Virginia Henderson Theory[1]
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VIRGINIA HENDERSON THEORY
Presented by: Lee, B Lee, E Defoe, A Cross, P Thomas, A
1897-1996 Army School of Nursing,
Objective
We will discuss her nursing theory Prioritize client’s needs Integrate her theory with another theorist List of functional health patterns Prioritize NIC Prioritize NOC Conclusion
Case 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.
THEORY
Viewed the patient as an individual requiring help toward achieving independence.
Interpreted nursing function as a synthesis of many influences.
THEORY
She identified 3 levels of nurse-patient relationships:
Substitute for the patient Helper to the patient Partner with the patient
THEORY Nursing care is based on 14 basic human needs
1. 2. 3. 4. 5. 6. 7.
the
environment
Breath normally Eat and drink adequately Eliminate body wastes Move and maintain desirable postures Sleep and rest Select suitable clothes; dress and undress Maintain body temperature within a normal range by adjusting clothing and modifying
8. Keep the body clean and well groomed and protect the integument 9. Avoid dangers in the environment and avoid injuring others 10. Communicate with others in expressing emotions, needs, fears, or opinions 11. Worship according to one's faith 12. Work in such a way that there is a sense of accomplishment 13. Play or participate in various form of recreation 14. Learn, discover, or satisfy the curiosity that leads to normal development and health and use
THEORY
Virginia Henderson supported empathetic understanding and stated that "the nurse must get inside the skin of each of her patients in order to know what he/she needs" (Henderson, 1964, p.63)
Pain
(Chronic joint pain)
Inadequacy (Lack of ability to move and function )
Sadness (Depression)
Integrated Theory HENDERSON
MASLOW'S
Breathe normally Eat and drink adequately Eliminate by all avenues of elimination Move and maintain desirable posture Sleep and rest Select suitable clothing Physiological needs Maintain body temperature Keep body clean and well groomed and protect the integument
Avoid environmental dangers and avoid injuring others
Safety needs
HENDERSON
MASLOW'S
Communicate with others Worship according to faith
Belongingness and love needs
Play or participate in various forms of recreation
Esteem needs
Learn, discover, or satisfy curiosity Work at something providing a sense accomplishment.
Self actualization needs
Self-Perception and Self-Concept
Activity and Exercise
Sleep and Rest
Coping and Stress Management
Pain Management (1400)
Explore patient’s knowledge and beliefs about pain
Explore with patient factors that relieve/worsen pain
Teach principles of pain management
J oint Mobility (0224)
Initiate pain control measures before beginning joint exercise
Determine limitations of joint movement and effect on function
Provide written discharge instructions for exercise
Self-Esteem Enhancement (5400)
Encourage patient to accept new challenges
Monitor levels of self-esteem over time, as appropriate
Determine patient’s confidence in own judgment
Pain Control (1605)
Recognizes pain onset
Uses analgesics as recommended (ex. codeine, naproxen, hydromorphone)
Reports changes in pain symptoms to health professional
Adaptation To Physical Disability (1308)
Adjustment to changes in body function
Adjustment to body changes due to aging
Internal picture of self
Depression Level (1208)
Depressed mood Sadness Loneliness
Depression Self-Control (1409)
Reports improved mood Follows treatment regimen Set realistic goals
Conclusion Virginia Henderson believes in the nature of nursing, her purpose is to assist the client in gaining independence as rapidly as possible by her 14 components of nursing. As we discussed, we covered:
We will discuss her nursing theory Prioritize client’s needs Integrate her theory with another theorist List of functional health patterns Prioritize NIC Prioritize NOC
QUESTIONS
THANK YOU
Presented by: Lee, B Lee, E Defoe, A Cross, P Thomas, A
1897-1996 Army School of Nursing,
Objective
We will discuss her nursing theory Prioritize client’s needs Integrate her theory with another theorist List of functional health patterns Prioritize NIC Prioritize NOC Conclusion
Case 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.
THEORY
Viewed the patient as an individual requiring help toward achieving independence.
Interpreted nursing function as a synthesis of many influences.
THEORY
She identified 3 levels of nurse-patient relationships:
Substitute for the patient Helper to the patient Partner with the patient
THEORY Nursing care is based on 14 basic human needs
1. 2. 3. 4. 5. 6. 7.
the
environment
Breath normally Eat and drink adequately Eliminate body wastes Move and maintain desirable postures Sleep and rest Select suitable clothes; dress and undress Maintain body temperature within a normal range by adjusting clothing and modifying
8. Keep the body clean and well groomed and protect the integument 9. Avoid dangers in the environment and avoid injuring others 10. Communicate with others in expressing emotions, needs, fears, or opinions 11. Worship according to one's faith 12. Work in such a way that there is a sense of accomplishment 13. Play or participate in various form of recreation 14. Learn, discover, or satisfy the curiosity that leads to normal development and health and use
THEORY
Virginia Henderson supported empathetic understanding and stated that "the nurse must get inside the skin of each of her patients in order to know what he/she needs" (Henderson, 1964, p.63)
Pain
(Chronic joint pain)
Inadequacy (Lack of ability to move and function )
Sadness (Depression)
Integrated Theory HENDERSON
MASLOW'S
Breathe normally Eat and drink adequately Eliminate by all avenues of elimination Move and maintain desirable posture Sleep and rest Select suitable clothing Physiological needs Maintain body temperature Keep body clean and well groomed and protect the integument
Avoid environmental dangers and avoid injuring others
Safety needs
HENDERSON
MASLOW'S
Communicate with others Worship according to faith
Belongingness and love needs
Play or participate in various forms of recreation
Esteem needs
Learn, discover, or satisfy curiosity Work at something providing a sense accomplishment.
Self actualization needs
Self-Perception and Self-Concept
Activity and Exercise
Sleep and Rest
Coping and Stress Management
Pain Management (1400)
Explore patient’s knowledge and beliefs about pain
Explore with patient factors that relieve/worsen pain
Teach principles of pain management
J oint Mobility (0224)
Initiate pain control measures before beginning joint exercise
Determine limitations of joint movement and effect on function
Provide written discharge instructions for exercise
Self-Esteem Enhancement (5400)
Encourage patient to accept new challenges
Monitor levels of self-esteem over time, as appropriate
Determine patient’s confidence in own judgment
Pain Control (1605)
Recognizes pain onset
Uses analgesics as recommended (ex. codeine, naproxen, hydromorphone)
Reports changes in pain symptoms to health professional
Adaptation To Physical Disability (1308)
Adjustment to changes in body function
Adjustment to body changes due to aging
Internal picture of self
Depression Level (1208)
Depressed mood Sadness Loneliness
Depression Self-Control (1409)
Reports improved mood Follows treatment regimen Set realistic goals
Conclusion Virginia Henderson believes in the nature of nursing, her purpose is to assist the client in gaining independence as rapidly as possible by her 14 components of nursing. As we discussed, we covered:
We will discuss her nursing theory Prioritize client’s needs Integrate her theory with another theorist List of functional health patterns Prioritize NIC Prioritize NOC
QUESTIONS
THANK YOU
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