Apply Nightingale's theory in nursing process for this case.
Assessment:
- Physical environment: Clean room, adequate ventilation, lighting and temperature control
- Psychological: Anxious due to fever, unable to sleep
- Social: Married, lives with family
Diagnosis: Acute febrile illness related to infection as evidenced by fever, chills, headache
Planning:
- Ensure cleanliness, adequate ventilation, lighting and comfortable temperature
- Provide comfort measures like back rub, listening ear
- Educate on importance of rest and nutrition
Implementation:
- Maintain clean room and bedding
- Open windows for cross-ventilation
- Dim lights for
Virginia henderson's theory of nursingMandeep Gill
Virginia Henderson was born in Kansas City, Missouri in 1897, the fifth of eight children in her family. During the World War 1, Henderson developed an interest in nursing. So in 1918 she entered the Army school of Nursing in Washington D.C. Henderson graduated in 1921 and accepted a position as a staff nurse with the Henry Street Visiting Nurse Service in New York. After 2 years, in 1923, she started teaching nursing at the Norfolk Protestant Hospital in Virginia. She has enjoyed a long career as an author and researcher. She is known as, “The Nightingale of Modern Nursing” & “The 20th century Florence Nightingale."
Virginia henderson's theory of nursingMandeep Gill
Virginia Henderson was born in Kansas City, Missouri in 1897, the fifth of eight children in her family. During the World War 1, Henderson developed an interest in nursing. So in 1918 she entered the Army school of Nursing in Washington D.C. Henderson graduated in 1921 and accepted a position as a staff nurse with the Henry Street Visiting Nurse Service in New York. After 2 years, in 1923, she started teaching nursing at the Norfolk Protestant Hospital in Virginia. She has enjoyed a long career as an author and researcher. She is known as, “The Nightingale of Modern Nursing” & “The 20th century Florence Nightingale."
Florence nightingale’s environment theoryShrooti Shah
The foundation of Nightingale’s theory is the environment- all the external conditions and forces that influence the life and development of an organism.
According to her, external influences and conditions can prevent, suppress, or contribute to disease or death.
Her goal was to help the patient retain his own vitality by meeting his basic needs through control of the environment.
Florence nightingale’s environment theoryShrooti Shah
The foundation of Nightingale’s theory is the environment- all the external conditions and forces that influence the life and development of an organism.
According to her, external influences and conditions can prevent, suppress, or contribute to disease or death.
Her goal was to help the patient retain his own vitality by meeting his basic needs through control of the environment.
Florence Nightingale's Environmental Theory of NursingRaksha Yadav
This presentation is about Florence Nightingale's Environmental Theory of nursing, The environmental model of nursing care and application of Nightingale's theory in Nursing practice.
organization of NICU
GENERAL OBJECTIVE: At the end of the this topic the students will be able to gain knowledge and understanding regarding the organization of NICU and apply this knowledge in theory and practical.
SPECIFIC OBJECTIVES:
At the end of the topic student will be able to,
Explain the introduction and define the NICU.
Discuss the aims and objective of NICU.
List out the basic facility.
Describe the component of NICU. Introduction:- A Neonatal Intensive Care Unit (NICU)—also called a Special Care Nursery, newborn intensive care unit, intensive care nursery (ICN), and special care baby unit (SCBU)—is an intensive care unit specializing in the care of ill or premature newborn infants.
NEONATAL CARE: The management of complex life threatening diseases, provision of intensive monitoring and institution of life sustaining therapies in an organized manner to critically ill children in a separate pediatric intensive care unit.
Briefly describe the management of nursing care.
Explain the level of NICU.
Discuss the environment of NICU. DEFINITION: Newborn or neonatal intensive care unit, is a intensive care unit designed for premature and ill newborn babies.
AIMS and OBJECTIVES: AIMS OF ORGANIZING OF NICU :
Reducing the neonatal mortality and improving the quality of life among the survivors
OBJECTIVES:
To save the life of the sick new born.
To prevent damage in infants with problems at birth and also reduce morbidity in later life.
