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8/14/2019 Dimensions Presentation

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Florence NightingaleFlorence Nightingale

P r e s e n t e dBy :

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 & Da p h n e e

R e g a l a


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Nightingales Nursing TheoryNightingales Nursing Theory Theory basis: the inter-relationship of

a healthful environment with nursingExternal influences and conditions

can prevent, suppress, orcontribute to disease or death Theory goal: Nurses help patients

retain their own vitality by meeting

their basic needs through control ofthe environment

Nursings Focus: control of the

environment for individuals, families& the communit


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How should the nurse prioritizeHow should the nurse prioritizethe client needsthe client needs??

PERSONNightingale focused on the person as " the

recipient of nursing care" (Selanders, 1993).She believed that nurses should concentrate

on the patient and their needsENVIRONMENT The environment was the main emphasis on

Nightingales nursing beliefs. "environment

could be altered in such a way as to improveconditions so that nature could act to cure thepatient." (Selanders, 1993)


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How should the nurse prioritizeHow s ou t e nurse pr or t zethe client needsthe client needs??

HEALTH Nightingale describes health as a "state of

being well and using ones powers to thefullest" (Creasia, Parker, 1996) Nightingale

saw health as an absence of disease, withillness a physical state. By controlling theenvironment and taking care of the body,health was achieved


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NIGHTENGALES CANONS NURSING PROCESS & THOUGHT MODERN CONCEPTS

VENTILATION & WARMTH ASSESS THE CLIENTS BODYTEMPERATURE, ROOM TEPERATURE, ANDROOM FOR FRESH AIR AND FOUL ODORS.

PHYSIOLOGICALENVIRONMENT

LIGHT ASSESS THE ROOM FOR ADEQUATELIGHT. SUNLIGHT WORKS BEST.

CLEANLINESS OF ROOMSAND WALLS

ASSESS THE ROOM FOR DAMPNESS,DARKNESS, AND DUST OR MILDEW.

HEALTH OF HOUSES ASSESS THE SURROUNDING

ENVIRONMENT FOR PURE AIR, PUREWATER, DRAINAGE, CLEALINESS, ANDLIGHT.

OISE ASSESS THE NOISE LEVEL IN THECLIENTS ROOM AND SURROUNDINGAREA.

BED AND BEDDING ASSESS THE BED AND BEDDING FOR DAMPNESS, WRINKLES AND SOILING, ANDCHECK THE BED FOR HEIGHT.

PERSONAL CLEANLINESS ATTEMPT TO KEEP THE CLIENT DRY ANDCLEAN AT ALL TIMES


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VARIETY ATTEMPT TO STIMULATE VARIETY IN THEROOM AND WITH THE CLIENT.

PSYCHOLOGICALENVIRONMENT

CHATTERING HOPESND ADVICES

AVOID TALKING WITHOUT REASON ORGIVING ADVICE THAT IS WITHOUT FACT.

TAKING FOOD ASSESS THE DIET OF THE CLIENT. NUTRITIONALSTATUS

WHAT FOOD CONTINUE WITH THE ASSESSMENT OF THEDIET

PETTY MANAGEMENT PETTY MANAGEMENT ENUSRESCONTINUITY OF CARE.

NURSING CAREPLANNING ANDMANAGEMENT

OBSERVATION OF THESICK

OBSERVE EVERYTHING ABOUT YOURCLIENT AND RECORD ALLOBSERVATIONS.

NIGHTENGALES CANONS NURSING PROCESS & THOUGHT MODERN CONCEPTS


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1) Activity and Exercise

2) Health perception andmanagement

3) Sleep and Rest

4) Cognition and perception

5) Nutrition and metabolism

6) Elimination

7) Self perception andreproduction

8) Roles and relationships

9) Coping and stressmanagement

10) Values and beliefs

4. What functional health patterns should the nurse assessduring the assessment of activity?


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NURSING INTERVENTIONSNURSING INTERVENTIONS

Comprehensive NIC includes the full range ofnursing interventions from general practice andspecialty areas. Interventions include physiological

and psychosocial; illness treatment and prevention;health promotion; those for individuals, families,and communities; and indirect care. Bothindependent and collaborative interventions are

included; they can be used in any practice settingregardless of philosophical orientation.


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5. Prioritize three interventions for thispatient.

As a nurse our first priority should be

Acupressure; Analgesic Administration ;Cutaneous Stimulation; DistractionHeat and Cold Application; Meditation; Music Therapy; Pain Management;Progressive Muscle Relaxation

;Simple Guided Imagery; SimpleMassage; Simple Relaxation Therapy.


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NIC

Heat and Cold Application; Teaching: Individual;Teaching: Prescribed Activity and Exercise;

Teaching: Procedure and Treatment.

NIC

Activity Therapy; Exercise Therapy: AmbulationExercise Therapy; Joint Mobility; FallPrevention; Mutual Goal Setting; Teaching:Prescribed Activity and Exercise.

Comprehensive.


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NURSING OUTCOMESNURSING OUTCOMES

NOC -contains outcomes forindividuals, family caregivers, the

family and the community that canbe used in all setting and clinicalspecialties. Although all possibleoutcomes are not yet developed,

there are outcomes that are usefulfor the entire scope of nursingpractice, and plans are to developothers as they are identified.


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Desired outcome: Within 1-2 hr of intervention patients

subjective perception of paindecreases, as documented by a pain

scale. Objective indicators are absentor diminished. Patient demonstratesability to perform ADL withoutcomplaints of discomfort.

Assess patients baseline knowledge inthe use of a heating device.

6. What will your expected outcomes be? (UseNOC)


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Outcomes continued..Outcomes continued..

Caution patient about the potential for increasingtheir tolerance to heat.

Within 24 hr of instruction, patient verbalizes anddemonstrates proper use of the heating device.

By hospital discharge, patient demonstrates adequate

body strength for use of an assistive device. Patientdemonstrates appropriate use of the assistive deviceon flat and uneven surfaces.


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The Early Years: From Nightingale to the 1960

Most people would agree that nursing researchbegan with Florence Nightingale. Based onher skillful analyses of factors affecting thesoldier mortality and morbidity during theCrimean war, she was successful in effecting

some changes in nursing care and, moregenerally, in public health. Nightingaleresearch interest in environmental factorsthat promote physical and emotional well

-being. Nightingale recorded and analyzedhealth conditions and patient outcomesduring the war. Since that time, attempts toidentify, measure, and use patient outcomesin the evaluation of health care delivery have

been sporadic, often discipline specific and

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