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Ida Jean Orlando-Pelletier
Transcript of Ida Jean Orlando-Pelletier
Flower Fifth Avenue Hospital School of Nursing 1951: Received her B.S. in public health nursing from St. John's University 1954: Received her Masters in mental health consultation from Columbia University Teacher's College 1951: Received her B.S. in public health nursing from St. John's University Biography By: Brittany Kungle
Maggie Petros She taught at Yale School of
Nursing for 8 years. "Intergration of Mental Health
Concepts in a Basic Curriculum" Publications The Dynamic Nurse - Patient Relationship: Function Process and Principles of Professional Nursing Practice The Discipline and Teaching of the Nursing Process: An Evaluative Study Nursing Process Theory BREAKDOWN: Patient Behavior Nurse Reaction Nurse Action Patient Behavior All patient behavior must be considered when providing adequate care to fulfill the patients needs Behavior may be verbal or nonverbal If the behavior is hard to interpret, problems can arise in the communication process making it difficult for the nurse to provide proper care for the patient Nurse Reaction The nurse perceives the behavior through any of the senses. The perception leads to an automatic thought. The thought produces an automatic feeling. The nurse shares reaction with the patient to ascertain whether perceptions are accurate or inaccurate. The nurse deliberates about personal reactions and patient input in order to produce deliberative actions based on mindful assesments rather than automatic reactions. Nurse Action Two possible ways a nurse may act when providing care: Automatic Deliberative actions that only tend to be a quick fix, to solve a directive, not fulfill the patient's need for help. In this case, automatic actions are not suitable for the professional nursing environment actions are carried out based on a correct identification of the patient's needs, there is meaning behind the action, the action is then validalidated immediately after completion, and if the action carried out is appropriate for the situation, the patient will no longer exhibit behaviors realtion to that need. Metaparadigm Freedom from mental or physical discomfort and feeings of adequacy and well being contribute to health HEALTH Being without emotional or physical discomfort Having a sense of well-being contributes to a healthy state She believes that the more help a person receives, the greater their health improves ENVIRONMENT Orlando assumes it as a nursing situation that occurs when there is a nurse-patient contact and that both nurse and patient perceive, think, feel and act in the immediate situation. Any aspect of the environment, even though its designed for therapeutic and helpful purposes, can cause the patient to become distressed. A nurse should always observe patients behavior and assume that their behavior could be a sign of distress. PATIENT/CLIENT Refers to patient/client as human or person, because she believed that a patient wasn't just a business matter Human/Person is an idividual in need. A unique individual behaving verbally or nonverbally. Assumption is that individuals are at times able to mee their own needs and at other times unable to do so. NURSE Main role is to relieve the patient of their helplessness Nursing is a distinct profession providing direct assistance to individuals in wahtever setting they are found for the purpose of avoiding, relieveing, diminishing, or curing the individual's sense of helplessness Case Study Sean Parker is a 22 year old college student. This is Seans' first postoperative day after exploratory abdominal surgery that resulted in a splenectomy. He has been having muscle spasms but they are now well controlled with his pain medication and a muscle relaxant. He is able to rest but he specifically asked to keep the temperature of the room at 70 degrees Fahrenheit so he could be comfortable. A new admission was placed in his room, an 76 year old man that continues to yell about how the room is too cold. You, the nurse, enter the room... Paitent's behavior: Sean is now moving restlessly when he was previously sleeping very well. Nurse Reaction: You notice that Sean is restless and ask if he is in pain. He said no and that he just wants to sleep. Then you hear the 76 year old man yell about the temperature of the room. You quietly ask if that is the problem and Sean said yes. Nurse Action: You arrange for the roommate to be moved to another room and Sean falls back to sleep. Personal Evaluation Questions? Nursing Process Theory One method of viewing the theory: Orlando's Nursing Process Theory can be represented by an origami design consisting of three large folds representing the three main steps of the theory: Patient Behavior, Nurse Reaction, and Nurse Action. Additional small folds could represent the assumptions made about the theory.