Ida Jean Orlando

• Ida Jean Orlando - a renowned nurse who dedicated her career to mental health and psychiatric nursing
• Deliberative Nursing Process Theory - stresses the reciprocal relationship between the patient and the nurse
• Middle Range Theory - other term for deliberative nursing process theory
• Assessment - involves critical thinking skills and data collection
• Subjective Data - verbalized/explained by the patients
• Objective Data - to verify, measure, or validate the given data
• Data - may come from the patient directly or from primary caregivers
• Diagnosis - uses the nurse's clinical judgement about health problems
• Planning - where goals and outcomes are formulated that directly impact patient care
• Implementation - are actions or doing the actual carrying out of nursing interventions
• Evaluation - looks at the patient's progress toward the goals
• IPPA - Inspect, Palpate, Percussion, Auscultate
• Vital Signs: Body Temperature, Pulse Rate, Respiratory Rate, Blood Pressure, Pain Scale
• Pain Scale: 0-3 (mild), 4-6 (moderate), 7-10 (severe)
• Independent Intervention - done only by the Nurse
• Dependent Intervention - done together by both the RN & MD
• Tepid Sponge Bath - TSB; done if the temp. is 40 degree Celcius
• Organizing Principle - means finding out and meeting the patient's immediate needs for help
• Organizing Principle - the function of a professional nurse
• Problematic Situation - the patient's presenting behavior
• Problematic Situation - through the presenting behavior, the nurse finds the patient's immediate need for help
• The nurse must first recognize the situation as problematic when presented with a patient
• Internal Response - patient perceives objects with his or her five senses
• Internal Response - immediate reaction from a perceived stimuli, which triggers the automatic reaction or thought
• Reflective Inquiry - deliberate nursing process formulations reflect the nurse-patient situation as a dynamic whole
• Improvement-Resolution - the result of nurse's action is evaluated to determine whether their actions served to help the patient
• Five Major Interrelated Concepts: Organizing Principles, Problematic Situation, Internal Response, Reflective Inquiry, Improvement-Resolution
• Person - developmental beings with needs
• Health - feelings of adequacy and well-being from fulfilled needs
• Environment - when there is a nurse-patient contact
• Nursing - a distinct profession that functions autonomously
• Nursing - to find out and meet the patient's immediate need for help
• Nursing Client - patients who are under medical care
• Nursing Problem - distress due to unmet needs
• Nursing Process - interactions of the behavior of the patients, the reaction of the nurse and the nursing actions which are assigned for the patient's benefit
• Nursing Therapeutics - composed of disciples and professional activities and automatic activities
• Direct Function - initiates a process of helping the patient express the specific meaning of his behavior
• Indirect Function - calling for help of others or whatever help the patient may require