IDA JEAN ORLANDO Flashcards
Born in 1926
Ida Jean Orlando
Nursing diploma: New York Medical College
Ida Jean Orlando
Associate Professor: Yale School of Nursing
Ida Jean Orlando
Wrote “The Dynamic Nurse-Patient Relationship
Ida Jean Orlando
believed that the nurse helps patient meet a perceived need that the patient cannot meet for themselves
The Nursing Process Theory
observed that the nurse provides direct assistance to meet an immediate need for help in order to avoid/alleviate distress.
Ida Jean Orlando
A systematic, rational method of planning and providing individualized nursing care
NURSING PROCESS
to develop a “theory effective nursing practice”
NURSING PROCESS GOAL
Reciprocal relationship, Patient participation, MD Orders, Shared by Nurse and Patient
NURSING PROCESS
indicated that nursing actions can be automatic or deliberate
Ida Jean Orlando
It is important to validate the need and evaluating care based on observable outcomes
NURSING PROCESS
3 ELEMENTS COMPOSING NURSING SITUATION
- Client’s behavior
- Nurse reaction
- Nurse action
sense of helplessness
PATIENT’S BEHAVIOR
exploration of patient’s behavior
NURSE REACTION
deliberative approach
NURSE ACTION
need for help resolved
PATIENT’S REACTION
“How nurses process their observations of patient behavior and also about how they react to patients on the basis of inferences from patient’s behavior, including what they say”
THEORY OF THE DELIBERATIVE NURSING PROCESS
End of Life Issues
Emergency Situations
Long-term Care
SITUATIONS WHERE ORLANDO’S THEORY HAS BEEN USED IN
Must assess the patient needs
End of Life Issues
Including comfort both physically and emotionally
End of Life Issues
Closure for the family and patient, facing fears, and closing resolved issues
End of Life Issues
Solve the immediate problem, meet immediate needs while planning for future needs
Emergency Situations
Listen to both verbal and nonverbal communication
Emergency Situations
Each patient is an individual with individual needs and values
Long-term Care
Don’t assume how a patient will react to different situations
Long-term Care
Level of need will change as disease process progresses
Long-term Care
When patients cannot cope with their needs without help, they become distressed with feelings of helplessness
ASSUMPTIONS
Patients are unique and individual in their response
ASSUMPTIONS
Patients need help in communicating needs
ASSUMPTIONS
Nursing, In its professional character does add to the distress of the patient
ASSUMPTIONS
Human beings are able to be secretive or explicit about their needs, perceptions, thoughts and feelings
ASSUMPTIONS
Patient’s entry into nursing care is through medicine
ASSUMPTIONS
Nurse should establish a helpful relationship with client
ASSUMPTIONS
Any observation should be shared with the client to help meet the needs
ASSUMPTIONS
Nurses are concerned with needs that patients cannot meet on their own
ASSUMPTIONS
person, health, environment, nursing
CONCEPTS
a developmental being with needs
PERSON
Patients who are under medical care and who cannot deal with their needs or who cannot carry out medical treatment alone
PERSON
not definitely directly defined
ENVIRONMENT
sense of adequacy or well being
HEALTH
Fulfilled needs
HEALTH
Sense of comfort
HEALTH
dynamic nurse-patient relationship
NURSING
Responsive to individuals who suffer or anticipate a sense of helplessness
NURSING
the nurse completes a holistic assessment of the patient’s needs.
ASSESSMENT
The diagnosis can then be confirmed using links to defining characteristics, related factors, and risk factors found in the patient’s assessment
DIAGNOSIS
This stage addresses each of the problems identified in the diagnosis. Each problem is given a specific goal or outcome, and each goal or outcome is given nursing interventions to help achieve the goal. By the end of this stage, the nurse will have a nursing care plan
PLANNING
the nurse begins using the nursing care plan
IMLPLEMENTATION
the nurse looks at the progress of the patient toward the goals set in the nursing care plan.
EVALUATION
