah’s main goal is the improvement of the nursing education. The most important impact of Abdellah’s theory to the nursing practice is that it helped transform the focus of the profession from being “disease- centered” to “patient-centered.” The steps of the nursing process are assessment, diagnosis, planning, implem entation and evaluation
  • 28. Professors and educators realized the importance of client centered care rather than focusing on medical interventions. Nursing education then slowly deviated its concentration from the complex, medical concepts, into exercising better attention to the client as the primary concern. It’s very strong nurse-centered orientation—is, on the other hand, it’s major contribution to nursing education.
  • 29. Her theories continue to guide researchers to focus on the body of nursing knowledge itself, the identification of patient problems, the organization of nursing interventions, the improvement of nursing education, and the structure of the curriculum.  The extensive research done regarding the patient’s needs and problems has served as a foundation for the development of what is now known as nursing diagnoses.
  • 30.
  • 31. Nursing problems provide guidelines for the collection of data. A principle underlying the problem solving approach is that for each identified problem, pertinent data are collected. The overt or covert nature of the problems necessitates a direct or indirect approach, respectively.
  • 32. NURSING DIAGNOSIS The results of data collection would determine the client’s specific overt or covert problems. These specific problems would be grouped under one or more of the broader nursing problems. This step is consistent with that involved in nursing diagnosis
  • 33. PLANNING PHASE The statements of nursing problems most closely resemble goal statements. Once the problem has been diagnosed, the nursing goals have been established.
  • 34. IMPLEMENTATION Using the goals as the framework, a plan is developed and appropriate nursing interventions are determined.
  • 35. EVALUATION The most appropriate evaluation would be the nurse progress or lack of progress toward the achievement of the stated goals..
  • 36. The case of Simar He experienced severe chest pain. In addition he experienced shortness of breadth, tachycardia and profuse diaphoresis.
  • 37. Assessment reveals: cardiac Past History : He damage had gone through similar episodes since past 2 years.
  • 38. PAIN IMPAIRED CARDIAC FUNCTIONING` WORK RELATED STRESS FAILURE TO SEEK MEDICAL ATTENTION
  • 39. STAGES OF Abdellah nsg Nsg intervensions Nsg ILLNESS problem intervensions Basic to care 1. To maintain good 1. Administer oxygen Amount of pain hygiene and 2. Elevate headrest physical comfort 3. Reposition of client 4. Administer analgesics as advised Susternal care 5 to facilitate the 1 promote rest Vital signs. needs maintenance of 2 Place in sitting supply of oxygen to position body cells 3 Promote deep breathing and coughing exercises 4 Implement exercises as tolerated Remedial care 13 To identify and 1 to find the nature of his knowledge of needs accept the job. relationship interrelatedness of 2 explore his work related between stress emotional and goal and his illness organic illness 3 stress associated with jobs.
  • 40. Stages of illness Abdellah nsg Nsg intervensions Criterion measure problems Restorative care 20 to use 1. Teach early Knowledge about needs community signs and the use of resources as an symptoms of community aid in resolving cardiac resources. problems arising distress. from illness 2. Teach course of action .
  • 41. Abdellah’s theory has interrelated the concepts of health, nursing problems and problem solving as she attempts to create a different way of viewing nursing phenomenon.
  • 42. The major limitation of Abdellah theory and the twenty one nursing problems is their very strong nursing centered orientation. With the orientation appropriate use might be the organization of teaching content for nursing students, the evaluation of a students, performance in the clinical area or both. But in terms of client care there is little emphasis on what the client is to achieve.
  • 43. Using Abdellah’s concepts of health, nursing problems, and problem solving, the theoretical statement of nursing that can be derived is the use of the problem solving approach with key nursing problems related to health needs of people. From this framework, 21 nursing problems were developed. Abdellah’s theory provides a basis for determining and organizing nursing care. The problems also provide a basis for organizing appropriate nursing strategies.

Editor's Notes

  1. The Hindenburg disaster took place on Thursday, May 6, 1937, as the German passenger airship LZ 129 Hindenburg caught fire and was destroyed during its attempt to dock with its mooring mast at the Lakehurst Naval Air Station,