21 Nursing Problems and the Major Nursing Concepts
Abdellah described the PATIENT or the PERSON as the only justification for the existence of nursing. Furthermore, she emphasized the PERSON as having physical, emotional, and sociological needs. These needs may be overt, consisting of largely physical needs, or covert, such as emotional and social needs. These needs make the patient the ultimate recipient of nursing care. While health, or achieving of it, is the purpose of nursing services. As such, the person is helped by the identification and alleviation of the problems he or she is experiencing.
The model implies that, by resolving each problem, the person returns to a healthy state or a state in which he or she can cope; therefore the ideal of holism is absent in this model (Tomey and Alligood, 2008).
Her view of HEALTH
by Group E's Pamela Onzo
Abdella represented health as a state mutually exclusive of illness in her patient-centered approaches to nursing. She did not provide a concrete definition of health in her theory, but rather mentioned "total health needs" and "a healthy state of mind and body" in her description of nursing as a comprehensive service (Current Nursing, 2011). Therefore, health, or achieving of it, is the end-goal of nursing services (Tomey and Alligood, 2008).
Her view of NURSING
by Group E's Pamela Pantalan
Nursing is a helping profession. In Abdellah’s model, nursing care is doing something to or for the person or providing information to the person with the goals of meeting needs, increasing or restoring self-help ability, or alleviating impairment.
Nursing is broadly grouped into the 21 problem areas to guide care and promote use of nursing judgment. She considers nursing to be a comprehensive service that is based on art and science and aims to help people, sick or well, cope with their health needs (Kolak and Kim, 2006).
Nursing is a helping profession. In Abdellah’s model, nursing care is doing something to or for the person or providing information to the person with the goals of meeting needs, increasing or restoring self-help ability, or alleviating impairment.
Nursing is broadly grouped into the 21 problem areas to guide care and promote use of nursing judgment. She considers nursing to be a comprehensive service that is based on art and science and aims to help people, sick or well, cope with their health needs (Kolak and Kim, 2006).
Basic to all patients
1. Hygiene and physical comfort
2. Optimal activity
3. Safety
4. Good body mechanics
Sustenal care needs
1. Oxygenation
2. Nutrition
3. Elimination
4. Fluid and electrolyte
5. Physiologic responses to disease conditions
6. Regulatory mechanisms and functions
7. Sensory function
Remedial care needs
• Emotional response
• Interrelatedness of emotions and organic illness
• Effective communication
• Interpersonal relationship
• Spiritual goal
• Therapeutic environment
• Self-awareness
• Goals in the light of limitations, physical and emotional
• Community resources
• Social problems influencing the course of illness
1. Hygiene and physical comfort
2. Optimal activity
3. Safety
4. Good body mechanics
Sustenal care needs
1. Oxygenation
2. Nutrition
3. Elimination
4. Fluid and electrolyte
5. Physiologic responses to disease conditions
6. Regulatory mechanisms and functions
7. Sensory function
Remedial care needs
• Emotional response
• Interrelatedness of emotions and organic illness
• Effective communication
• Interpersonal relationship
• Spiritual goal
• Therapeutic environment
• Self-awareness
• Goals in the light of limitations, physical and emotional
• Community resources
• Social problems influencing the course of illness
The 21 problems can be applied to the nursing process. The theory provides a basis for determining and organizing nursing care, as well as a basis for organizing strategies (Rudy, 2006).
The environment is implicitly defined by Abdella as the home or community from which patient comes. Society is included in "Planning for Optimum Health on Local, State, Natural and International levels". However, as Abdellah further delineated her ideas, the focus of nursing service is clearly individual or the patient. People who fit into society are more likely to be more content.
Hence, to achieve optimum health, the individual should seek knowledge and receive education regarding health through their communities.
Reference List:
Kollak, I., & Kim, S. (2006). Nursing theories conceptual and philosophical foundations. New York: Springer Publishing Company.
Rudy, M. (2007). Models and theories of nursing. Milwaukee, WI: Cardinal Stritch University Library.
Abdellah, F. The nature of nursing science. In Nicholl, L. (Ed.). (1986). Perspectives on nursing theory. Boston: Little, Brown. Retrieved from http://currentnursing.com/nursing_theory/abdellah.html
Current Nursing. (2011). Faye Glenn Abdellah's Theory -Twenty One Nursing Problems." (2011). In Nursing Theories - a companion to nursing theories and models. Retrieved from http://currentnursing.com/nursing_theory/Abdellah.html
Tomey, A., & Alligood, M. (2008). Abdellah describes people as having physical, emotional, and sociological needs. Retrieved from http://nursingtheoriesmodelsphilosopies.blogspot.com/2013/07/sonormal-stylemso-margin-top-altautomso.html
Kollak, I., & Kim, S. (2006). Nursing theories conceptual and philosophical foundations. New York: Springer Publishing Company.
Rudy, M. (2007). Models and theories of nursing. Milwaukee, WI: Cardinal Stritch University Library.
Abdellah, F. The nature of nursing science. In Nicholl, L. (Ed.). (1986). Perspectives on nursing theory. Boston: Little, Brown. Retrieved from http://currentnursing.com/nursing_theory/abdellah.html
Current Nursing. (2011). Faye Glenn Abdellah's Theory -Twenty One Nursing Problems." (2011). In Nursing Theories - a companion to nursing theories and models. Retrieved from http://currentnursing.com/nursing_theory/Abdellah.html
Tomey, A., & Alligood, M. (2008). Abdellah describes people as having physical, emotional, and sociological needs. Retrieved from http://nursingtheoriesmodelsphilosopies.blogspot.com/2013/07/sonormal-stylemso-margin-top-altautomso.html
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