Vous êtes sur la page 1sur 3

NURSING THEORIES

Florence Nightingales Environmental Theory Florence Nightingales environmental theory is all about the art of utilizing the patients environment for his or her recovery. Nightingale defined the environment as the external conditions and influences affecting the life and development of an organism and capable of preventing, suppressing, or contributing to disease, accidents, or deaths and said that environmental sanitation is the key. Environmental sanitation includes proper ventilation, adequate lighting, cleanliness, adequate warmth, quiet and diet by providing simple effective things for the client like a quiet setup will provide the client with a faster recovery period. The theory also states that by providing a healthy environment with clean air, pure water, and efficient drainage to the patient helps keep the patient free from microorganism development and prevent further infection that may lead to a different problem. Patient D is a hydrocephalus patient which needs low lighted, quiet and stress-free room. Well ventilated room is also a must for our patient. Thus environmental sanitation would really be necessary as to provide her with the appropriate environmental conditions for recovery and rehabilitation. As nurses, we need to provide these needs of the patient to attain our desired goals but since our patient was admitted to SPMC Surgery East Ward these interventions were simply impossible to achieve. There is no proper ventilation or a quiet place where the patient could relax.

Dorothea E. Orem (Self-Care Deficit Theory) Orem explicated self-care as human need and nursing as a human service. She also emphasizes on nursing is a helping profession of assisting patients overcome or compensate for their health-associated limitations and engaging in actions to regulate their own functioning and development of that of their dependence. This theory is also a constellation of three interrelated theories: (1) Theory of Self-Care, (2) Theory of Self-Care Deficit and (3) Theory of Nursing Systems. She also says that there are three systems that exist within nursing systems: (1) Wholly Compensatory system (nurse provides total care), (2) Partially Compensatory system (nurse and patient shares responsibility for care) and (3) Educative-Development system (client has primary responsibility for personal health, with nurse acting as a consultant). We, as student nurses should have unceasing and practical actions to our patient to know and meet their therapeutic self-care demands to help them know their certain limitations which could help them develop independence towards needs necessary for their living. Subsequently, our patient fits to the Partially Compensated System wherein the student nurse and the patient help each other hand in hand to achieve optimal wellness of the patient. Not only that they work together, but also health teachings must be provided since she still needs assistance in everything she does, most especially in her hygiene. Since our patient cannot perform her daily hygiene because she needs assistance due to her condition, the only way to help her is to provide health teachings to her mother as well as the significant others about proper hygiene which

includes cleaning her body, changing her clothes, taking a bath daily, brushing her teeth and simple skin care to prevent irritations Imogene King (Goal Attainment Theory) Goal attainment theory focuses on interpersonal system and the interactions between individuals, especially the nurse-patient relationship. Mutual goal-setting between a nurse and patient is based on the nurses assessment on problems, concerns and disturbances in health. Patients perceptions of the interference and nurse and patient are sharing of information wherein each functions to achieve the goals identified. In the nursing process, both the nurse and the patient make judgments and take actions. Interactions occur between nurse and patients perceptions and so disturbances are therefore controlled. This system permits feedback to open because each phase of the activities potentially influences perception. As student nurses, our main goal is to gain and maintain the optimal health in mind, body and of the soul. As we had our interview with her parents, from there we already gained trust. Not only that we gained trust from the parents, but also from our patient because she was very responsive and cooperative in every nursing interventions given. We were able to talk to her and through that, the implementation of the interventions were easy enough for us to perform.

Vous aimerez peut-être aussi