Ida Jean Orlando Pelletier

Ida Jean Orlando-Pelletier

CONTINUING OUR EXAMPLE WITH AUTOMATIC:

THE NURSE HEARS THE GROAN OF THE PATIENT

SO THE NURSE RETRIEVES THE PAIN MEDICATION

AND ADMINISTERS IT WITHOUT DISCUSING IF THE

PATIENT HURTS.

THIS BOOK WAS THE FOUNDATION

OF THE "ORLANDO-PELLITIER

NURSING PROCESS THEORY"

SHE WAS BORN

AUGUST 12, 1926

TO ITALIAN IMMIGRANTS

Sitzman, K. L., & Eichlberger, L. W. (2010). Understanding the work of nurse theorists: A creative beginning. (2nd ed.). Sudbury, MA: Jones and Bartlett Publishers, 117-120.

Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2010). Nursing diagnosis manual: Planning, individualizing and documenting client care. (3rd ed.). Philadelphia, PA: F.A. Davis Company.

Fitneinc, (2011, October 3) The Nurse Theorists - Ida Orlando Promo. Retrieved January 14, 2013, from "http://www.youtube.com/watch?v=Mym4W-So-yo"

AT THIS POINT THE NURSE

CAN ACT IN A DELIBERATE OR AUTOMATIC WAY

ALL PATIENT BEHAVIOR MUST BE CONSIDERED A CRY FOR HELP UNTIL THE PATIENT TELLS YOU OTHERWISE.

APPROPRIATE NURSE REACTION CONSIST OF THE FOLLOWING STEPS:

• 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 THEIR REACTION WITH THE PATIENT TO ASCERTAIN WHETHER PERCEPTIONS ARE ACCURATE OR INACCURATE
• THE NURSE CONSCIOUSLY DELIBERATES ABOUT PERSONAL REACTIONS AND PATIENT INPUT IN ORDER TO PRODUCE PROFESSIONAL DELIBERATIVE ACTIONS BASED ON MINDFUL ASSESSMENT RATHER THAN AUTOMATIC REACTIONS.

IN 1951 SHE RECEIVED A B.S. FROM

ST. JOHN'S UNIVERSITY

IN BROOKLYN, NY

IN PUBLIC HEALTH NURSING

CONTINUING THE EXAMPLE WITH DELIBERATE:

THE NURSE FOLLOWED THE NURSE REACTION

STEPS, WOKE THE PATIENT UP, DETERMINED

THE PATIENT WAS IN PAIN AND GAVE THE PAIN A RATING OF 8 SO THE NURSE ADMINISTERED THE PAIN MEDICATION APPROPRIATLY.

(Doenges, Moorhouse & Murr, 2010)

AUTOMATIC IS WHERE THE NURSE

GIVES A MEDICATION BECAUSE

IT IS ORDERED WITH OUT DISCUSSING IT

WITH THE PATIENT

DELIBERATE IS WHERE THE NURSE

FOLLOWS THE NURSE REACTION STEPS

AND INCLUDES THE PATIENT IN HIS/HER

OWN CARE.

AFTER COMPLETING HER M.A. SHE TAUGHT AT

YALE SCHOOL OF NURSING

IN NEW HAVEN, CONNECTICUT

FOR 8 YEARS

(FITNEinc, 2011)

AT YALE SHE WAS A RESEARCH ASSOCIATE AND

PRINCIPAL INVESTIGATOR FOR A

FEDERAL PROJECT GRANT CALLED

"INTEGRATION OF MENTAL HEALTH CONCEPTS

IN A BASIC CURRICULUM"

THIS IS WHERE SHE COLLECTED HER DATA

AND RELEASED IT IN HER BOOK NAMED

"THE DYNAMIC NURSE-PATIENT RELATIONSHIP

FUNCTION, PROCESS, AND PRINCIPLES OF PROFESSIONAL NURSING PRACTICE."

FOR EXAMPLE:

A PATIENT GROANS WHILE

ASLEEP. THE NURSE DOESN'T

KNOW IF THE PATIENT IS IN PAIN

OR JUST REPOSITIONING UNTIL

THE PATIENT IS ALERT AND

ORIENTED ENOUGH TO TELL THE

NURSE.

THIS PROCESS HAS 3 STEPS

PATIENT BEHAVIOR

NURSE REACTION

NURSE ACTION

IN 1954 SHE RECEIVED HER

M.A. IN MENTAL HEALTH

FROM

COLUMBIA UNIVERSITY

TEACHERS COLLEGE

SHE RECIEVED A

DEGREE IN NURSING

IN 1947 FROM

NEW YORK MEDICAL COLLEGE

CONTINUING THE EXAMPLE:

THE NURSE HEARS THE GROAN. THE NURSE PERCEIVES THAT THE PATIENT MIGHT BE IN PAIN.

THE NURSE THINKS THAT HE/SHE SHOULD WAKE THE PATIENT BECAUSE HE/SHE FEELS THAT THE PATIENT IS IN PAIN. THE NURSE SHARES HIS/HER CONCERNS THAT THE PATIENT IS IN PAIN. THE PATIENT CAN CONFIRM OR DENY ANY PAIN. DEPENDING ON THE RESPONSE FROM THE PATIENT THE NURSE CAN HAVE AN APPROPRIATE REACTION OF WHETHER OR NOT TO GIVE THE PAIN MEDICATION.

By: John Skougaard

IN CONCLUSION THE ORLANDO-PELLETIER THEORY IS A SIMPLE 3 STEP PROCESS WHERE THE NURSE AND THE PATIENT WORK TOGETHER TO REACH THE PATIENT'S CARE PLAN GOALS.