Ida Jean Orlando Flashcards
Born on August 12, 1926. She received a diploma in nursing from New York Medical College in 1947.
Ida Jean Orlando
She received a B.S. in public health nursing from St. John’s University in Brooklyn in New York. Later
Ida Jean Orlando
Investigator of “Integration of Mental Health Concepts in Basic Curriculum”
Ida Jean Orlando
She reported her findings in her book entitled The Dynamic Nurse Patient Relationship: Function, Process, and Principles of Professional Nursing Practice,
Ida Jean Orlando
Her theory has substantial merit for its application to practice, research, education, and administration
Ida Jean Orlando
Orlando was the first nurse to develop her theory from actual nurse-patient situations.
The Nursing Process Theory/Dynamic Nurse-Patient Relationship Theory
It reflects her belief that practice should be based on needs of the patient and that communication with the patient is essential to understanding needs and providing effective nursing care.
The Nursing Process Theory/Dynamic Nurse-Patient Relationship Theory
Evidence of relieving the patient’s distress (needs) is determined by positive changes in his behavior, and that nursing actions are geared towards improvement in the patient’s behavior.
The Nursing Process Theory/Dynamic Nurse-Patient Relationship Theory
A well-defined function of the profession should be clearly stated to prevent conflicts. Nursing activity is professional only when it deliberately achieves the purpose of helping the patient.
Professional function of nursing
Any observable verbal or nonverbal behavior of the patient must be considered as an expression of need for help. Verbal behavior encompasses the patient’s use of language. Nonverbal behavior includes physiological manifestations, motor activity, and vocal tone.
Behavior of the patient
A need for help arises when a patient:
Behavior of the patient
In this case, a sense of helplessness occurs and the patient’s behavior reflects this distress. It may stem from physical limitations caused by incomplete development and temporary or permanent disability.
Behavior of the patient
a. experiences a need that he cannot resolve
It can also be caused by adverse reaction to the setting, which comes in as a result of incorrect or inadequate understanding of the experience.
Behavior of the patient
a. experiences a need that he cannot resolve
This may be due to ambivalence, embarrassment related to the need, lack of trust in the nurse, and inability to state the need precisely
Behavior of the patient
b. is unable to communicate his needs effectively
At times, the behavior may not effectively communicate the need. This ineffective behavior prevents the nurse from carrying out her concerns for the patient’s care. Resolution of this ineffective patient behavior deserves high priority.
Behavior of the patient
b. is unable to communicate his needs effectively
This marks the beginning of the nursing process. The nurse should not assume that her reaction to the patient is correct; she must clearly communicate with the patient about her reaction to obtain verification or validity.
Immediate reaction of the nurse
This reaction is comprised of three sequential parts:
a.
b.
c.
Orlando
a. the nurse perceives the behavior
b. the perception leads to automatic thought
c. the thought produces an automatic feeling
This concept, thus, includes the nurse’s perceptions, thoughts, and feelings. Perception, thought, and feeling occur automatically & almost simultaneously. Therefore, the nurse must learn to identify each part of her reaction as this will help her analyze her reaction and response to the situation. Thus, the process becomes “logical & disciplined” rather than intuitive.
Immediate reaction of the nurse
includes identifying the needs of the patient, response of the nurse, and nursing action. The nurse can only proceed in doing her actions when she has correctly validated her thoughts about the patient’s behavior. The nursing action can be carried out in two ways:
Nursing process
Those actions decided upon for reasons other than the patient’s immediate need. It most likely fails to meet the needs of the patient, and is primarily concerned with carrying out physician’s orders, routine patient care, and general principles for health.
Nursing process
a. automatic
those actions that ascertain and meet the needs of the patient.
Nursing Process
b. deliberative
The following are criteria for deliberative actions:
b.1.
b.2.
b.3.
b.1. results from correct identification of patient needs by validation
b.2. the nurse explores the meaning of the action with the patient
b.3. the nurse validates the action’s effectiveness
5.
- Improvement
Humans are the focus of nursing practice
Orlando Person
Persons behave verbally or nonverbally
Orlando Person
People are sometimes able to meet their own needs and that nurses should be concerned only with those who are unable to meet their needs
independently.
Orlando Person
Freedom from mental or physical discomfort and feelings of adequacy and well being contribute to health
Orlando Health
Repeated experiences of having been helped culminate over periods of time in greater degrees of improvement
Orlando Health
A nursing situation occurs when there is a nurse-patient contact and that both the nurse and the patient perceive, think, feel, and act in the immediate situation
Orlando Environment
The function of professional nursing is conceptualized as finding out and meeting the patient’s immediate need for help
Orlando Nursing
Providing direct assistance to individuals in whatever setting for the purpose of avoiding, relieving, diminishing, or curing the person’s sense of helplessness
Orlando Nursing
