Transcription
[musika] [musika] Good day everyone. My name is Riza K Alamada. Today we will discuss about the deliberative nursing process theory by Ida Jen Orlando.
Before we start, let us uh discuss what is deliberative. So deliberative is it focuses on the interactions between the nurse and the patients. According to Orlando, hindi dapat automatic lang ang pag-action ng nurse kundi dapat deliberate at naka-base sa actual need ng pasyente. She also emphasize the importance of communication. Kasi dito dito natin malalaman kung ano talaga ang nararamdaman at kailangan ng pasyente. This theory remind remind us that nursing is not just doing task but also about understanding, critical thinking and the giving care that truly respond to the patient's needs.
Now let's talk about who is ID Shane Orlando. Eda Jane Orlando was born in 1926. He began her nursing education at the New York New York Medical College where she received her diploma in 1947. In 1951, she earned her bachelor's degree in public health nursing from St. John University in Brooklyn. By 1954, she complete her master degree in mental health consultations at Teachers College, Colombia University in New York. She is the best known for her nursing theory, the dynamic nurse patient relationship first introduced in 1961 and later expanded in her work the discipline and teaching of nursing process in 1972. Orlando retired from active nursing practice in in 1992 but her impact on the profession continued to be recognized. In 2006 she was honored by the Massachusetts Register Nurse Association as a nurse living legend. She passed away in 2007 leaving behind a legacy that continues to guide nursing practice today.
Orlando said that patient have their own meanings and interpretations of situations and therefore nurses must validate their inference and analysis with patient before concluding. Sabi ni Orlano dito, iba-iba ang interpretation ng pasyente sa sitwasyon nila. Ibig sabihin kung ano ang nararamdaman nila physically man or emotionally ay sila mismo lang makakaalam kung ano talaga ang ibig sabihin non. Kaya dapat sa nurse hindi pwedeng manghula. Dapat i-check muna sa pasyente bago mag-resot o gumawa ng actions. I-confirm sa pasyente kung ano talaga ang kailangan niya tapos doun ka kikilos.
Distress is the patient of a patient whose need has not being meet. Nursing rule is to describe and and meet the patient emate in need for help. Nursing action directly or indirectly provide for present immediate need. Distress. Ito ang nararanasan ng pasyente kapag hindi natugunan ang kanyang pangangailangan. Nurse nurse rule. Tungkulin nurse naasin atugunan agad ang pangangailangan ng pasyente. Nursing action. Ang ginagawa ng nurse, diskarta man o hindi direkta upang matugunan ang angka ng pangangailangan ng pasyente. So ito lang yung tatandaan natin dito sa definition of termus sa distress, sa nursing, sa nursing rule, sa nursing action. Sa distrito yung sakit or nararamdaman ng pasyente na hindi pa nasolusyunan. For example, si Agbu may sakit siya, may sakit ang katawan niya. So 'yung sakit na 'yun wala pang nagagawa si nurse na solusyon para gamutin 'yun. So ang tawag do ay distress. Sa nursing rule naman is dito na lalapit si nurse para alamin kung ano ba talaga ang kailangan ni pasyente. Kung ano ba ang nararamdaman ni pasyente para matulungan si patient. Sa nursing action naman is dito na mismo gagawa si nurse para matulungan si pasyente, para magamot si pasyente.
Now let's talk about the core concept. Number one is a professional nursing functions. So this means that the main job or function of a nurse is to find out what the patient really needs at at the moment and help them right way. According to Orlando, nursing start when the patient feels helpless or cannot manage their own situation. So ang trabaho ng nurse ay hindi lang basta magbigay ng gamot o sumunod sa doctor's order. Dapat alam niya kung ano talaga ang kailangan ng pasyente at ibigay sa oras na iyon.
Next is the patient percentic behavior. This refers to how the patient show that something is strong or that they need help. Sabi ni Orlando, kahit anong paraan na ipinapakita ng pasyente whether physically, emotionally or or verbal, pwedeng senyales yun na kailangan niya ng tulong. So there are three types of patient behavior. Number one is sa verbal. Number two is vocal. Number three is nonverbal. Sa verbal naman is dito lalapit mismo si patient para para sabihin kung ano talaga yung nararamdaman niya. Sa vocal naman is ah hindi siya hindi niya sasabihin sa nurse kung ano nararamdaman niya. Pero ang maririnig mo dito sa vocal is yung mga tunog gaya ng ubo, pag-iyak at pagsigaw ng sobrang lakas. Sa nonverbal naman is ito yung mga kilos or signals ng katawan tulad ng pamumutla, pamumula ng mukha or pag-iyak ng pasyente.
