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Corbin & Strauss
71
6 steps in nursing process (ADPIE)
4 meta-paradigms of nursing
1. Whole person - body, mind, spirit
1. Trajectory identified
2. Diagnosis made/goals negotiated
3. Interventions planned
4. What promotes/hinders process
5. Implement interventions
6. Evaluates interventions
2. Person's state of health
3. Person's environment
4. Nursing care - impact on person, health and environment
9 stages of chronic illness
Hypothesis
Chronic illnesses share common
characteristics and events
1. Pretrajectory stage
2. Trafectory stage
3. Stable stage
4. Instability stage
5. Acute stage
6. Crisis stage
7. Comeback stage
8. Downward spiral
9. Dying and death
When placed on a time line, a pattern of stages forms creating a trajectory - potential for predictability
Pattern of exacerbations and comebacks
from presumed health to dying and death
Length of time does not alter the
value of the trajectory
Relevence
to Nursing
Logical
Predictable
Flexible
Practical
Comprehensive
Versatile
Proactive