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Florence Nightingale
P re s e n t e d By : Eile e n P ic a rt , S a n d ra Fe rrie re , An a fe ly Me le n d e z & D a p h n e e Re g a la
Nightingale’s Nursing Theory
Theory basis: the inter-relationship of a healthful environment with nursing External influences and conditions can prevent, suppress, or contribute to disease or death Theory goal: Nurses help patients retain their own vitality by meeting their basic needs through control of the environment Nursing’s Focus: control of the environment for individuals, families & the community
How should the nurse prioritize the client needs? PERSON Nightingale focused on the person as " the recipient of nursing care" (Selanders, 1993). She believed that nurses should concentrate on the patient and their needs ENVIRONMENT The environment was the main emphasis on Nightingales nursing beliefs. "environment could be altered in such a way as to improve conditions so that nature could act to cure the patient." (Selanders, 1993)
How should the nurse prioritize the client needs? HEALTH
Nightingale describes health as a "state of being well and using ones powers to the fullest" (Creasia, Parker, 1996) Nightingale saw health as an absence of disease, with illness a physical state. By controlling the environment and taking care of the body, health was achieved
NIGHTENGALES CANONS
NURSING PROCESS & THOUGHT
MODERN CONCEPTS
VENTILATION & WARMTH
ASSESS THE CLIENTS BODY PHYSIOLOGICAL TEMPERATURE, ROOM TEPERATURE, AND ENVIRONMENT ROOM FOR FRESH AIR AND FOUL ODORS.
LIGHT
ASSESS THE ROOM FOR ADEQUATE LIGHT. SUNLIGHT WORKS BEST.
CLEANLINESS OF ROOMS AND WALLS
ASSESS THE ROOM FOR DAMPNESS, DARKNESS, AND DUST OR MILDEW.
HEALTH OF HOUSES
ASSESS THE SURROUNDING ENVIRONMENT FOR PURE AIR, PURE WATER, DRAINAGE, CLEALINESS, AND LIGHT.
NOISE
ASSESS THE NOISE LEVEL IN THE CLIENTS ROOM AND SURROUNDING AREA.
BED AND BEDDING
ASSESS THE BED AND BEDDING FOR DAMPNESS, WRINKLES AND SOILING, AND CHECK THE BED FOR HEIGHT.
PERSONAL CLEANLINESS
ATTEMPT TO KEEP THE CLIENT DRY AND CLEAN AT ALL TIMES
NIGHTENGALES CANONS
NURSING PROCESS & THOUGHT
MODERN CONCEPTS
VARIETY
ATTEMPT TO STIMULATE VARIETY IN THE PSYCHOLOGICAL ROOM AND WITH THE CLIENT. ENVIRONMENT
CHATTERING HOPES AND ADVICES
AVOID TALKING WITHOUT REASON OR GIVING ADVICE THAT IS WITHOUT FACT.
TAKING FOOD
ASSESS THE DIET OF THE CLIENT.
WHAT FOOD
CONTINUE WITH THE ASSESSMENT OF THE DIET
PETTY MANAGEMENT
PETTY MANAGEMENT ENUSRES CONTINUITY OF CARE.
OBSERVATION OF THE SICK
OBSERVE EVERYTHING ABOUT YOUR CLIENT AND RECORD ALL OBSERVATIONS.
NUTRITIONAL STATUS
NURSING CARE PLANNING AND MANAGEMENT
4.
What functional health patterns should the nurse assess during the assessment of activity?
1) Activity and Exercise 2) Health perception and management 3) Sleep and Rest 4) Cognition and perception 5) Nutrition and metabolism 6) Elimination 7) Self perception and reproduction 8) Roles and relationships 9) Coping and stress management 10) Values and beliefs
NURSING INTERVENTIONS
Comprehensive– NIC includes thefull rangeof nursing interventions from general practiceand specialty areas. Interventions includephysiological and psychosocial; illness treatment and prevention; health promotion; thosefor individuals, families, and communities; and indirect care. Both independent and collaborativeinterventions are included; they can beused in any practicesetting regardless of philosophical orientation.
