Download to read offline
Nursing theory ppt.pptx
- 1.
- 2.
- 3. • Myra EstrinLevine (1920-1996) was born in Chicago, Illinois. • She was the oldest of three children. She had one sister and one brother. • Levine developed an interest in nursing because her father (who had gastrointestinal problems) was frequently ill and required nursing care on many occasions.
- 4. • Levine graduatedfrom the Cook County School of Nursing in 1944 and obtained her BSC in nursing from the University of Chicago in 1949. • Following graduation, Levine worked as a private duty nurse, as a civilian nurse for the US Army, as a surgical nursing supervisor, and in nursing administration
- 5. EDUCATIONAL ACHIEVEMENT- Diplomain nursing:-Cook county School of Nursing, Chicago, 1944 BSN:-University of Chicago, 1949 MSN:-Wayne state University, Detroit, 1962 Publication:-An Introduction to Clinical Nursing, 1969, 1973 & 1989 Received honorary doctorate from Loyola University in 1992
- 6. ACHIEVEMENTS- Clinical experiencein OT technique and oncology nursing Civilian nurse at the Gardiner general hospital Director of nursing at Drexel home in Chicago Clinical instructor at Bryan memorial hospital in Lincoln, Nebraska Administrative supervisor at university of Chicago
- 7. Chairperson ofclinical nursing at cook country School of nursing Visiting professor at Tel Aviv university in Israel
- 8. CONSERVATIONAL MODELGOAL- To promote adaptation and maintain wholeness using the principles of conservation Model guides the nurse to focus on the influences and responses at the organismic level Nurse accomplishes the goal of model through the conservation of energy, structure and personal and social integrity.
- 9.
- 10. oAdaptation- Every individualhas a unique range of adaptive responses The responses will vary by heredity, age, gender or challenges of illness experiences. Example: The response to weakness of cardiac muscle is an increased heart rate, dilation of ventricle and thickening of myocardial muscle.
- 11. oWholeness- Exist when theinteraction or constant adaptations to the environment permits the assurance of integrity Promoted by use of conservation principle.
- 12. oConservation- The productof adaptation. "Keeping together" of the life systems or the wholeness of the individual. Achieving a balance of energy supply and demand that is within the unique biological realities of the individual.
- 13. NURSING'S PARADIGM- Person- A holisticbeing who constantly strives to preserve wholeness and integrity A unique individual in unity and integrity, feeling, believing, thinking and whole system.
- 14. Environment- Competes thewholeness of person Internal- a) Homeostasis b) Homeorrhesis External- a) Preconceptual b) Operational c) Conceptual
- 15. Internal Environment- Homeostasis: Astate of energy sparing that also provides the necessary baselines for a multitude of synchronized physiological and psychological factors. • state of conservation
- 16. Homeorrhesis: A stabilizedflow rather than a static state Emphasis the fluidity of change within a space- time continuum Describes the pattern of adaptation, which permits the individual's body to sustain its well being with the vast changes which encroach upon it from the environment
- 17. External Environment- Pre-conceptual: Aspectof the world that individuals are able to intercept Operational: Elements that may physically affect individuals but not perceived by them: radiation, microorganism and pollution Conceptual: Part of person's environment including cultural patterns characterized by spiritual existence, ideas, values, beliefs and tradition.
- 18. Nine Models ofGuided Assessment- Vital signs Body movement and positioning Administration of personal hygiene needs Pressure gradient system in nursing interventions Nursing determination in provision of nutritional needs
- 19. Local application ofheat and cold Administration of medicine Establishing an aseptic environment
- 20. Assumption- The nursecreates an environment in which healing could occur A human being is more than the sum of the parts Human beings respond in a predictable way Human beings are unique in their responses Human beings know and appraise objects, condition and
- 21. Human beingssense, reflects, reason and understand Human beings action are self determined even when emotional Human beings are capable of prolonging reflection through such strategists raising questions Human beings make decision through prioritizing course of action
- 22. Conservational Principle- Conservationof energy Conservation of structural integrity Conservation of personal integrity Conservation of social integrity
- 23. 1. Conservation ofenergy- Refer to balancing energy input and output to avoid excessive fatigue Includes adequate rest, nutrition and exercise Example: Availability of adequate rest Maintenance of adequate nutrition
- 24. 2. Conservation ofstructural integrity- Refers to maintaining or restoring the structure of body preventing physical breakdown and promoting healing Example: Assist patient in ROM exercise Maintenance of patient's personal hygiene.