Next is sa immediate reactions. Immediate reaction is ito yung internal respond ng nurse kapag napansin niya ang behavior ng pasyente. Nangyayari ito kapag ang nurse ay gumagamit ng five senses. We have nakikita nakita or narinig or nahawakan. Ang behavior ng patient ang nagti-trigger sa reaction ng nurse at dito nagsisimula ang nursing process discipline. Number one is automatic nursing actions. Number two is deliberative nursing actions. Sa automatic nursing action naman is ito yung mabilis na reaction ng nurse na halos instinctive or natural na lumalabas. Hindi na masyadong pinag-isipan. Agad lang kumikilos based lang sa nakita o narinig niya. Number two is deliberative nursing actions. Ito naman ang pinag-isipan at guide ng guide na action ng nurse. Bago siya kumilos, tinitingnan at iniintindi muna niya ang behavior ng pasyente para siguradong tama ang gagawin niya. Naka-base siya sa assessment at understanding kaya mas nakakatulong para masolusyunan ang totoong problema ng pasyente.
Next is deliberative nursing process. This is the heart of Orlando's theory. Dito nangyayari ang interaction at communication between the nurse and the patients. According to Orlando, both the nurse and the patient affect each other. The patient behavior affects the nurses actions and the nursing nurses actions affects the patient's response. So, deliberative means plan and purposeful. Hindi basta-basta action lang. Kaya dapat daw sa nurse unawain atihin ang behavior ng pasyente, tukuhin kung anong tulong ang kailangan niya at siguraduhin na matutulungan talaga siya ng action ng nurse.
Next is a improvement. Internal response pa rin ito pero focus siya sa outcome ng nurse patient's interactions. Kapag ang nurse ay gumamit ng deliberative response, mas malaki ang chance na matugunan ang totoong need ng pasyente. So ang magiging resulta nito ay may improvement sa kondisyon ng pasyente dahil tama ang nursing ang naging nursing action.
Now let's discuss the definition of metaparadigms. Nursing. For a lando, nursing is a unique and independent professions. Ang main goal ng nursing ay tulungan ang pasyente sa kanyang immediate need. Pero hindi lang basta tulong. Dapat ito ang ginagawa in a discipline and professional way. Ibig sabihin, ang nurse ay ah dapat mag-observe, makinig at kumilos ng tama para malaman kung ano talaga ang kailangan ng pasyente. So nursing for Orlando is about using proper knowledge and and interactions to meet the patient need, patient real needs.
>> Next is a human being. So para kay Orlando, the being is a center of nursing. Bawat tao ay unique. May kanya-kanyang feelings, needs, and situations. Kaya dapat ang nurse ay marunong umanawa sa individuality ng pasyente. Ang relationship ng nurse at patients ay dynamic, meaning nagbabago depende sa situation. So for Orlando, humans in need are the main focus of nursing practice.
Next is health. In Orlando's theory, health is about how a person feels overall, not just physically but emotionally too. So para kay Orlando, ang health ay kapag ang isang tao ay nasa maayos na kalagayan at walang distress o worry, kapag ang isang tao ay o parang hindi niya kayang ayusin ang sarili niyang situations, doon pumasok ang ang role ng nurse. So health for arnado means feeling well and being free from the stress.
Next is environment. Orlando did not focus much on the environment. Sa theory niya, hindi niya masyadong pinag-usapan kung paano nakakapekto ang surrounding family or community sa pasyente. Ang focus niya ay nasa relationship at interaction between the nurse and the patient kung paano nila hinaharap ang immediate need ng pasyente. So for Orlando, the environment is not the main concern but rather the direct connection between the nurse and the patient.
Okay. Now, let's discuss the conceptual framework used by Orlando. So ito yung tinatawag nila na ad by nursing process. Okay. Sa assessment is ito yung unang step. Dito ang nurse ang nagco-collect ng data. So there are two types of data. We have the subjective and objective. Sa subjective naman is dito ah sinusulat ni nurse kung ano yung sinabi ng pasyente. For example, ang sinabi ng nurse ay hindi niya mataas ang kanang kamay niya. So doon isusulat sa subjective. Sa objective naman is dito, dito naman sinusulat kung ano ang nakikita ni nurse sa pasyente. Dito rin sinusulat yung mga vital sense niya, temperature or BP.
Next is diagnosis. Ang diagnosis, ito yung second step ng nursing process. After makuha lahat ng data sa assessment, dito naman ina-analyze ng nurse kung ang information para malaman kung ano ang nursing problem ng pasyente.
Next is planning. Planning is ito yung part kung saan magpaplano ang nurse ng mga goals at intervention para matulungan ang pasyente. So dapat specific, ah measurable and realistic ang goals.
Next is implementation. implementation. Ito yung action part. Ginagawa na ng nurse ang mga plano dito na lumalabas ang professional skills ng mga nurses.
And the last one is evaluations. So dito not ah uh ah chine-check ng nurse kung effective ba ang ginawa niyang care plan. Tinitingnan kung may improvement o kung kailangan baguhin ang plan.
So that's the end of our report about delerative nursing process theory.