SlideShare a Scribd company logo
1 of 31
Download to read offline
IDA JEAN
ORLANDO
THEORY
PRESENTED BY
MS LISA CHADHA
F.Y. MSC NURSING
BVCON, PUNE
About the Theorist
•Ida Jean Orlando - born in 1926.
•wrote about the nursing process.
•Nursing diploma - New York Medical College
•BSC in public health nursing - St. John's University, NY,
•MA in mental health nursing - Columbia University, New
York.
•Associate Professor at Yale School of Nursing and
Director of the Graduate Program in Mental Health
Psychiatric Nursing.
•Project investigator of a National Institute of Mental
Health grant entitled: Integration of Mental Health
Concepts in a Basic Nursing Curriculum.
INTRODUCTION TO THEORYINTRODUCTION TO THEORY
O The role of the nurse is to find out and meetThe role of the nurse is to find out and meet
the patient's immediate need for help.the patient's immediate need for help.
O The patient's presenting behavior may be aThe patient's presenting behavior may be a
appeal for help; however, the help needed mayappeal for help; however, the help needed may
not be what it appears to be.not be what it appears to be.
O Therefore, nurses need to use theirTherefore, nurses need to use their
perception, thoughts about the perception, orperception, thoughts about the perception, or
the feeling engendered from their thoughts tothe feeling engendered from their thoughts to
explore with patients the meaning of theirexplore with patients the meaning of their
behaviorbehavior..
O This process helps nurse find out the natureThis process helps nurse find out the nature
of the distress and what help the patientof the distress and what help the patient
needs.needs.
Terms
•Distress is the experience of a patient whose need has
not been met.
•Nursing role is to discover and meet the patient’s
immediate need for help.
•Patient’s behavior may not represent the true need.
•The nurse validates his/her understanding of the
need with the patient.
•Nursing actions directly or indirectly provide for the
patient’s immediate need.
•An outcome is a change in the behavior of the
patient indicating either a relief from distress or an
unmet need.
•Observable verbally and nonverbally
ASSUMPTIONS
When patients cannot cope with their needs without help,
they become distressed with feelings of helplessness.
•Patients are unique and individual in their responses.
•Nursing deals with people, environment and health
•Patient need help in communicating needs, they are
uncomfortable and undecided about dependency needs
•Human beings are able to be secretive or explicit about
their needs, perceptions, thoughts and feelings,
•The nurse – patient situation is dynamic, actions and
reactions are influenced by both nurse and patient
•Nurses are concerned with needs that patients cannot
meet on their own
CHARACTERISTICS OF THE THEORY
•Orlando's theory interrelate
concepts
•Orlando's theory has a logical nature
•Orlando's theory is simple and
applicable in the daily practice.
•Orlando's theory contribute to the
professional knowledge.
•Orlando's theory is applicable in
clinical practice
STRENGTHS
•Use of her theory assures that patient will be treated as
individuals and that they will have active and constant input
into their own care
•Prevents inaccurate diagnosis or ineffective plans because
the nurse has to constantly explore her reactions with the
patient
•Assertion of nursing’s independence as a profession and her
belief that this independence must be based on a sound
theoretical frame work
•Guides the nurse to evaluate her care in terms of objectively
observable patient outcome
Orlando theory ppt
Orlando theory ppt
Orlando theory ppt
AssessmentAssessment
O Identifying patients need for help.Identifying patients need for help.
O It includes:It includes:
Perception of clientPerception of client
Thoughts and feelings aboutThoughts and feelings about
perceptionperception
Perception of clientPerception of client
O VerbalVerbal- what client says- what client says
O Non verbalNon verbal - moaning, groaning, tone- moaning, groaning, tone
,volume.,volume.
Client activities ,pacing,Client activities ,pacing,
runningrunning
O Physiological manifestations:Physiological manifestations: BP, pulse,BP, pulse,
patterns of urinationpatterns of urination
Thoughts and feelings aboutThoughts and feelings about
perceptionperception
O Observation of clients behavior (nurse’sObservation of clients behavior (nurse’s
perception ) gives rise to nurse’s thoughtsperception ) gives rise to nurse’s thoughts
and feelings.and feelings.
O A thought is a cognitive process and feelingA thought is a cognitive process and feeling
is an affective process.is an affective process.
O Thoughts about a client’s behavior areThoughts about a client’s behavior are
merely assumptions which should not guidemerely assumptions which should not guide
nursing actions unless validated by thenursing actions unless validated by the
client.