5. Prioritize three interventions for this patient.
As a nurse our first priority should be Acupressure; Analgesic Administration ; Cutaneous Stimulation; Distraction Heat and Cold Application; Meditation ; Music Therapy; Pain Management; Progressive Muscle Relaxation ;Simple Guided Imagery; Simple Massage; Simple Relaxation Therapy.
NIC Heat and Cold Application; Teaching: Individual; Teaching: Prescribed Activity and Exercise; Teaching: Procedure and Treatment.
NIC Activity Therapy; Exercise Therapy: Ambulation Exercise Therapy; Joint Mobility; Fall Prevention; Mutual Goal Setting; Teaching: Prescribed Activity and Exercise. Comprehensive.
NURSING OUTCOMES NOC -contains outcomes for individuals, family caregivers, the family and the community that can be used in all setting and clinical specialties. Although all possible outcomes are not yet developed, there are outcomes that are useful for the entire scope of nursing practice, and plans are to develop others as they are identified.
6. What will your expected outcomes be? (Use NOC) Desired outcome: Within 1-2 hr of intervention patient’s subjective perception of pain decreases, as documented by a pain scale. Objective indicators are absent or diminished. Patient demonstrates ability to perform ADL without complaints of discomfort.
Assess patient’s baseline knowledge in the use of a heating device.
Outcomes continued..
Caution patient about thepotential for increasing their toleranceto heat.
Within 24 hr of instruction, patient verbalizes and demonstrates proper useof theheating device.
By hospital discharge, patient demonstrates adequate body strength for useof an assistivedevice. Patient demonstrates appropriateuseof theassistivedevice on flat and uneven surfaces.
The Early Years: From Nightingale to the 1960
Most people would agree that nursing research began with Florence Nightingale. Based on her skillful analyses of factors affecting the soldier mortality and morbidity during the Crimean war, she was successful in effecting some changes in nursing care and, more generally, in public health. Nightingale research interest in environmental factors that promote physical and emotional well -being. Nightingale recorded and analyzed health conditions and patient outcomes during the war. Since that time, attempts to identify, measure, and use patient outcomes in the evaluation of health care delivery have been sporadic, often discipline specific and
P re s e n t e d By : Eile e n P ic a rt , S a n d ra Fe rrie re , An a fe ly Me le n d e z & D a p h n e e Re g a la
Nightingale’s Nursing Theory
Theory basis: the inter-relationship of a healthful environment with nursing External influences and conditions can prevent, suppress, or contribute to disease or death Theory goal: Nurses help patients retain their own vitality by meeting their basic needs through control of the environment Nursing’s Focus: control of the environment for individuals, families & the community
How should the nurse prioritize the client needs? PERSON Nightingale focused on the person as " the recipient of nursing care" (Selanders, 1993). She believed that nurses should concentrate on the patient and their needs ENVIRONMENT The environment was the main emphasis on Nightingales nursing beliefs. "environment could be altered in such a way as to improve conditions so that nature could act to cure the patient." (Selanders, 1993)
How should the nurse prioritize the client needs? HEALTH
Nightingale describes health as a "state of being well and using ones powers to the fullest" (Creasia, Parker, 1996) Nightingale saw health as an absence of disease, with illness a physical state. By controlling the environment and taking care of the body, health was achieved
NIGHTENGALES CANONS
NURSING PROCESS & THOUGHT
MODERN CONCEPTS
VENTILATION & WARMTH
ASSESS THE CLIENTS BODY PHYSIOLOGICAL TEMPERATURE, ROOM TEPERATURE, AND ENVIRONMENT ROOM FOR FRESH AIR AND FOUL ODORS.
LIGHT
ASSESS THE ROOM FOR ADEQUATE LIGHT. SUNLIGHT WORKS BEST.
CLEANLINESS OF ROOMS AND WALLS
ASSESS THE ROOM FOR DAMPNESS, DARKNESS, AND DUST OR MILDEW.
HEALTH OF HOUSES
ASSESS THE SURROUNDING ENVIRONMENT FOR PURE AIR, PURE WATER, DRAINAGE, CLEALINESS, AND LIGHT.
NOISE
ASSESS THE NOISE LEVEL IN THE CLIENTS ROOM AND SURROUNDING AREA.
