FAYE GLENN ABDELLAH Flashcards
pioneer in nursing research who developed the “Twenty-One Nursing Problems” that has interrelated the concepts of health, nursing problems, and problem-solving
Faye Glenn Abdellah
she views nursing as an ____ and _____ science that mold the ________, __________, and __________ of the individual nurse into the desire and ability to help individuals cope with their health needs, whether they are I’ll or well
art, science, attitude, intellectual competencies, technical skills,
the ___________ approach to nursing was developed from abdellah’s and the theory is considered a ___________theory.
patient-centered, human needs
The assumptions of Abdellah’s “21 Nursing Problems Theory” relate to change and
anticipated changes that affect nursing; the need to appreciate the interconnectedness of
_____________ and _____________; the impact of problems such as ________, ________,
________, ________, and so forth on health and health care delivery; changing nursing
education; continuing education for professional nurses; and development of nursing leaders
from underserved groups.
social enterprises, social problems, poverty, racism, pollution, education
major concepts of 21 nursing problems theory
- individual
- health
- society
- nursing problems
- problem solving
describes the recipients of nursing as _________ (and families), although she does not delineate her beliefs or assumptions about the nature of human beings.
individual
The achievement of it, is the purpose of nursing services.
health
Health may be defined as the dynamic pattern of functioning whereby there is a continued interaction with _________ and _________ forces that results in the optimal use of necessary resources to minimize vulnerabilities.
internal, external
is included in “planning for optimum health on local, state, and international levels.
society
as Abdellah further delineates her ideas, the focus of
nursing service is clearly the _________
individual
the client’s health needs can be viewed as problems, which may be overt as an apparent condition, or covert as a hidden or concealed one.
nursing problems
covert problems can be _________, _________, and ________ in nature, they are often missed or perceived incorrectly. Yet, in many instances, solving the ______ problems may solve the _______ problems as well.
emotional, sociological, interpersonal, covert, overt
quality professional nursing care requires that nurses be able to identify and solve overt and covert nursing problems.
problem solving
quality professional nursing care requires that nurses be able to identify and solve overt and covert nursing problems. These requirements can be met by the problem-solving process involves _______________, ____________, ____________, ___________ through the collection of data, and _________ when necessary on the basis of conclusions obtained from the data
identifying the problem, selecting pertinent data, formulating hypothesis, testing hypothesis, revising hypothesis
the four categories of the needs of the patients
- basic needs
- sustenal care needs
- remedial care needs
- restorative care needs
to maintain good hygiene and physical comfort; promote optimal health through healthy activities, such as exercise, rest and sleep;promote safety through the prevention of health hazards like accidents,
injury or other trauma and through the prevention of the spread of infection; and maintain good body mechanics and prevent or correct deformity.
basic needs
facilitate the maintenance of a supply of oxygen to al body cells; facilitate the maintenance of nutrition of all body cells; facilitate the maintenance of elimination; facilitate the maintenance of fluid and electrolyte balance; recognize the physiological responses of the body to disease conditions; facilitate the maintenance of regulatory mechanisms and functions; and facilitate the maintenance of sensory function.
sustenal care needs
to identify and accept positive and negative
expressions, feelings, and reactions; identify and accept the interrelatedness of emotions and organic illness; facilitate the maintenance of effective verbal and non-verbal communication; promote the development of
productive interpersonal relationships; facilitate progress toward achievement of personal spiritual goals; create and maintain a therapeutic environment; and facilitate awareness of the self as an individual with varying physical, emotional, and developmental needs.
remedial care needs
the acceptance of the optimum possible goals in
light of limitations, both physical and emotional; the use of community resources as an aid to resolving problems that arise from illness; and the understanding of the role of social problems as influential factors in the case
restorative care needs
Ten steps to identify the patient’s problem:
- 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 or her behavior. - Explore the patient and his or her family’s reactions to the therapeutic plan and involve them in the plan.
- Identify how the nurses feel about the patient’s nursing problems.
- Discuss and develop a comprehensive nursing care plan.
In the _________phase, the nursing problems implement a standard procedure for data collection. A principle underlying the problem-solving approach is that for each identified problem, pertinent data is collected.The overt or covert nature of problems necessitates a direct or indirect approach, respectively. The outcome of the collection of data in this phase concludes the possible problems of the patient, which can be grouped under one or more of the broader nursing problems.
assessment
After formulating the diagnosis, __________is developed and ___________ are determined
nursing care plan, nursing interventions
nursing interventions are determined.
planning
The nurse now set those interventions in action
which complete this phase of the nursing process.
implementation phase
