Martha Rogers

Martha Rogers SCIENCE OF UNITARY HUMAN BEINGS Presented by: Elvin Seda, Martha Diestra, Rafael L. Diaz & Xiomarie Benito

Introduction • Born :May 12, 1914, Dallas, Texas • Diploma :Knoxville General Hospital School of Nursing(1936) • Graduation in Public Health Nursing, George Peabody College, TN, 1937 • MA :Teachers college, Columbia university, New York, 1945

• MPH :Johns Hopkins University, Baltimore, MD, 1952 • Doctorate in nursing :Johns Hopkins University, Baltimore, 1954 • Fellowship: American academy of nursing • Died : March 13 , 1994

Rogers Nursing Theory • Nursing is both a science and art. The uniqueness of nursing, like that of any other science, lies in the phenomenon central to its focus. • Nurses long established concern with the people and the world they live is in a natural forerunner of an organized abstract system encompassing people and the environments.

• The irreducible nature of individuals is different from the sum of the parts. • The integral ness of people and the environment that coordinate with a multidimensional universe of open systems points to a new paradigm: the identity of nursing as a science. • The purpose of nurses is to promote health and well-being for all persons wherever they are.

Scenario A home care nurse visits an elderly client who lives alone and is restricted to bed because of pain in his joints due to osteoarthritis. During conversation, the nurse finds that the client feels sad and inadequate due to his disability.

How should the nurse prioritize the client’s needs? Comfort - pain Social isolation - feeling lonely Anxiety - feeling sad

Would the integration (application) of another theory be necessary (eg. Maslow, System’s)? I believe the application of another theorist is not necessary. Martha Rogers’ theory is sufficient. It looks at the man as a whole or only one.

What functional patterns should the nurse assess during the assessment of activity levels in the client? • Cognitive-Perceptual (Pain) • Self-Perception (Anxiety, Disturbed body image, Chronic sorrow, Hopelessness, Powerlessness)

• Activity-Exercise (Impaired home maintenance, Impaired walking, Self care deficit) • Health Perception-Health Management (Risk for falls)

Prioritize three interventions (Using NIC) for this patient. Pain Management (1400) • Assure patient attentive analgesic care • Explore patient’s knowledge and beliefs about pain • Provide the person optimal pain relief with prescribed analgesics

Resiliency Promotion (8340) • Facilitate family communication • Encourage family support Emotional Support (5270) • Discuss with the patient the emotional experiences

• Explore with patient what has triggered emotions • Encourage the patient to express feelings, such as anxiety, anger, or sadness

What will your expected outcomes be? (Use NOC) Pain: Adverse Psychological Response (1306) • Sadness 5 to 1 • Sense of isolation 5 to 1 • Hopelessness 5 to 1

Family Resiliency (2608) • Seek emotional support from extended friends or family 1 to 5 • Uses community groups for emotional support 1 to 5 • Accepts assistance with direct care from family or friends 1 to 5

Loneliness Severity (1203) • Sense of hopelessness 1 to 4 • Spiritual discomfort 2 to 5 • Sense of social isolation 1 to 4