Nursing DiagnosisNursing Diagnosis
O Product of analysisProduct of analysis
O Leads to identification of need forLeads to identification of need for
helphelp..
Planning phasePlanning phase
O Writing goals and objectives andWriting goals and objectives and
deciding about appropriate actiondeciding about appropriate action ..
Nursing actionNursing action
Two types of nursing actions:Two types of nursing actions:
O Deliberative: The nurse initiates believingDeliberative: The nurse initiates believing
that she will help ascertain or meetthat she will help ascertain or meet
client’s immediate need for help.client’s immediate need for help.
O Automatic: Actions which are not focusedAutomatic: Actions which are not focused
on the clients need but other need suchon the clients need but other need such
as nurse’s or physicians.as nurse’s or physicians.
ImplementationImplementation
O Final selection and carrying outFinal selection and carrying out
planned actionplanned action..
EvaluationEvaluation
O Nurse need to evaluate the processNurse need to evaluate the process
to know that the action taken by herto know that the action taken by her
is appropriate for the patient or not.is appropriate for the patient or not.
Application of theoryApplication of theory
O Mrs Reshma Anil Barisode, a 26 yearMrs Reshma Anil Barisode, a 26 year
old nullipara came to infertility OPDold nullipara came to infertility OPD
with history of 6 years of nonwith history of 6 years of non
consanguineous marriage and noconsanguineous marriage and no
history of contraceptives for thehistory of contraceptives for the
treatment of primary infertility.treatment of primary infertility.
Objectives of nursingObjectives of nursing
managementmanagement
O Using Orlando’s nursing theory, theUsing Orlando’s nursing theory, the
following objectives were planned forfollowing objectives were planned for
care:care:
 To assess patient condition by use ofTo assess patient condition by use of
theorytheory
 State perception of clientState perception of client
 Find client’s immediate need for helpFind client’s immediate need for help
 Validate immediate need for help.Validate immediate need for help.
Reactions:Reactions:
O Verbal: can I able to concieve? My familyVerbal: can I able to concieve? My family
members keep on blaming me …huge familymembers keep on blaming me …huge family
pressurepressure
O Non verbal: anxious, worried depressedNon verbal: anxious, worried depressed
O No eye to eye contact while answering, onlyNo eye to eye contact while answering, only
nodding of headnodding of head
Need for helpNeed for help
O Anxiety r/t chances ofAnxiety r/t chances of
conceptionconception
O Knowledge deficit regardingKnowledge deficit regarding
assisted reproductive techniquesassisted reproductive techniques
and treatment of infertilityand treatment of infertility..
Nurse actionNurse action
O Identify positive coping behavior andIdentify positive coping behavior and
reinforce them.reinforce them.
O Give positive reinforcement.Give positive reinforcement.
O Reassure the patient.Reassure the patient.
O Clarify the doubts of patient.Clarify the doubts of patient.
O Provide explanation in simpleProvide explanation in simple
understanding terms to patient.understanding terms to patient.
O Involve both couple for counselingInvolve both couple for counseling
O Arrange special meeting with patientsArrange special meeting with patients
who had positive results from infertilitywho had positive results from infertility
treatmenttreatment
O Provide psychological support to theProvide psychological support to the
patient.patient.
O Give realistic opinion.Give realistic opinion.
O Encourage patient to take herEncourage patient to take her
decision independently.decision independently.
Evaluation
O Evaluate the patient level of anxiety and
stress after clarifying the doubts.
O Re evaluate the patient in next visit
Limitations
O Highly interactive nursing theory makes it
hard to include highly technical and
physical care that nurses give in certain
situation.
O Long term care and planning are not
applicable.
Conclusion
O Orlando’s nursing theory stresses the
reciprocal relationship between patient
and nurse and finding out and meeting the
patient’s immediate need for help.
O Orlando may have facilitated the
development of nurses as logical thinkers.
O The Deliberative Nursing Process helps
nurses achieve more successful patient
outcomes such as fall reduction. Orlando’s
theory remains a most effective practice
theory that is especially helpful to new
nurses as they begin their practice
Bibliography
George, J.B. (2011). Nursing theories: The base for
professional nursing practice (6th ed.). Philadelphia:
Pearson.
Potter, P.A., & Perry, A.G. (2012). Fundamentals of
nursing (8th ed.). St. Louis, MO: Mosby Elsevier.
Schmieding, N. (1990). An integrative nursing theoretical
framework. Journal of Advanced. Nursing, 15(4), 463-46
 
