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Levine's theory
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6. THEORY:
• Acc to ; Chinn & Kramer:
“Theory is a creative and rigorous
structuring of ideas that projects a
tentative purposeful and systemic view of
phenomena.”
9. Levine theory and
conservation modeL
1920 1996
PRESENTED BY-Ms
Rachana Joshi
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11. MILESTONES
• 1920- Myra Estrine Levine was born in Chicago
• The eldest among the three children ( has 1sister & 1 brother )
• 1969/1973/1989- Publication on " An Introduction to Clinical Nursing"
made a significant contribution to the "why's" of nursing actions.
•1992- awarded as Honorary Doctorate from Loyola University
1996 - She died at the age of 75.
Educational Achievement
1944- Diploma in nursing:-Cook county SON, Chicago
1949 - Bachelor of Science in Nursing-University of Chicago
1962 - Masters of Science in Nursing -Wayne state University, Detroit
12. Achievements
•
Clinical experience in 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
• Chairperson of clinical nursing at Cook Country
SON
• Visiting professor at Tel Aviv University in Israel
• Authored 77 published articles
35. Help the individual to preserve his or her place
in a family, community, and society.
Position patient in bed to foster social interaction
with other patients.
Provide support and assistance to family
Promote patient’s use of newspaper, magazine,
radio, TV.
40. ENVIRONMENT
•Where the person is constantly
and actively involved.
•It is where we live our lives.
•Composed of all the experiences
of the individuals.
•It pertains to the internal
(physiologic) and external
environment (perceptual,
operational, and conceptual).
46. State of being "whole" not just the absence of illness or
disease.
Is determined by the ability to function in a reasonably
normal manner
Health is wholeness and successful adaptation.
Not merely healing of an affected part, it is return to daily
activities & selfhood.
Health can be socially determined (through their
interaction with the significant others).
69. Nursing Process
Assessment
• Collection of facts
through observation
and interview of
challenges to the
internal and external
environment using four
conservation principles
70. • Nurses observes
patient for
organismic
responses to
illness,reads medical
reports,talks to
patient and family
• Assesses factors
which challenges the
individual
71. Nursing Process
TROPHICOGNOSIS
• Nursing diagnosis-gives provocative facts meaning
• A nursing care judgment arrived at through the use of the
scientific process
• Judgment is made about patient’s needs for assistance
72. Nursing Process
• Hypothesis
• Planning
• Nurse proposes hypothesis about the problems and the
solutions which becomes the plan of care
• Goal is to maintain wholeness and promoting adaptation
73. Nursing Process
Interventions
• Testing the hypothesis
• Interventions are designed based on the conservation
principles
• Mutually acceptable
• Goal is to maintain wholeness and promoting adaptation
74. Nursing Process
Evaluation
• Observation of organismic response to interventions
• It assess whether hypothesis is supported or not supported
• If not supported,plan is revised,new hypothesis is proposed
75. APPLICATIONS
NURSING RESEARCH
· Principles of conservation have been used for data collection
in various researches
· Conservational model was used by Hanson et al in their study
of incidence and prevalence of pressure ulcers in hospice
patient
NURSING EDUCATION
· Conservational model was used as guidelines for curriculum
development
NURSING PRACTICE
· Conservational model has been used for nursing practice in
different settings
76. STRENGTHS
• Values the holistic approach to all individual, well or
sick
• Values patient’s participation in nursing care
Comprehensive content, in-depth Scientific
principles are emphasized.
• Provides direction of nursing research , education,
administration and practice .
77. LIMITATIONS
• Limited attention can be focused on health
promotion and illness prevention.
• Nurse has the responsibility for determining the
patient 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 limitation is the focus on individual in an
illness state and on the dependency of patient.