Nursing Theory Plan of Care Essay

2122 WordsJul 23, 20129 Pages
Nursing Theory Plan of Care Theoretical Foundations of Practice NUR/513 March 05, 2012 Nursing Theory Plan of Care Ida Orlando literally wrote the book on the function of nursing. Her theory of the deliberative nursing process outlines a dynamic nurse-patient relationship in which the nurse uses his or her senses of perception together with deliberate actions to create an individualized care plan for each patient. Results of current research on the application of her theory follow a brief concept analysis and overview. Finally, a case study outlines the application of Orlando's deliberative nursing process. Concept Analysis of Orlando's Theory Orlando's theory hinges on the major tenets of nursing and the concept of…show more content…
This process assists the nurse in determining the nature of the patient's distress and how best to help meet his or her needs. The nurse-patient relationship becomes one of reciprocity as the nurse seeks to confirm his or her perceptions and thoughts of the patient's immediate needs by communicating this to the patient both verbally and through automatic and deliberative actions as outlined below (Sheldon & Ellington, 2008). Patient behaviors Mr. Issler presents with decreased oxygen saturation, diaphoresis, and pallor. Laboratory and diagnostic values show that he has impaired gas exchange with bilateral lung infiltrates, marginally low hemoglobin, a slightly distended abdomen, and decreased renal function. His blood pressure is also extremely high and he takes Coumadin for a history of deep vein thrombosis (DVT). Mr. Issler also has a history of congestive heart failure (CHF) for which he takes Lasix, a loop diuretic. He also exhibits renal insufficiency evidenced by an elevated creatinine level. Other vital signs include a respiratory rate of 22, pulse oximetry of 88% on room air, sinus bradycardia with a pulse of 58, and blood pressure of 176/84. Mr. Issler’s wife recently died and he has just spent more than two hours on a plane to move in with his ex-daughter-in-law, Shari. Currently, he does not know anyone from the area besides Shari and feels less independent. This leads to a state of depression and anxiety. Mr. Issler
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