To monitor high risk newborns so as to reduce mortality and morbidity in these babies.
BASIC FACILITIES: Adequate space
Availability of running water
Centralized oxygen and suction facilities
Maintenance of thermo- neutral environment
Availability of plenty of linen and disposables
Facilities for availability to treat common neonatal problems
MAIN COMPONENTS TO BE CONSIDER WHILE ORGANIZING A NICU: Physical Facilities
Personnel
Equipment
Laboratory Facilities
Procedure Manual
Transport Of Sick Infants
Cooperation Between The Obstetrician And Neonatologist
PHYSICAL FACILITIES: Location
Space
Floor plan
Lighting
Environmental temperature and humidity
Handling and social contacts
Communication system
Acoustic characteristics
Ventilation
Electrical outlets
LOCATION:Located as close as to labor room and obstetric care unit
Adequate sunlight for illumination
Fair degree of ventilation for fresh air
SPACE: Serve as a referral unit for the infants born outside the hospital.
Each infant should be provided with a minimum area of 100 sq. ft. or 10sq. meter
Space for promotion of breast feeding.
500-600 Gross square feet per bed.
Space includes patient care area, storage area, space for doctors, nurses, other staff, office area, seminar room area, laboratory area and space for families.
6 Feet gap between two incubators for adequate circulation and keeping.
The essential life-saving equipment. FLOOR PLAN: Open encumbered space.
The walls should be made of washable glazed tiles and windows should have...
Florence nightingale is known as the founder of modern nursing. Florence Nightingale (1820-1910), known as “The Lady With the Lamp,” was a British nurse, social reformer and statistician best known as the founder of modern nursing. Her experiences as a nurse during the Crimean War were foundational in her views about sanitation. Every year, International Nurses Day is celebrated on 12th May to commemorate the birth anniversary of Florence Nightingale.
Chapter 2Frameworks for Professional Nursing Pract.docxketurahhazelhurst
Chapter 2
Frameworks for
Professional
Nursing Practice
Definitions
• Concept
• Conceptual model
• Propositions
• Assumptions
• Theory
• Metaparadigm
Central Concepts in Nursing
• Person receiving the nursing
• Environment within which the person exits
• Health-illness continuum within which the
person falls at the time of the interaction
with the nurse
• Nursing actions
Nightingale’s Environmental Theory
• Person: Recipient of nursing care
• Environment: External (temperature,
bedding, ventilation) and internal (food,
water, and medications)
• Health: Not only to be well, but to be able
to use well every power we have to use
• Nursing: Alter or manage the environment
to implement the natural laws of health
Nightingale’s 13 Canons
• Ventilation and warmth
• Health of houses
• Petty management
• Noise
• Variety
• Food intake
• What food?
• Bed and bedding
• Light
• Cleanliness of rooms
and walls
• Personal cleanliness
• Chattering hopes and
advises
• Observation of the sick
Virginia Henderson: Definition of
Nursing and 14 Components of Care
• Person: Recipient of nursing care who is
composed of biological, psychological,
sociological, and spiritual components
• Environment: External environment
• Health: Based upon the patient’s ability to
function independently
• Nursing: Assist the person, sick or well, in
performance of activities
The Nurse−Theorists Virginia
Henderson Promo Video
https://youtu.be/c3mnNPozt_w
https://youtu.be/c3mnNPozt_w
Henderson’s 14 Basic Care Needs
(1 of 2)
• Breathe normally
• Eat and drink adequately
• Eliminate bodily wastes
• Move and maintain postures
• Sleep and rest
• Dress and undress
• Maintain body temperature within normal range
Henderson’s 14 Basic Care Needs
(2 of 2)
• Keep body clean and protect integument
• Avoid dangers
• Communicate with others
• Worship according to one’s faith
• Work (sense of accomplishment)
• Recreation
• Learn and discover, leading to normal
development and health, and use health facilities
Jean Watson: Philosophy and
Science of Caring (1 of 2)
• Goal is to help persons attain a higher level
of harmony within the mind-body-spirit
• Goal pursued through transpersonal caring
guided by 10 caritas processes
Jean Watson: Philosophy and
Science of Caring (2 of 2)
• Person (human): A unity of mind-body-spirit/nature;
embodied spirit
• Healing space and environment: A nonphysical
energetic environment; a vibrational field integral
with the person where the nurse is not only in the
environment but “the nurse IS the environment”
• Health (healing): Harmony, wholeness, and comfort
• Nursing: Reciprocal transpersonal relationship in
caring moments guided by caritas processes
The Nurse Theorists−Jean Watson
Promo Video
https://youtu.be/qX1fxKfZifo
https://youtu.be/qX1fxKfZifo
Benner’s Clinical Wisdom in Nursing
Practice: 9 Domains of Critical Care ...