Orlando theory ppt

More Related Content

What's hot

Travelbee's person to person relationship theory
Travelbee's person to person relationship theoryTravelbee's person to person relationship theory
Travelbee's person to person relationship theorymominasaleem2
 
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation TheorySister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation TheoryJosephine Ann Necor
 
Imogene King: Goal Attainment Theory
Imogene King: Goal Attainment TheoryImogene King: Goal Attainment Theory
Imogene King: Goal Attainment TheoryJen Gragera
 
Orlando's nursing process theory
Orlando's nursing process theoryOrlando's nursing process theory
Orlando's nursing process theoryHarsh Rastogi
 
Theory of Human Becoming by Rosemarie Rizzo Parse
Theory of Human Becoming by Rosemarie Rizzo ParseTheory of Human Becoming by Rosemarie Rizzo Parse
Theory of Human Becoming by Rosemarie Rizzo ParseMaria Neze Dalimocon
 
Virginia henderson's theory of nursing
Virginia henderson's theory of nursingVirginia henderson's theory of nursing
Virginia henderson's theory of nursingMandeep Gill
 
Madeleine Leininger’s Transcultural Nursing
Madeleine Leininger’s Transcultural NursingMadeleine Leininger’s Transcultural Nursing
Madeleine Leininger’s Transcultural NursingJosephine Ann Necor
 
Martha Rogers’s Science of Unitary Human Beings...simplified...with a case sc...
Martha Rogers’s Science of Unitary Human Beings...simplified...with a case sc...Martha Rogers’s Science of Unitary Human Beings...simplified...with a case sc...
Martha Rogers’s Science of Unitary Human Beings...simplified...with a case sc...Karen V. Duhamel
 
History and Evolution of Nursing
History and Evolution of Nursing History and Evolution of Nursing
History and Evolution of Nursing Jed Montayre
 
Anne boykin - Savina Schoenholer
Anne boykin - Savina SchoenholerAnne boykin - Savina Schoenholer
Anne boykin - Savina Schoenholerkharang
 
Madeleine leininger tfn report
Madeleine leininger tfn reportMadeleine leininger tfn report
Madeleine leininger tfn reportNursing Student
 
Humanistic nursing theory. ppt
Humanistic nursing theory. pptHumanistic nursing theory. ppt
Humanistic nursing theory. pptvaisakhgopakumar
 
Health promotion model and Health Belief model
Health promotion model and Health Belief modelHealth promotion model and Health Belief model
Health promotion model and Health Belief modelPrincy Francis M
 
Margaret Newman's Health As Expanding Consciousness
Margaret Newman's Health As Expanding ConsciousnessMargaret Newman's Health As Expanding Consciousness
Margaret Newman's Health As Expanding ConsciousnessJosephine Ann Necor
 

What's hot (20)

Travelbee's person to person relationship theory
Travelbee's person to person relationship theoryTravelbee's person to person relationship theory
Travelbee's person to person relationship theory
 
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation TheorySister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
 
Imogene king
Imogene kingImogene king
Imogene king
 
Imogene King: Goal Attainment Theory
Imogene King: Goal Attainment TheoryImogene King: Goal Attainment Theory
Imogene King: Goal Attainment Theory
 
Orlando's nursing process theory
Orlando's nursing process theoryOrlando's nursing process theory
Orlando's nursing process theory
 
Theory of Human Becoming by Rosemarie Rizzo Parse
Theory of Human Becoming by Rosemarie Rizzo ParseTheory of Human Becoming by Rosemarie Rizzo Parse
Theory of Human Becoming by Rosemarie Rizzo Parse
 
Virginia henderson's theory of nursing
Virginia henderson's theory of nursingVirginia henderson's theory of nursing
Virginia henderson's theory of nursing
 
0rlando,s nursing process theory
0rlando,s nursing process theory0rlando,s nursing process theory
0rlando,s nursing process theory
 
Joyce Travelbee
Joyce TravelbeeJoyce Travelbee
Joyce Travelbee
 
Human becoming theory
Human becoming theoryHuman becoming theory
Human becoming theory
 
Humanistic theory
Humanistic theoryHumanistic theory
Humanistic theory
 
Orem Theory
Orem TheoryOrem Theory
Orem Theory
 
Madeleine Leininger’s Transcultural Nursing
Madeleine Leininger’s Transcultural NursingMadeleine Leininger’s Transcultural Nursing
Madeleine Leininger’s Transcultural Nursing
 
Martha Rogers’s Science of Unitary Human Beings...simplified...with a case sc...
Martha Rogers’s Science of Unitary Human Beings...simplified...with a case sc...Martha Rogers’s Science of Unitary Human Beings...simplified...with a case sc...
Martha Rogers’s Science of Unitary Human Beings...simplified...with a case sc...
 
