44 terms

Models of Nursing Care Related to Rehab

Mission Statement: ARN's mission is to promote and advance professional rehabilitation nursing practice through education, advocacy, collaboration, and research to enhance the quality of life for those affected by disability and chronic illness.
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Lydia Hall
Three interlocking circles: person, body, disease The core (person), The care (body), The cure (disease)
Lydia Halls aspects of Nursing Model
Views the person as a unity of three interrelated parts and health as a behavior in which maximum potential is achieved through LEARNING.
Lydia Hall
Who's view of health asserts that people behave according to feelings rather than knowledge?Believes that people achieve max potential thru learning; people behave according to feelings; inattention to the person (core) while teaching will not change behaviors.
Lydia Hall
Who defined rehabilitation as the process of learning to live within limitations?
Lydia Hall
Who asserted that setting goals for clients that do not reflect the client's own goals is countertherapeutic?
Lydia Hall
Who assets that nurses should focus teaching and learning on the client?
Keystone to Imogene King's theory
Mutuality achieved through perceptional congruence, role congruence, and communication
Imogene King
Views the person as an open system
Imogene King
Goal attainment: Process
Action
Reaction
Perceptual Congruency
Interaction
Transaction
Goal Attainment
Evaluation (present @ all levels)
Imogene King
sees nursing as an interactive endeavor in which nurse and client share information in the nursing situation
Imogene King
states that the goal of nursing is to help individuals maintain their health so they can function in their roles
Imogene King
believes that goal setting is not a one time event but rather an ongoing process, dynamic life cycle
Dorothea Orem
Self Care Agency, Self Care Demands make up the Self Care Theory
Dorothea Orem
Views health as a state of wholeness or integrity
Dorothea Orem
Theorist who states that when self care demands exceed self care agency, nursing may intervene.
1) Wholly compensatory - pt has no role in self care
2) Partially compensatory - nurse helps pt
3) Supportive / educative - pt requires guidance & support
Dorothea Orem
Defines people outside the healthcare system upon whom the client may depend to meet self care demands as "dependent care agents"
Dorothea Orem
Theorist that states that nurses form a supportive-educational system during rehabilation
Martha Rogers
Science of Unitary Human Beings theory that focuses on people and their worlds in a pandimensional universe.
Martha Rogers
views human beings as wholes not parts
Martha Rogers
States that humans and environment are energy fields that are intertwined and irreducible
Martha Rogers
Defines integrality as the concept that humans and the environment are intertwined and irreducible
Martha Rogers
views nursing as "knowing rather than doing"
Martha Rogers
considers nursing to be an abstract body of knowledge
Martha Rogers
describes nursing as a learned profession with the goal of promoting health and well being
Margaret Newman
Theorist whose theory focuses on community and family centered rehabiliation nursing
Margaret Newman
views the meaning of life and health in terms of an evolving process of expanding consciousness
Margaret Newman
States that the pattern of the whole contains the individual as an open system, the family as an open system and the community as an open system...all systems are interacting with one another
Margaret Newman
believes that changes in the health status of an individual or family result in changes in the pattern as related to the whole community
Neal theory of Home Health Nursing
Theory that states "In the practice of community centered care, nurses proceed through a three stage process toward autonomy in the role
Stage One of Neals Home Health Theory
Dependence on others for help with clinical and logistical aspects of community centered care
Stage Two of Neals Home Health Theory
Nurses in this stage are moderately independant but still need help with office procedures, reimbursement issues and factors that restrict their autonomy
Stage Three of Neal's Home Health Theory
AFter approximately two years, the nurse moves into this stage and feels autonomous with regard to logistical and clinical aspects of community centered nursing
Neal
Theorist who believes the ability to adapt is necessary to move through stages
Bandura's Learning Theory of Self Efficacy
people learn from one another, via observation, imitation, and modeling.
Dorothea Orem's view of the person
a biological, symbolic and social unit
Collaborative model
Model for provision of services that is assumed in all rehab models
Betty Neuman
developed a health care systems model in which the person is viewed as an open system in interaction with the environment
Jacqueline Fawcett
Identified four central concepts that provide the foundation for nursing theories: person, environment, health and nursing
Marjory Gordon
Developed a data collection system comprised of 11 functional health patterns necessary for assessment of a patients life experiences:
1)Health Perception and Health Management.
2)Nutrition and Metabolism
3) Elimination.
4) Activity and Exercise.
5) Cognition and Perception..
6) Sleep and Rest.
7) Self-Perception and Self-Concept.
8) Roles and Relationships..
9) Sexuality and Reproduction.
10)Coping and Stress Tolerance..
11) Values and Belief.
Sister Calista Roy
drew her theory from the adaptation theory
Physics
What Martha Rogers theory is based on
Defines health as a value laden term imposed by society
Martha Rogers "definition" of health
Dynamic life experiences and adjustment to stress
Imogene King's definition of health
Levine's Conservation Theory
Teaches patient ways to limit energy expenditure during activities of daily living and assisting them in planning rest breaks