Kurt's PPT.

1. Lydia Hall Care, Core, and Cure

2. Lydia Hall Basic nursing education in 1972 Bachelors in Public Health Nursing in 1973 Masters in teaching Natural Sciences in 1942 First director of Loeb Center for Nursing Nursing experience in clinical, education, research and supervisor role Nursing Philosophy based on patient care

3. Theory Overview Theory developed in late 1960’s Nursing care can be delivered on three interlocking levels

4. Theory continued Patient care only from trained nurses Defines nursing as care performed by a professional Care focused on individuals, families and communities Care focused on maintaining optimal health and quality life from birth to end of life

6. Care Nurturing component of care and is exclusive to nursing “mothering” (care and comfort of the person) Provides teaching and learning activities Nurses goal is to give “care” and “comfort” to the patient Nurse provides bodily care for the patient Patient may explore and share feelings with the nurse When functioning in the care circle, the nurse applies knowledge of the natural and biological sciences. The patient views the nurse as a potential comforter, one who provides care and comfort through the laying of hands.

8. Core Patient care is based on social sciences Involves the use of therapeutic use of self, and is shared with other members of the team By developing an interpersonal relationship with the patient, the nurse is able to help the patient verbally express feelings regarding the disease process and its effects. Patient is able to gain self-identity and further develop maturity. Patient is able to make conscious decisions

10. Cure Care based on pathological and therapeutic sciences Nurse helps patient through the medical, surgical and rehabilitative prescriptions made by the physician The cure aspect is different from the care circle because many of the nurse’s actions take on a negative quality of avoidance of pain rather than a positive quality of comforting. Nurses role changes to positive quality to negative quality.

11. Interaction of All Three Aspects Emphasis placed on the importance of total person. Importance placed on all three aspects functioning together All three aspects interact and change in size Size of the circles represents the degree to which the patient is progressing.

12. Hall’s Nursing’s MetaparadigmIndividual Human who is 16 years older and past the acute stage of long-term illness is the focus of nursing care in Hall’s work. Hall emphasizes the importance of an individual as unique, capable of growth and learning, and requiring a total person approach.

13. Health Inferred to be a state of self-awareness with conscious selection of behaviors. Hall stresses the need to help the person explore the meaning of his or her behavior to identify and overcome problems through developing self-identity and maturity.

14. Nursing Identified as consisting participation in the care, core, and cure aspects of patient care. Care is the sole function of nurses. Major purpose of care is to achieve an interpersonal relationship with the individual.