History and Evolution of Nursing
History and Evolution of Nursing History and Evolution of Nursing
History and Evolution of Nursing
 
Anne boykin - Savina Schoenholer
Anne boykin - Savina SchoenholerAnne boykin - Savina Schoenholer
Anne boykin - Savina Schoenholer
 
Madeleine leininger tfn report
Madeleine leininger tfn reportMadeleine leininger tfn report
Madeleine leininger tfn report
 
Humanistic nursing theory. ppt
Humanistic nursing theory. pptHumanistic nursing theory. ppt
Humanistic nursing theory. ppt
 
Health promotion model and Health Belief model
Health promotion model and Health Belief modelHealth promotion model and Health Belief model
Health promotion model and Health Belief model
 
Margaret Newman's Health As Expanding Consciousness
Margaret Newman's Health As Expanding ConsciousnessMargaret Newman's Health As Expanding Consciousness
Margaret Newman's Health As Expanding Consciousness
 

Similar to Orlando theory ppt

Nursing process theory
Nursing process theoryNursing process theory
Nursing process theoryHira Ejaz
 
Doctor patient relationship
Doctor patient relationshipDoctor patient relationship
Doctor patient relationshipMan Mohan Harjai
 
OREM S THEORY.pptx
OREM S THEORY.pptxOREM S THEORY.pptx
OREM S THEORY.pptxShalu_abi
 
OREM S THEORY.pptx
OREM S THEORY.pptxOREM S THEORY.pptx
OREM S THEORY.pptxShalu_abi
 
[E poster]how do residents develop self efficacy through clinical training a ...
[E poster]how do residents develop self efficacy through clinical training a ...[E poster]how do residents develop self efficacy through clinical training a ...
[E poster]how do residents develop self efficacy through clinical training a ...Kazuki Tokumasu
 
BeHealth.Today | Mobile Psych Treatment Team
BeHealth.Today | Mobile Psych Treatment TeamBeHealth.Today | Mobile Psych Treatment Team
BeHealth.Today | Mobile Psych Treatment TeamKevin Popović
 
THEORIES IN NURSING (1).ppt
THEORIES IN NURSING (1).pptTHEORIES IN NURSING (1).ppt
THEORIES IN NURSING (1).pptSOLOMONKIPSEREK
 
Reflective Medical Practice - Dr. Gawad
Reflective Medical Practice - Dr. GawadReflective Medical Practice - Dr. Gawad
Reflective Medical Practice - Dr. GawadNephroTube - Dr.Gawad
 
Ernestine Wiedenbach's The Helping Art of Clinical Nursing
Ernestine Wiedenbach's The Helping Art of Clinical NursingErnestine Wiedenbach's The Helping Art of Clinical Nursing
Ernestine Wiedenbach's The Helping Art of Clinical NursingJosephine Ann Necor
 
Interpersonal Relations Theory by Hildegard Peplau
Interpersonal Relations Theory by Hildegard PeplauInterpersonal Relations Theory by Hildegard Peplau
Interpersonal Relations Theory by Hildegard PeplauRendell Baldon
 
Application of Nursing Theories to nursing practice and education.
Application of Nursing Theories to nursing practice and education.Application of Nursing Theories to nursing practice and education.
Application of Nursing Theories to nursing practice and education.Rupa Verma
 
Nursing ethics (2)
Nursing ethics (2)Nursing ethics (2)
Nursing ethics (2)Maputi24
 
Nursing theories in pon
Nursing theories in ponNursing theories in pon
Nursing theories in ponSamboGlo
 
Theory And The Nursing Process
Theory And The Nursing ProcessTheory And The Nursing Process
Theory And The Nursing ProcessPatricia Medina
 
Peplau’s+interpersonal+relations+theory+power+point
Peplau’s+interpersonal+relations+theory+power+pointPeplau’s+interpersonal+relations+theory+power+point
Peplau’s+interpersonal+relations+theory+power+pointzafar.iqbal
 
Peplau’s+interpersonal+relations+theory+power+point
Peplau’s+interpersonal+relations+theory+power+pointPeplau’s+interpersonal+relations+theory+power+point
Peplau’s+interpersonal+relations+theory+power+pointzafar.iqbal
 

Similar to Orlando theory ppt (20)

Nursing process theory
Nursing process theoryNursing process theory
Nursing process theory
 
Doctor patient relationship
Doctor patient relationshipDoctor patient relationship
Doctor patient relationship
 
Lesson 28
Lesson 28Lesson 28
Lesson 28
 
.......
..............
.......
 
OREM S THEORY.pptx
OREM S THEORY.pptxOREM S THEORY.pptx
OREM S THEORY.pptx
 
OREM S THEORY.pptx
OREM S THEORY.pptxOREM S THEORY.pptx
OREM S THEORY.pptx
 
Nursing Theories
Nursing TheoriesNursing Theories
Nursing Theories
 
[E poster]how do residents develop self efficacy through clinical training a ...
[E poster]how do residents develop self efficacy through clinical training a ...[E poster]how do residents develop self efficacy through clinical training a ...
[E poster]how do residents develop self efficacy through clinical training a ...
 
