Ida Jean Orlando Flashcards
Theory of Ida Jean Orlando
Theory of Deliverative Nursing Process (Nursing Process Discipline Theory)
The major dimensions of Orlando’s Nursing Process Theory are as follows:
- Professional nursing function: organizing principle
- The patient’s presenting behavior: problematic situation
- Immediate reaction: internal response
- Deliberative nursing process: reflective inquiry
- Improvement: resolution
The nurse’’s unique function is finding out and meeting the patient’s immediate needs for help
Professional nursing function: organizing principle
The patient’s sense of helplessness, stress, or need originated from physical limitations, adverse reaction to the setting, and experiences that prevent a patient from communicating his or her needs
Professional nursing function: organizing principle
a requirement of the patient which, is fupplied, relieves or diminishes his immediate distress or improving his immediate sense of adequacy or well-being
Need
It is the nurse’s responsibility to meet the patient’s immediate needs for help either by supplying it directly or by calling in the services of others.
Professional nursing function: organizing principle
The central core of the nurse’s practice is to understand what is happening between the patient and the nurse that provides frameworkfor the help the nurse gives the patient
Professional nursing function: organizing principle
Nursing thought in Professional nursing function: organizing principle
Does the patient have an immediate need for help?
The nurse’s focus of inquiry is always on the patient’s immediate experience
Professional nursing function: organizing principle
If the patient is in need and the need is fulfilled, the nursing function has been fulfilled
Professional nursing function: organizing principle
To find out the immediate need for help, the nurse must first recognize the situation as problematic
The patient’s presenting behavior: problematic situation
The presenting behavior of the patient, regardless of the form in which it appears, may be a plea for help
The patient’s presenting behavior: problematic situation
Both the patient and the nurse participate in the exploratory process to identify the problem as well as the solution
The patient’s presenting behavior: problematic situation
The nurse-patient situation is a dynamic whole; each is affected by the behavior of the other. The interaction is unique for each situation
The patient’s presenting behavior: problematic situation
The patient’s behavior stimulates the nurse’s immediate reaction and becomes the starting point of the investigation
The patient’s presenting behavior: problematic situation
The problematic situation in the form of the patient’s presenting behavior (e.g. requests, comments, complaints, questions, moaning, crying, wheezing, clinching fist, pallor, reddened face, difficulty of breathing, increased blood pressure), triggers an automatic immediate reaction in the nurse that is both cognitive and affective.
Immediate reaction: internal response
The reaction comprises the nurse’s perceptions, thoughts about the perceptions, and the feelings evoked from the thoughts; they cannot be controlled. These items occur in an automatic, almost instantaneous sequence
Immediate reaction: internal response
In any person’s process of action, four distinct items occur sequentially:
- The person perceives with any one of his five sense organs an object or objects
- The perceptions stimulate automatic thought
- Each thought stimulates an automatic feeling
- Then, the person acts
The nurse’s immediate reaction is unique for each situation. What the nurse perceives, thinks, or feels his or her inviduality. The automatic thoughts come from the nurse’s interpretation or meaning attached to the perception. It may be or may not be correct from the natient’s point of view
Immediate reaction: internal response
The deliberative nursing process views the nurse-patient situation as a dynamic whole
Deliberative nursing process: reflective inquiry
The nurse’s behavior affects the patient, and the nurse is affected by the patient’s behavior. Understanding the patient’s behavior is a complex process in which obeservations and thoughts are used in a serial responsive way to get the “facts of the case.”
Deliberative nursing process: reflective inquiry
When a situation becomes clear, it loses its problematic character and a new equilibrium is established
Improvement: Resolution
When the patient’s immediate need for help have been determined and met, there is imrpovement
Improvement: Resolution
A developmental being with needs
Person
- A sense of adequacy or well-being
- Fulfilled needs
- sense of comfort
Health
is a dynamic nurse-patient relationship
Nursing
is responsive to individuals who suffer or anticipate a sense of helplessness
Nursing
Nursing therapeutics are composed of
- direct function
- indirect function
- disciplined and professional activities
- automatic activities
initiates a process of helping the patient express the specific meaning of his behavior in order to ascertain his distress and helps the patient explore the distress in order to ascertain the help he requires so that his distress may be relieved
Direct function
calling for help of others, whatever help the patient may require for his need to be met
Indirect function
automatic activities plus matching of verbal and nonverbal responses, validation of perceptions, matching of thoughts and feelins with action
Disciplined and professional activities
perception by five senses, automatic thoughts, automatic feelins and automatic action
Automatic Activies
explain that the role of nurse is to find out and meet patient’s immediate needs for help
Orlando’s Theory of Deliberative Nursing Process
The Deliberative Nursing Process has five stage:
assessment, diagnosis, planning, implementation, and evaluation
the nurse completes a holistic assessment about health problems. this is done without taking the reason for the enconter into consideration. the nurse uses a nursing framework to collect both subjective and objective data about the patient
assessment stage
uses the nurse’s clinical judgement about health prolems
diagnosis stage
addresses each of the problems identified in the diagnosis. Each problem is gicen a specific goal or outcome, and each goal or outcome is given nursing interventions to help achieve the goal
planning stage
the nurse beings using the nursing care plan
implementation stage
the nurse looks at the progress of the patient toward the goals set in the nusing care plan
evaluation stage
is the investigation into the patient’s needs
nursing process discipline
