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By
Oluyemisi A. Okudele
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Faye Glenn Abdellahs
Patient-Centered
Approaches to
NursingFaye Glenn Abdellah, pioneernursing researcher, helped
transformnursing theory, nursing care andnursing education .
In 1960, She was influenced by thedesire to promote
client-centered
comprehensive nursing care,Abdellah described nursing as
aservice to individuals, to families,and, therefore to, to
society.
Former Chief Nurse Officer for theUS Public Health Service
,Department of Health and humanservices, Washington, D.C.
Dr Abdellah worked as DeputySurgeon General .
Grand theory based on HumanNeeds.
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Patient-Centered Approaches to
Nursing Patient-centered approach to nursing was developed by
Faye G.
Abdellah. Developed inductively from her practice and
isconsidered a human needs theory.
This theory was created to assist with nursing education, and
ismost applicable to the education of nurses.
The intension was to guide care of patients in the hospital, it
alsohas relevance for nursing care in community settings.
According to Faye, nursing is based on an art and science
thatmould the attitudes, intellectual competencies, and
technicalskills of the individual nurse into the desire and ability
to helppeople , sick or well, cope with their health needs
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Patient-Centered Approaches to
Nursing Abdellah and her colleagues developed a list of 21
nursing
problems.
The 21 problems are actually a model describing the"arenas" or
concerns of nursing, rather than a theorydescribing relationships
among phenomena.
In this way, the theory distinguished the practice of
nursing, with a focus on the 21 nursing problems, from
thepractice of medicine, with a focus on disease and cure.
The theory also help to identify nursing responsibilities.
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Nursing
ResponsibilitiesEffective communication betweenpatient and
caregiver. Information isaccurate, timely and appropriate.
Do everything possible to alleviatepatients pain and make them
feelcomfortable.
We provide emotional support andalleviate fears and anxiety.
We involve family and friends inevery phase of our patients
care.
We ensure a smooth transition andcontinuity from one focus of
care toanother.
We guarantee every member of ourcommunity has access to our
care.
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Patient-Centered Approaches to
Nursing They also identified 10 steps to identify the
clients
problems: Which will help the nurses to learn to know
thepatient, Identify a therapeutic plan, discuss and develop a
comprehensive nursing care plan.
11 nursing skills to be used in developing a treatmenttypology:
Which includes the observation of health
status, skills of communication, application of
knowledge,teaching of patients and families, use of resource
materials,use of personnel resources, problem-solving
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Patient-Centered Approaches to
NursingApplication to nursing
Abdellahs theory states that nursing is the use of theproblem
solving approach with key nursing problems
related to health needs of people.
Health is a dynamic pattern of functioning whereby there isa
continued interaction with internal and external forcesthat results
in the optimum use of necessary resources that
serve to minimize vulnerabilities.
Such a statement maintains problem solving as the vehiclefor the
nursing problems as the client is moved towardhealth the
outcome.
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Patient-Centered Approaches to
Nursing Patient-Centered Approaches to Nursing will be a
good
approach to use in my practice, since I worked withpsychiatric
patients (The Criminal Section).
This will be a chance for the nurses to focus on the care of
thepatient, not their crime, because when a patient is
beenadmitted, it has been the perspective of the nurses to
judgethem, based on the crime committed.
Patient Centered Approach should be used; This approach toour
patients will focus on balancing, caring, and also curingwhen we
provide care for our patients.
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References Lehigh Valley Health Network: A passion for better
Medicine ;The Patient-Centered Approach to Care. (2009).Retrieved
September 21st 2009, from http://www.lvhn.org/nurses%7C631 .
Current Nursing: A portals for Nursing Professionals; Nursing
Theories: A companion to nursing theories andmodels(2009).
Retrieved September 21st 2009,
fromhttp://currentnursing.com/nursing_theory/Abdellah.htm
HighBeam Research: Palliative Care, Oncology Nursing Forum; A
Patient-Centered Approach(2008). Retrieved September 21st 2009,
from http://www.highbeam.com/doc/1G1-181236355.html
NCBI: A service of the U.S National Library of Medicine and the
National Institutes of Health; (1999). Diabetes carefrom diagnosis,
effects of training in patient-centered care on beliefs, attitudes
and behavior of primary
care professionals. Retrieved September 21st 2009,
fromhttp://www.ncbi.nlm.nih.gov/pubmed/10640121?ordinalpos=9&itool=EntrezSystem2.PEn.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum
McEwen, M. & Wills, E.M. (2006). Theoretical Basis for
Nursing: Patient-Centered Approaches to Nursing (2nd
Ed).Philadelphia: Lippincott Williams &Wilkins.
http://www.lvhn.org/nurses%7C631http://www.lvhn.org/nurses%7C631http://currentnursing.com/nursing_theory/Abdellah.htmhttp://www.highbeam.com/doc/1G1-181236355.htmlhttp://www.ncbi.nlm.nih.gov/pubmed/10640121?ordinalpos=9&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSumhttp://www.ncbi.nlm.nih.gov/pubmed/10640121?ordinalpos=9&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSumhttp://www.ncbi.nlm.nih.gov/pubmed/10640121?ordinalpos=9&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSumhttp://www.ncbi.nlm.nih.gov/pubmed/10640121?ordinalpos=9&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSumhttp://www.ncbi.nlm.nih.gov/pubmed/10640121?ordinalpos=9&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSumhttp://www.ncbi.nlm.nih.gov/pubmed/10640121?ordinalpos=9&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSumhttp://www.highbeam.com/doc/1G1-181236355.htmlhttp://www.highbeam.com/doc/1G1-181236355.htmlhttp://www.highbeam.com/doc/1G1-181236355.htmlhttp://currentnursing.com/nursing_theory/Abdellah.htmhttp://www.lvhn.org/nurses%7C631