Similar to Nightingale's environmental theory- Ms. Ritika soni (20)
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
2. OUTLINE
• Biography : Background of the
theorist
• Nightingale’s theory :
evolution & introduction
• Types of environment
• Nightingale’s thirteen canons
• Major concepts of nursing
according to nightingale.
• Nightingale’s environmental
model as a framework for
nursing practice
• The Nightingale’s
environmental model
• Metaparadigms
• Characteristics of theory
• Nursing process and
nightingale’s environmental
Theory
• Exercise
3. FLORENCE NIGHTINGALE
Biography :
Florence Nightingale (1820–1910)
• Nightingale was born in 1820 in Florence, Italy.
• considered the founder of education and scientific
nursing
• widely known as "The Lady with the Lamp”
• Nursing training in 1851
• Worked as a nursing superintendent at the institution
for the care of sick , where she instituted many
changes to improve patient care.
• Pioneered the concept of formal nursing education
• Her experience in treating sick or injured soldiers
Crimean war strongly influenced her philosophy of
nursing
4. • Begin the nightingale school of nursing at st.
Thomas hospital, king’s college in London
• Based her ideas on individuals ,societal and
professional values
• Her strongest influence was education,
observation
• She formulated her values through years of
working with charities, hospitals and military
5. Books:
• In 1860 , NIGHTINGALE published notes on
nursing: what it is, what it is not.
• notes on hospital (1963)
• Sick nursing and health nursing(1893)
6. • Considered the “1st nursing theorist”
• Information has been obtained through
interpretations of her writings
• Her theory influenced three other groups of
theories :
Adaptation theory
Need theory
Stress theory
• Was a guide to organize and manipulate the
environment for persons requiring nursing care
• Died : 13 august , 1910 in London
10. Nightingale's environmental Theory
of Nursing
The first published Nursing theory 1860
Core concept is environment
Witnessed in 1850’s ,the vermin, deaths with in an enormous
barracks hospital, would focus on improving the environment
to assist soldiers to merely survive.
This success gave her a strong data base on which to view
nursing in her own unique way.
Persons are in relation with environment
Stresses the health properties of physical environment
Nursing puts patient in the “best condition” for nature to act
upon them
Health is “the positive of which the pathology is negative”
“Nature alone cures”
11. • When aspects of the
environment is out of
balance , the client must
see energy to counter
these environmental
stresses
• Viewed disease as a
reparative process
• The health of the home ,
community and critical
components in an
individual health
12. • Theory basis: The interrelationship of a healthful
environment with nursing
• External influences can suppresses disease
• Theory goal: Nurses help patients retain their own vitality
by meeting their basic needs by control of environment
• Nursing focus: Control of the environment for individuals,
families and communities.
• A patient who had surgery, appendectomy , and relate
what Nightingale processes. medicine is seen as
functioning to remove the diseased part, whereas nursing
places the patient in an environment in which nature can
assist post operative patients to reach their optimum
health conditions.
13. THREE TYPES OF ENVIRONMENT
Physical
Psychological
Social
14. PHYSICAL ENVIRONMENT
• Consist of physical elements where the patient
is being treated
• Basic factors affects all other aspects of the
environment
• Cleanliness of envt relates directly to disease
prevention and patient mortality
• Aspects of physical environment influence
social and psychological environment of
person
15. PSYCHOLOGICAL ENVIRONMENT
• Can be affected by a negative physical
environment which can cause stress
• Requires basic activities to keep mind active
(i.e. manual work , a pleasing envt, view of
sun light)
• Involves communication with patient
• Communication should be therapeutic ,
soothing and unhurried
• Variety and advice.
