Orlando theory ppt
- 1. IDA JEAN ORLANDO THEORY PRESENTED BY MS LISA CHADHA F.Y. MSC NURSING BVCON, PUNE
- 2. About the Theorist •Ida Jean Orlando - born in 1926. •wrote about the nursing process. •Nursing diploma - New York Medical College •BSC in public health nursing - St. John's University, NY, •MA in mental health nursing - Columbia University, New York. •Associate Professor at Yale School of Nursing and Director of the Graduate Program in Mental Health Psychiatric Nursing. •Project investigator of a National Institute of Mental Health grant entitled: Integration of Mental Health Concepts in a Basic Nursing Curriculum.
- 3. INTRODUCTION TO THEORYINTRODUCTION TO THEORY O The role of the nurse is to find out and meetThe role of the nurse is to find out and meet the patient's immediate need for help.the patient's immediate need for help. O The patient's presenting behavior may be aThe patient's presenting behavior may be a appeal for help; however, the help needed mayappeal for help; however, the help needed may not be what it appears to be.not be what it appears to be. O Therefore, nurses need to use theirTherefore, nurses need to use their perception, thoughts about the perception, orperception, thoughts about the perception, or the feeling engendered from their thoughts tothe feeling engendered from their thoughts to explore with patients the meaning of theirexplore with patients the meaning of their behaviorbehavior.. O This process helps nurse find out the natureThis process helps nurse find out the nature of the distress and what help the patientof the distress and what help the patient needs.needs.
- 4. Terms •Distress is the experience of a patient whose need has not been met. •Nursing role is to discover and meet the patient’s immediate need for help. •Patient’s behavior may not represent the true need. •The nurse validates his/her understanding of the need with the patient. •Nursing actions directly or indirectly provide for the patient’s immediate need.
- 5. •An outcome is a change in the behavior of the patient indicating either a relief from distress or an unmet need. •Observable verbally and nonverbally
- 6. ASSUMPTIONS When patients cannot cope with their needs without help, they become distressed with feelings of helplessness. •Patients are unique and individual in their responses. •Nursing deals with people, environment and health
- 7. •Patient need help in communicating needs, they are uncomfortable and undecided about dependency needs •Human beings are able to be secretive or explicit about their needs, perceptions, thoughts and feelings, •The nurse – patient situation is dynamic, actions and reactions are influenced by both nurse and patient •Nurses are concerned with needs that patients cannot meet on their own
- 8. CHARACTERISTICS OF THE THEORY •Orlando's theory interrelate concepts •Orlando's theory has a logical nature •Orlando's theory is simple and applicable in the daily practice. •Orlando's theory contribute to the professional knowledge. •Orlando's theory is applicable in clinical practice
- 9. STRENGTHS •Use of her theory assures that patient will be treated as individuals and that they will have active and constant input into their own care •Prevents inaccurate diagnosis or ineffective plans because the nurse has to constantly explore her reactions with the patient •Assertion of nursing’s independence as a profession and her belief that this independence must be based on a sound theoretical frame work •Guides the nurse to evaluate her care in terms of objectively observable patient outcome
- 13. AssessmentAssessment O Identifying patients need for help.Identifying patients need for help. O It includes:It includes: Perception of clientPerception of client Thoughts and feelings aboutThoughts and feelings about perceptionperception
- 14. Perception of clientPerception of client O VerbalVerbal- what client says- what client says O Non verbalNon verbal - moaning, groaning, tone- moaning, groaning, tone ,volume.,volume. Client activities ,pacing,Client activities ,pacing, runningrunning O Physiological manifestations:Physiological manifestations: BP, pulse,BP, pulse, patterns of urinationpatterns of urination
- 15. Thoughts and feelings aboutThoughts and feelings about perceptionperception O Observation of clients behavior (nurse’sObservation of clients behavior (nurse’s perception ) gives rise to nurse’s thoughtsperception ) gives rise to nurse’s thoughts and feelings.and feelings. O A thought is a cognitive process and feelingA thought is a cognitive process and feeling is an affective process.is an affective process. O Thoughts about a client’s behavior areThoughts about a client’s behavior are merely assumptions which should not guidemerely assumptions which should not guide nursing actions unless validated by thenursing actions unless validated by the client.
- 16. Nursing DiagnosisNursing Diagnosis O Product of analysisProduct of analysis O Leads to identification of need forLeads to identification of need for helphelp..