Theorypptx
TheorypptxTheorypptx
Theorypptx
 
BeHealth.Today | Mobile Psych Treatment Team
BeHealth.Today | Mobile Psych Treatment TeamBeHealth.Today | Mobile Psych Treatment Team
BeHealth.Today | Mobile Psych Treatment Team
 
THEORIES IN NURSING (1).ppt
THEORIES IN NURSING (1).pptTHEORIES IN NURSING (1).ppt
THEORIES IN NURSING (1).ppt
 
Reflective Medical Practice - Dr. Gawad
Reflective Medical Practice - Dr. GawadReflective Medical Practice - Dr. Gawad
Reflective Medical Practice - Dr. Gawad
 
Ernestine Wiedenbach's The Helping Art of Clinical Nursing
Ernestine Wiedenbach's The Helping Art of Clinical NursingErnestine Wiedenbach's The Helping Art of Clinical Nursing
Ernestine Wiedenbach's The Helping Art of Clinical Nursing
 
Interpersonal Relations Theory by Hildegard Peplau
Interpersonal Relations Theory by Hildegard PeplauInterpersonal Relations Theory by Hildegard Peplau
Interpersonal Relations Theory by Hildegard Peplau
 
Application of Nursing Theories to nursing practice and education.
Application of Nursing Theories to nursing practice and education.Application of Nursing Theories to nursing practice and education.
Application of Nursing Theories to nursing practice and education.
 
Nursing ethics (2)
Nursing ethics (2)Nursing ethics (2)
Nursing ethics (2)
 
Nursing theories in pon
Nursing theories in ponNursing theories in pon
Nursing theories in pon
 
Theory And The Nursing Process
Theory And The Nursing ProcessTheory And The Nursing Process
Theory And The Nursing Process
 
Peplau’s+interpersonal+relations+theory+power+point
Peplau’s+interpersonal+relations+theory+power+pointPeplau’s+interpersonal+relations+theory+power+point
Peplau’s+interpersonal+relations+theory+power+point
 
Peplau’s+interpersonal+relations+theory+power+point
Peplau’s+interpersonal+relations+theory+power+pointPeplau’s+interpersonal+relations+theory+power+point
Peplau’s+interpersonal+relations+theory+power+point
 

More from Bharati vidyapeeth university (15)

Breast feeding
Breast feedingBreast feeding
Breast feeding
 
Innovations in nursing
Innovations in nursingInnovations in nursing
Innovations in nursing
 
Current trends and issues in nsg
Current trends and issues in nsgCurrent trends and issues in nsg
Current trends and issues in nsg
 
Standing orders in obstetrics
Standing orders in obstetricsStanding orders in obstetrics
Standing orders in obstetrics
 
Anaemia in pregnancy
Anaemia in pregnancyAnaemia in pregnancy
Anaemia in pregnancy
 
Reproductive tract malignancy
Reproductive tract malignancyReproductive tract malignancy
Reproductive tract malignancy
 
Strategic planning ppt 2nd sept 2017
Strategic planning ppt 2nd sept 2017Strategic planning ppt 2nd sept 2017
Strategic planning ppt 2nd sept 2017
 
Obstetrical emergencies
Obstetrical emergenciesObstetrical emergencies
Obstetrical emergencies
 
Lisa chadha
Lisa chadhaLisa chadha
Lisa chadha
 
Drug ppt lisa chadha
Drug ppt lisa chadhaDrug ppt lisa chadha
Drug ppt lisa chadha
 
Problem based learning
Problem based learningProblem based learning
Problem based learning
 
antenatal fetal surveillance
antenatal fetal surveillanceantenatal fetal surveillance
antenatal fetal surveillance
 
Blood formation and composition
Blood formation and compositionBlood formation and composition
Blood formation and composition
 
Altered body temperature.
Altered body temperature.Altered body temperature.
Altered body temperature.
 
Chain of infection2
Chain of infection2Chain of infection2
Chain of infection2
 

Recently uploaded

Pharmacovigilance audits inspections.pptx
Pharmacovigilance audits inspections.pptxPharmacovigilance audits inspections.pptx
Pharmacovigilance audits inspections.pptxCliniminds India
 
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHYCECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHYRMC
 
EYE CANCER.pptx prepared by Neha kewat digital learning
EYE CANCER.pptx prepared by  Neha kewat digital learningEYE CANCER.pptx prepared by  Neha kewat digital learning
EYE CANCER.pptx prepared by Neha kewat digital learningNehaKewat
 
person with disability and pwd act ppt.pptx
person with disability and pwd act ppt.pptxperson with disability and pwd act ppt.pptx
person with disability and pwd act ppt.pptxMUKESH PADMANABHAN
 