16. SOCIAL ENVIRONMENT
• Involves collecting data on illness and disease
prevention
• Includes such components of the physical
environment as clean air , water and proper
drainage
• Consists person’s home or hospital room or
total community affects the patient
environment
32. MAJOR COMPONENTS OF HEALTHFUL
ENVIRONMENT
• Webster’s (1991)defines environment as the
surrounding matters that modify a coarse of
development
• Acc. to Miller (1978)the system must interact
and adjust to its environment
• Nightingale viewed the manipulation of the
physical environment as a major component
of nursing care.
33. MAJOR COMPONENTS OF HEALTHFUL
ENVIORNMENT
She identifies:
• Health of Houses
• Ventilation and warming
• Light
• Noise
• Variety
• Bed and bedding
• Cleanliness of Rooms and Walls
• Personal cleanliness
• Nutrition and taking food
• Control of effluvia(noxious odors)
37. NIGHTINGALE’S THEORY AND FOUR
MAJOR CONCEPTS
Metaparadigms:
1.PERSON :
• Referred by Nightingale as the’ patient’
• Person is a human being acted upon by a
nurse or affected by the environment
• Person has reparative powers to deal with
disease
• Recovery is with in the patient’s power
38. 2.NURSING:
• ‘Is to put the patient in the best condition for
nature to act upon him’
• Aims to provide fresh air , light, warmth ,
cleanliness , a proper diet
• Facilitates patients reparative process by
ensuring the best possible environment
• Influence the environment to affect health
• Supports the nursing process
39. 3.ENVIRONMENT:
• Foundational component of Nightingale’s
theory
• External conditions and forces affect the life
and development of individual
• Includes everything from person’s food to a
nurses verbal and non-verbal interactions in
the person
40.
41. 4.HEALTH:
• Is maintained by using a person's healing
power to their fullest extent
• Is maintained by controlling environmental
factors to prevent disease
• Health and disease are the focus of the nurse
,who helps a person through healing process
42. Characteristics of the theory
• Theories must be logical in nature
• Theories should be relatively simple yet
generalized
• Theories can be basis for hypothesis that can
be tested
• Theories helps in increasing the general body
of knowledge through the research
• Theories can be utilized by the practitioners to
guide and improve their practice
43. NIGHTINGALE AND THE NURSING
PROCESS
Assessment:
1.Ventilation and warming :
Room temperature controlled ,uses an extra
blanket when patient feels cold
Cleanliness of rooms and walls :Hospital
environment meets these satisfactorily
Noise: 2-bed room is located near nurse
station – pt states that she has trouble in
sleeping at night due to the noise
44. • Taking food :can feed herself
• Light: large window in the room provides natural
lighting
• Personal cleanliness :Able to bathe with
assistance
• Observation of the sick : check vital signs
• Wounds are healing normally
DIAGNOSIS:
• Disturbed Sleep pattern related to noisy
environment as evidenced by restlessness,
tiredness, and lack of sleep.
45. OUTCOMES:
• Adequate amount sleep to support healing
PLANNING AND IMLEMENTATION :
• Encourage night staff to hold all conversations
quietly
• Lights are dimmed in room and call light with in
reach
• Offer earplug or watch her favorite TV show
• Encourage her to participate as much as possible
to help her become more comfortable in this new
environment
EVALUATION:
46. EXERCISE-1
Application of Nightingale’s theory in nursing
process.
Case of Ms. Sunita:
• Ms. Sunita, age 48 years, had admitted in female
medical ward of IGMC, Shimla, for a diagnosis of
Fever. She had complaints of high body temp.
with headache, chills, rigor, malaise, anorexia,
insomnia etc. She was in hospital for 5 days. Her
laboratory report shows that plenty of WBC’s in
urine RE and waiting for blood and urine report.
Chest X-ray normal.