BED AND BEDDING
ASSESS THE BED AND BEDDING FOR DAMPNESS, WRINKLES AND SOILING, AND CHECK THE BED FOR HEIGHT.
PERSONAL CLEANLINESS
ATTEMPT TO KEEP THE CLIENT DRY AND CLEAN AT ALL TIMES
NIGHTENGALES CANONS
NURSING PROCESS & THOUGHT
MODERN CONCEPTS
VARIETY
ATTEMPT TO STIMULATE VARIETY IN THE PSYCHOLOGICAL ROOM AND WITH THE CLIENT. ENVIRONMENT
CHATTERING HOPES AND ADVICES
AVOID TALKING WITHOUT REASON OR GIVING ADVICE THAT IS WITHOUT FACT.
TAKING FOOD
ASSESS THE DIET OF THE CLIENT.
WHAT FOOD
CONTINUE WITH THE ASSESSMENT OF THE DIET
PETTY MANAGEMENT
PETTY MANAGEMENT ENUSRES CONTINUITY OF CARE.
OBSERVATION OF THE SICK
OBSERVE EVERYTHING ABOUT YOUR CLIENT AND RECORD ALL OBSERVATIONS.
NUTRITIONAL STATUS
NURSING CARE PLANNING AND MANAGEMENT
4.
What functional health patterns should the nurse assess during the assessment of activity?
1) Activity and Exercise 2) Health perception and management 3) Sleep and Rest 4) Cognition and perception 5) Nutrition and metabolism 6) Elimination 7) Self perception and reproduction 8) Roles and relationships 9) Coping and stress management 10) Values and beliefs
NURSING INTERVENTIONS
Comprehensive– NIC includes thefull rangeof nursing interventions from general practiceand specialty areas. Interventions includephysiological and psychosocial; illness treatment and prevention; health promotion; thosefor individuals, families, and communities; and indirect care. Both independent and collaborativeinterventions are included; they can beused in any practicesetting regardless of philosophical orientation.
5. Prioritize three interventions for this patient.
As a nurse our first priority should be Acupressure; Analgesic Administration ; Cutaneous Stimulation; Distraction Heat and Cold Application; Meditation ; Music Therapy; Pain Management; Progressive Muscle Relaxation ;Simple Guided Imagery; Simple Massage; Simple Relaxation Therapy.
NIC Heat and Cold Application; Teaching: Individual; Teaching: Prescribed Activity and Exercise; Teaching: Procedure and Treatment.
NIC Activity Therapy; Exercise Therapy: Ambulation Exercise Therapy; Joint Mobility; Fall Prevention; Mutual Goal Setting; Teaching: Prescribed Activity and Exercise. Comprehensive.
NURSING OUTCOMES NOC -contains outcomes for individuals, family caregivers, the family and the community that can be used in all setting and clinical specialties. Although all possible outcomes are not yet developed, there are outcomes that are useful for the entire scope of nursing practice, and plans are to develop others as they are identified.
6. What will your expected outcomes be? (Use NOC) Desired outcome: Within 1-2 hr of intervention patient’s subjective perception of pain decreases, as documented by a pain scale. Objective indicators are absent or diminished. Patient demonstrates ability to perform ADL without complaints of discomfort.
Assess patient’s baseline knowledge in the use of a heating device.
Outcomes continued..
Caution patient about thepotential for increasing their toleranceto heat.
Within 24 hr of instruction, patient verbalizes and demonstrates proper useof theheating device.
By hospital discharge, patient demonstrates adequate body strength for useof an assistivedevice. Patient demonstrates appropriateuseof theassistivedevice on flat and uneven surfaces.
The Early Years: From Nightingale to the 1960
Most people would agree that nursing research began with Florence Nightingale. Based on her skillful analyses of factors affecting the soldier mortality and morbidity during the Crimean war, she was successful in effecting some changes in nursing care and, more generally, in public health. Nightingale research interest in environmental factors that promote physical and emotional well -being. Nightingale recorded and analyzed health conditions and patient outcomes during the war. Since that time, attempts to identify, measure, and use patient outcomes in the evaluation of health care delivery have been sporadic, often discipline specific and
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