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete HealthLiving Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete HealthLyons Health
 
Artificial Intelligence in Healthcare: Challenges, Risks, Benefits
Artificial Intelligence in Healthcare: Challenges, Risks, BenefitsArtificial Intelligence in Healthcare: Challenges, Risks, Benefits
Artificial Intelligence in Healthcare: Challenges, Risks, BenefitsIris Thiele Isip-Tan
 
Eating Disorders in Athletes I Sports Psychology
Eating Disorders in Athletes I Sports PsychologyEating Disorders in Athletes I Sports Psychology
Eating Disorders in Athletes I Sports Psychologyshantisphysio
 
21 NEMT Trends & Statistics to Know in 2024
21 NEMT Trends & Statistics to Know in 202421 NEMT Trends & Statistics to Know in 2024
21 NEMT Trends & Statistics to Know in 2024Traumasoft LLC
 
ACCA Version of AI & Healthcare: An Overview for the Curious
ACCA Version of AI & Healthcare: An Overview for the CuriousACCA Version of AI & Healthcare: An Overview for the Curious
ACCA Version of AI & Healthcare: An Overview for the CuriousKR_Barker
 
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....sharyurangari111
 
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11crzljavier
 
Assisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCareAssisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCareratilalthakkar704
 
Hematinics and Erythropoietin- Pharmacology of Hematinics
Hematinics and Erythropoietin- Pharmacology of HematinicsHematinics and Erythropoietin- Pharmacology of Hematinics
Hematinics and Erythropoietin- Pharmacology of Hematinicsnetraangadi2
 
"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf
"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf
"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdfDolisha Warbi
 
LARYNGEAL CANCER.pptx Prepared by Neha Kewat
LARYNGEAL CANCER.pptx  Prepared by Neha KewatLARYNGEAL CANCER.pptx  Prepared by Neha Kewat
LARYNGEAL CANCER.pptx Prepared by Neha KewatNehaKewat
 
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdfAnatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdfhezamzaki1
 
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptxNEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptxHanineHassan2
 
Three Keys to a Successful Margin: Charges, Costs, and Labor
Three Keys to a Successful Margin: Charges, Costs, and LaborThree Keys to a Successful Margin: Charges, Costs, and Labor
Three Keys to a Successful Margin: Charges, Costs, and LaborHealth Catalyst
 

Recently uploaded (20)

Pharmacovigilance audits inspections.pptx
Pharmacovigilance audits inspections.pptxPharmacovigilance audits inspections.pptx
Pharmacovigilance audits inspections.pptx
 
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHYCECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
 
EYE CANCER.pptx prepared by Neha kewat digital learning
EYE CANCER.pptx prepared by  Neha kewat digital learningEYE CANCER.pptx prepared by  Neha kewat digital learning
EYE CANCER.pptx prepared by Neha kewat digital learning
 
person with disability and pwd act ppt.pptx
person with disability and pwd act ppt.pptxperson with disability and pwd act ppt.pptx
person with disability and pwd act ppt.pptx
 
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete HealthLiving Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
 
Artificial Intelligence in Healthcare: Challenges, Risks, Benefits
Artificial Intelligence in Healthcare: Challenges, Risks, BenefitsArtificial Intelligence in Healthcare: Challenges, Risks, Benefits
Artificial Intelligence in Healthcare: Challenges, Risks, Benefits
 
Eating Disorders in Athletes I Sports Psychology
Eating Disorders in Athletes I Sports PsychologyEating Disorders in Athletes I Sports Psychology
Eating Disorders in Athletes I Sports Psychology
 
21 NEMT Trends & Statistics to Know in 2024
21 NEMT Trends & Statistics to Know in 202421 NEMT Trends & Statistics to Know in 2024
21 NEMT Trends & Statistics to Know in 2024
 
ACCA Version of AI & Healthcare: An Overview for the Curious
ACCA Version of AI & Healthcare: An Overview for the CuriousACCA Version of AI & Healthcare: An Overview for the Curious
ACCA Version of AI & Healthcare: An Overview for the Curious
 
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
 
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11
 
Assisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCareAssisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCare
 
Annual Training
Annual TrainingAnnual Training
Annual Training
 
Hematinics and Erythropoietin- Pharmacology of Hematinics
Hematinics and Erythropoietin- Pharmacology of HematinicsHematinics and Erythropoietin- Pharmacology of Hematinics
Hematinics and Erythropoietin- Pharmacology of Hematinics
 
"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf
"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf
"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf
 
Painting Rats White Angers Them to No End
Painting Rats White Angers Them to No EndPainting Rats White Angers Them to No End
Painting Rats White Angers Them to No End
 
