Lydia E. Hall - Care, Core, Cure Theorist Presentation

Recommendation of References

• Use in cardiac rehabilitation in patients with congestive heart failure.
• Use in Geriatric assessment to assess the level of functioning in all aspects of his/her being and the patient’s support system.

Application of Care, Core, & Cure in Nursing

References

Cosejo-Oloresisimo, 2012

• Based on the theory that nursing

care can and does significantly aid in the patient’s recovery

Geriatric Assessment Tool: An Application of Core, Care and Cure Model

Major Concepts

Pokorny, 2010, pg. 61 & Cosejo-Oloresisimo, 2012

Strengths & Weaknesses

• Patient is 16 years of age or older and past the acute stage of a long-term illness.
• Patient is the source of energy and motivation for healing.
• Health is inferred as a state of self-awareness with conscious selection of behaviors that are optimal for that individual.
• The concept of society/environment is dealt with in relation to the individual and providing an environment that is conducive to self-development.

Strengths:

• Unique to Hall and not influenced by her contemporaries.
• Completely and simply logical.

Weaknesses:

• Lack of rigidity may not be usable with nurses unprepared for minimal structure.
• Self-imposed age and illness requirements limit the generalization to all nursing.

Gonzalo, 2011 & Gordon et. al, 2010, pg 57

Gonzalo, 2011

Assumptions

• The patient holds the motivation and energy necessary for healing.
• The three aspects of nursing should be viewed as interrelated.
• The three aspects interact-- the circles change based on the patient’s progress.

Eihyna, n.d.

Identification of

Lydia E. Hall

Hall's Background

Hall's Model

• Established the Loeb Center for Nursing & Rehabilitation at Montefiore Hospital in Bronx, New York.
• Provided direct care to patients and coordinated needed services.
• Practice model was validated over a 5 year-time with a reduction in hospital readmission.

• Worked with the Visiting Nurse Service of New York 1941-1947
• Fordham Hospital School of Nursing faculty 1947-1950
• Faculty position at Teachers College
• Involved in U.S. Health Service research activities
• Provided volunteer service to New York Board of Education, Youth Aid, & other community associations
• Received the Teachers College Nursing Alumni Award in 1967

Hutchinson & Donaldson, 2006

• Born in New York City September 21, 1906
• Graduated 1927 - York Hospital School of Nursing in Pennsylvania
• Bachelor of Science in 1937 & Master of Arts in 1942 from Teachers College, Columbia University
• Died February 27, 1969 of heart disease in Queens Hospital of New York

Philosophical Underpinnings

Care, Core, & Cure

Gonzalo, 2011 & Gordon et. al, 2010, pg. 56-57

• Three aspects of the person as patient: person, body, and disease.
• The focus of nursing is the provision of intimate bodily care, which is divided between the three aspects.
• Nursing is a professional interpersonal process.

Gordon, et. al, 2010, pg. 56-57

Gonzalo, 2011

Care, Core, Cure

Model

Theoretical Influences

• Harry Stack Sullivan - interpersonal behavior
• John Dewey - teaching and learning
• Carl Rogers - communication
• Hans Selye - organ system relationships with stress

Wiggins, 1980, pg. 11

Gordon et al., 2010, pg. 60

Lydia E. Hall - Care, Core, Cure

Joni Adelman