Ida Jean Orlando Theory – Flashcards
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"Nursing Process Discipline" ("Middle Range Nursing Theory")
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Theory
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1. Professional nursing Function-Organzigin Principle 2. The patient presenting behavior-problematic situation 3. Immediate Reaction - Internal Response 4. Deliberative Nursing Process-Relfective inquiry 5. Improvement - Resolution
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Major Dimensions (5)
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focused on the process of care in an immediate situation
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Professional Nursing Function-Organizing Principle
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The central core of the nurse's practice is to understand what is happening b/w the patient and the nurse provides framework to give the patient If patient's needs are met, nurses's function has been fulfilled
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Professional Nursing Function-Organizing Principle
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to find out immediate need for help, first recognized by the nurse Presenting behavior: may be a plea for help Patient and Nurse must participate in exploratory process of identifying problems and solutions
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Patient's Presenting Behavior-Problematic Situation
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deliberately nursing process that has elements of continuous reflection as the nurse tries to understand the meaning of patient's behavior they observe and what they need
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Nursing Process Discipline
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1. What do I see? 2. What do I feel? 3. What do I think? 4. How do I act?
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Nursing Unfolding Awareness (4)
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Objective - observation by the nurse that can be measured, that requires nursing judgement/interpretation ex. BP, Temp, Fasting blood sugar
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What do I see?
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Subjective - Statement according to the patient, what he/she feels ex. Pain, Facial expression
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What do I feel?
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Nurse should be kind observer. She/she should use nursing process when given intervention
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What do I think?
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(ADPIE) Assessment Diagnosis Planning Intervention Evaluation
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Nursing Process
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Nurse should be holistic approach in nature Show empathy not sympathy
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How do I act?
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The reaction compromises the nurse's perceptions, thoughts and feelings
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Immediate Reaction - Internal Response
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Automatic immediate reaction in the nurse both cognitive and affective
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Immediate Reaction - Internal Response
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1. Perceived by five senses 2. Perception stimulates by automatic thought 3. Each thought gives an automatic feeling 4. Person's act will follow
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Person's Process of Action
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Nursing process views the nurse-patient situation as a dynamic whole
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Deliberative Nursing Process - Reflective Inquiry
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Behavior is complex process in which observation and thought in a serial responsive way to get the "facts of the case"
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Deliberative Nursing Process - Reflective Inquiry
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Its not the nurses activity that is evaluated but rather in the result Each contact with the patient help them by repetitive process of learning
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Improvement - Resolution
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Responsive to the INDIVIDUAL who suffer or anticipate a sense of helplessness Immediate experience *Goal: increase sense of well being, ability, adequacy in better care of self & improvement in patients behavior
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Metaparadigm: Nursing
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DEVELOPMENT BEINGS with needs Nursing clients under medical care
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Metaparadigm: Person
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Not defined directly but implicit in the immediate context for a patient
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Metaparadigm: Environment
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Sense of adequacy of well being fulled needs sense of comfort
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Metaparadigm: Health