LARYNGEAL CANCER.pptx Prepared by Neha Kewat
LARYNGEAL CANCER.pptx  Prepared by Neha KewatLARYNGEAL CANCER.pptx  Prepared by Neha Kewat
LARYNGEAL CANCER.pptx Prepared by Neha Kewat
 
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdfAnatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
 
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptxNEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
 
Three Keys to a Successful Margin: Charges, Costs, and Labor
Three Keys to a Successful Margin: Charges, Costs, and LaborThree Keys to a Successful Margin: Charges, Costs, and Labor
Three Keys to a Successful Margin: Charges, Costs, and Labor
 

Orlando theory ppt

  • 1. IDA JEAN ORLANDO THEORY PRESENTED BY MS LISA CHADHA F.Y. MSC NURSING BVCON, PUNE
  • 2. About the Theorist •Ida Jean Orlando - born in 1926. •wrote about the nursing process. •Nursing diploma - New York Medical College •BSC in public health nursing - St. John's University, NY, •MA in mental health nursing - Columbia University, New York. •Associate Professor at Yale School of Nursing and Director of the Graduate Program in Mental Health Psychiatric Nursing. •Project investigator of a National Institute of Mental Health grant entitled: Integration of Mental Health Concepts in a Basic Nursing Curriculum.
  • 3. INTRODUCTION TO THEORYINTRODUCTION TO THEORY O The role of the nurse is to find out and meetThe role of the nurse is to find out and meet the patient's immediate need for help.the patient's immediate need for help. O The patient's presenting behavior may be aThe patient's presenting behavior may be a appeal for help; however, the help needed mayappeal for help; however, the help needed may not be what it appears to be.not be what it appears to be. O Therefore, nurses need to use theirTherefore, nurses need to use their perception, thoughts about the perception, orperception, thoughts about the perception, or the feeling engendered from their thoughts tothe feeling engendered from their thoughts to explore with patients the meaning of theirexplore with patients the meaning of their behaviorbehavior.. O This process helps nurse find out the natureThis process helps nurse find out the nature of the distress and what help the patientof the distress and what help the patient needs.needs.
  • 4. Terms •Distress is the experience of a patient whose need has not been met. •Nursing role is to discover and meet the patient’s immediate need for help. •Patient’s behavior may not represent the true need. •The nurse validates his/her understanding of the need with the patient. •Nursing actions directly or indirectly provide for the patient’s immediate need.
  • 5. •An outcome is a change in the behavior of the patient indicating either a relief from distress or an unmet need. •Observable verbally and nonverbally
  • 6. ASSUMPTIONS When patients cannot cope with their needs without help, they become distressed with feelings of helplessness. •Patients are unique and individual in their responses. •Nursing deals with people, environment and health
  • 7. •Patient need help in communicating needs, they are uncomfortable and undecided about dependency needs •Human beings are able to be secretive or explicit about their needs, perceptions, thoughts and feelings, •The nurse – patient situation is dynamic, actions and reactions are influenced by both nurse and patient •Nurses are concerned with needs that patients cannot meet on their own
  • 8. CHARACTERISTICS OF THE THEORY •Orlando's theory interrelate concepts •Orlando's theory has a logical nature •Orlando's theory is simple and applicable in the daily practice. •Orlando's theory contribute to the professional knowledge. •Orlando's theory is applicable in clinical practice
  • 9. STRENGTHS •Use of her theory assures that patient will be treated as individuals and that they will have active and constant input into their own care •Prevents inaccurate diagnosis or ineffective plans because the nurse has to constantly explore her reactions with the patient •Assertion of nursing’s independence as a profession and her belief that this independence must be based on a sound theoretical frame work •Guides the nurse to evaluate her care in terms of objectively observable patient outcome
  • 13. AssessmentAssessment O Identifying patients need for help.Identifying patients need for help. O It includes:It includes: Perception of clientPerception of client Thoughts and feelings aboutThoughts and feelings about perceptionperception
  • 14. Perception of clientPerception of client O VerbalVerbal- what client says- what client says O Non verbalNon verbal - moaning, groaning, tone- moaning, groaning, tone ,volume.,volume. Client activities ,pacing,Client activities ,pacing, runningrunning O Physiological manifestations:Physiological manifestations: BP, pulse,BP, pulse, patterns of urinationpatterns of urination
  • 15. Thoughts and feelings aboutThoughts and feelings about perceptionperception O Observation of clients behavior (nurse’sObservation of clients behavior (nurse’s perception ) gives rise to nurse’s thoughtsperception ) gives rise to nurse’s thoughts and feelings.and feelings. O A thought is a cognitive process and feelingA thought is a cognitive process and feeling is an affective process.is an affective process. O Thoughts about a client’s behavior areThoughts about a client’s behavior are merely assumptions which should not guidemerely assumptions which should not guide nursing actions unless validated by thenursing actions unless validated by the client.