- 17. Planning phasePlanning phase O Writing goals and objectives andWriting goals and objectives and deciding about appropriate actiondeciding about appropriate action ..
- 18. Nursing actionNursing action Two types of nursing actions:Two types of nursing actions: O Deliberative: The nurse initiates believingDeliberative: The nurse initiates believing that she will help ascertain or meetthat she will help ascertain or meet client’s immediate need for help.client’s immediate need for help. O Automatic: Actions which are not focusedAutomatic: Actions which are not focused on the clients need but other need suchon the clients need but other need such as nurse’s or physicians.as nurse’s or physicians.
- 19. ImplementationImplementation O Final selection and carrying outFinal selection and carrying out planned actionplanned action..
- 20. EvaluationEvaluation O Nurse need to evaluate the processNurse need to evaluate the process to know that the action taken by herto know that the action taken by her is appropriate for the patient or not.is appropriate for the patient or not.
- 21. Application of theoryApplication of theory O Mrs Reshma Anil Barisode, a 26 yearMrs Reshma Anil Barisode, a 26 year old nullipara came to infertility OPDold nullipara came to infertility OPD with history of 6 years of nonwith history of 6 years of non consanguineous marriage and noconsanguineous marriage and no history of contraceptives for thehistory of contraceptives for the treatment of primary infertility.treatment of primary infertility.
- 22. Objectives of nursingObjectives of nursing managementmanagement O Using Orlando’s nursing theory, theUsing Orlando’s nursing theory, the following objectives were planned forfollowing objectives were planned for care:care: To assess patient condition by use ofTo assess patient condition by use of theorytheory State perception of clientState perception of client Find client’s immediate need for helpFind client’s immediate need for help Validate immediate need for help.Validate immediate need for help.
- 23. Reactions:Reactions: O Verbal: can I able to concieve? My familyVerbal: can I able to concieve? My family members keep on blaming me …huge familymembers keep on blaming me …huge family pressurepressure O Non verbal: anxious, worried depressedNon verbal: anxious, worried depressed O No eye to eye contact while answering, onlyNo eye to eye contact while answering, only nodding of headnodding of head
- 24. Need for helpNeed for help O Anxiety r/t chances ofAnxiety r/t chances of conceptionconception O Knowledge deficit regardingKnowledge deficit regarding assisted reproductive techniquesassisted reproductive techniques and treatment of infertilityand treatment of infertility..
- 25. Nurse actionNurse action O Identify positive coping behavior andIdentify positive coping behavior and reinforce them.reinforce them. O Give positive reinforcement.Give positive reinforcement. O Reassure the patient.Reassure the patient. O Clarify the doubts of patient.Clarify the doubts of patient. O Provide explanation in simpleProvide explanation in simple understanding terms to patient.understanding terms to patient. O Involve both couple for counselingInvolve both couple for counseling O Arrange special meeting with patientsArrange special meeting with patients who had positive results from infertilitywho had positive results from infertility treatmenttreatment
- 26. O Provide psychological support to theProvide psychological support to the patient.patient. O Give realistic opinion.Give realistic opinion. O Encourage patient to take herEncourage patient to take her decision independently.decision independently.
- 27. Evaluation O Evaluate the patient level of anxiety and stress after clarifying the doubts. O Re evaluate the patient in next visit
- 28. Limitations O Highly interactive nursing theory makes it hard to include highly technical and physical care that nurses give in certain situation. O Long term care and planning are not applicable.
- 29. Conclusion O Orlando’s nursing theory stresses the reciprocal relationship between patient and nurse and finding out and meeting the patient’s immediate need for help. O Orlando may have facilitated the development of nurses as logical thinkers. O The Deliberative Nursing Process helps nurses achieve more successful patient outcomes such as fall reduction. Orlando’s theory remains a most effective practice theory that is especially helpful to new nurses as they begin their practice
- 30. Bibliography George, J.B. (2011). Nursing theories: The base for professional nursing practice (6th ed.). Philadelphia: Pearson. Potter, P.A., & Perry, A.G. (2012). Fundamentals of nursing (8th ed.). St. Louis, MO: Mosby Elsevier. Schmieding, N. (1990). An integrative nursing theoretical framework. Journal of Advanced. Nursing, 15(4), 463-46