- 25. 3. Conservation ofpersonal integrity- Recognizes the individual as one who strives for recognition, respect, self awareness, selfhood and self determination Example: Recognize and protect patient's space needs
- 26. 4. Conservation ofsocial integrity- An individual is recognized as someone who resides with in a family, a community, a religious group, an ethnic group, a political system and a nation. Example: Position patient in bed to foster social interaction with other patients Avoid sensory deprivation Promote patient's use of news paper, magazines, radio. TV
- 27. Health- Health isa wholeness and successful adaptation. It is not merely healing of an affected part it is return to daily activities, selfhood and the ability of the individual to pursue once more his or her own interest without constraints. Disease: It is an unregulated and undisciplined change and must be stopped or death will ensure
- 28. Nursing- "Nursing isa profession as well as an academic discipline, always practiced and studied in concert with all of the disciplines that together from the health sciences".
- 29. Nursing Process- Assessment Trophicognosis Hypothesis Interventions Evaluation
- 30. Assessment Collection ofprovocative facts through observation and interview of challenges to the internal and external environment using four conservation principles Nurses observes patient for organismic responses to illness, reads medical reports, talks to patient and family Assesses factors which challenges the individual
- 31. Trophicognosis- Nursing diagnosisgives provocative facts meaning A nursing care judgment arrived at through the use of the scientific process. Judgment is made about patient's need for assistance.
- 32. Hypothesis- Planning Nurseproposes hypothesis about the problems and the solutions which becomes the plan of care. Goal is to maintain wholeness and promoting adaptation
- 33. Interventions- Testing thehypothesis Interventions are designed based on the conservation principles Mutually acceptable Goal is to maintain wholeness and promoting adaptation.
- 34. Evaluation- Observation oforganismic response to interventions It assesses whether hypothesis is supported or not supported If not supported, plan is revised, new hypothesis is proposed.
- 35. USES- Critical, acuteor long term care unit Neonates, infant and young children, pregnant young adult and elderly care unit Primary health care Operation Theatre Community setting
- 36. UTILITY OF THEORY- Nursing research Nursing education Nursing administration Nursing practice.
- 37. Critiquing the Theory- She values the holistic approach to all individuals, well or sick Values patient's participation in nursing care Comprehensive content in depth Provides direction of nursing research, education, administration and practice
- 38. Limitation- Limited attentioncan be focused on health promotion and illness prevention. Nurse has the responsibility for determining the patients ability to participate in the care and if the perception of nurse and patient about the patient ability to participate in care don't match, this mismatch will be an area of conflict. The major limitations is the focus on individual in an illness state and
- 39. NURSING PROCESS ACCORDINGTO LEVINE'S MODEL- Mrs. Mona, a wife of an abusive husband, underwent a radical hysterectomy. Post operatively had pain. weight loss, nausea and inability to empty bladder. Patient had history of smoking and stayed in house which had no hygiene.
- 40. Assessment Challenges tothe internal environment weight loss, nausea, loss of reproductive ability Challenges to the external environment of abusive husband, unhygienic conditions at home Energy conservation:-weight loss, nausea, pain Structural integrity:-threatened by surgical procedure, inability to pass urine Personal integrity:-not able to give birth to more children Social integrity:-Strained relationship with husband
- 41. Trophicognosis- Inadequate nutritionalstatus Pain Potential for wound and bladder infection Need to learn self catheterization Decreased self worth Potential for abuse
- 42. Hypothesis- Nutritional consultation Teaching and return demonstration of urinary self catheterization Care of surgical wound Exploring concern regarding hysterectomy
- 43. Interventions- Energy conservation Provide medication for pain and nausea Allowing rest period Structural integrity Administrating antibiotic for wound, Teaching self catheterization Personal integrity Exploring her feeling about uterus removal while respecting her privacy
- 44. Social integrity- Assesspotential abuse form husband Support to the family Organismic response Controlled pain Abdominal wound healing
- 45.
- 46.
- 47. BIBLIOGRAPHY- Shebeer. P.basheer, a concise textbook of advance nursing practice, edition 2nd, page number 455-462. Neelam Kumari, text book of advance nursing practice, S.Vikas and company medical publisher, page number-498-503. https://www.semanticscholar.org/paper/The-Application-of- Levine%E2%80%99s-Conservation-Model-on-Nurhidayah- Pahria/7a299bb5fb2685ebf5378075c644a213b5ba63c7 https://www.jaypeedigital.com/eReader/chapter/9789386150639/ch7
- 48.