  • 16. Nursing DiagnosisNursing Diagnosis O Product of analysisProduct of analysis O Leads to identification of need forLeads to identification of need for helphelp..
  • 17. Planning phasePlanning phase O Writing goals and objectives andWriting goals and objectives and deciding about appropriate actiondeciding about appropriate action ..
  • 18. Nursing actionNursing action Two types of nursing actions:Two types of nursing actions: O Deliberative: The nurse initiates believingDeliberative: The nurse initiates believing that she will help ascertain or meetthat she will help ascertain or meet client’s immediate need for help.client’s immediate need for help. O Automatic: Actions which are not focusedAutomatic: Actions which are not focused on the clients need but other need suchon the clients need but other need such as nurse’s or physicians.as nurse’s or physicians.
  • 19. ImplementationImplementation O Final selection and carrying outFinal selection and carrying out planned actionplanned action..
  • 20. EvaluationEvaluation O Nurse need to evaluate the processNurse need to evaluate the process to know that the action taken by herto know that the action taken by her is appropriate for the patient or not.is appropriate for the patient or not.
  • 21. Application of theoryApplication of theory O Mrs Reshma Anil Barisode, a 26 yearMrs Reshma Anil Barisode, a 26 year old nullipara came to infertility OPDold nullipara came to infertility OPD with history of 6 years of nonwith history of 6 years of non consanguineous marriage and noconsanguineous marriage and no history of contraceptives for thehistory of contraceptives for the treatment of primary infertility.treatment of primary infertility.
  • 22. Objectives of nursingObjectives of nursing managementmanagement O Using Orlando’s nursing theory, theUsing Orlando’s nursing theory, the following objectives were planned forfollowing objectives were planned for care:care:  To assess patient condition by use ofTo assess patient condition by use of theorytheory  State perception of clientState perception of client  Find client’s immediate need for helpFind client’s immediate need for help  Validate immediate need for help.Validate immediate need for help.
  • 23. Reactions:Reactions: O Verbal: can I able to concieve? My familyVerbal: can I able to concieve? My family members keep on blaming me …huge familymembers keep on blaming me …huge family pressurepressure O Non verbal: anxious, worried depressedNon verbal: anxious, worried depressed O No eye to eye contact while answering, onlyNo eye to eye contact while answering, only nodding of headnodding of head
  • 24. Need for helpNeed for help O Anxiety r/t chances ofAnxiety r/t chances of conceptionconception O Knowledge deficit regardingKnowledge deficit regarding assisted reproductive techniquesassisted reproductive techniques and treatment of infertilityand treatment of infertility..
  • 25. Nurse actionNurse action O Identify positive coping behavior andIdentify positive coping behavior and reinforce them.reinforce them. O Give positive reinforcement.Give positive reinforcement. O Reassure the patient.Reassure the patient. O Clarify the doubts of patient.Clarify the doubts of patient. O Provide explanation in simpleProvide explanation in simple understanding terms to patient.understanding terms to patient. O Involve both couple for counselingInvolve both couple for counseling O Arrange special meeting with patientsArrange special meeting with patients who had positive results from infertilitywho had positive results from infertility treatmenttreatment
  • 26. O Provide psychological support to theProvide psychological support to the patient.patient. O Give realistic opinion.Give realistic opinion. O Encourage patient to take herEncourage patient to take her decision independently.decision independently.
  • 27. Evaluation O Evaluate the patient level of anxiety and stress after clarifying the doubts. O Re evaluate the patient in next visit
  • 28. Limitations O Highly interactive nursing theory makes it hard to include highly technical and physical care that nurses give in certain situation. O Long term care and planning are not applicable.
  • 29. Conclusion O Orlando’s nursing theory stresses the reciprocal relationship between patient and nurse and finding out and meeting the patient’s immediate need for help. O Orlando may have facilitated the development of nurses as logical thinkers. O The Deliberative Nursing Process helps nurses achieve more successful patient outcomes such as fall reduction. Orlando’s theory remains a most effective practice theory that is especially helpful to new nurses as they begin their practice
  • 30. Bibliography George, J.B. (2011). Nursing theories: The base for professional nursing practice (6th ed.). Philadelphia: Pearson. Potter, P.A., & Perry, A.G. (2012). Fundamentals of nursing (8th ed.). St. Louis, MO: Mosby Elsevier. Schmieding, N. (1990). An integrative nursing theoretical framework. Journal of Advanced. Nursing, 15(4), 463-46