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Lydia Hall Theory

Martes, Marso 20 2012

Lydia Eloise Hall Nursing Theory


"Care,Core, Cure Model"

Biography

LydiaEloiseHall,nursingtheoristoftheCare,Cure,Coremodelofnursingwasbornin
NewYorkCityonSeptember21,1906andgrewupinPennsylvania.

Education:
LydiaHallgraduatedatYorkHospitalSchoolofNursingon1927,BachelorsinPublicHealth
Nursingon1932,andearnsaMasterofArtsdegreein1942atTeachersCollege,Columbia
University.

MoreAboutLydiaHall:
Shewasaninnovator,motivator,andmentortonursesinallphasesoftheircareers,and
advocateforthechronicallyillpatient.Shepromotedinvolvementofthecommunityinhealth
careissues.ShederivedfromherknowledgeofpsychiatryandnursingexperiencesintheLobe
Centertheframeworksheusedinformulatinghertheoryofnursing.Theseexperiencesmight
havegivenherinsightinonthedistinctrolesofnursesinprovidingcareforthepatientsandhow
thenursescanbeofutmostimportanceincaringforthesepatients.

Assumptions:
Core, Care and Cure Model
The client is composed of the ff. overlapping parts: person (core), pathological
state and treatment (cure) and body (care).
Introduced the model of Nursing: What Is It? Focusing on the notion that centers
around three components of Care, Core and Cure.
Care represents nurturer and is exclusive to nursing. Core involves the
therapeutic use of self and emphasizes the use of reflection. Cure focuses on nursing
related to the physicians orders. Core and cure are shared with the other health care
providers.
The major purpose of care is to achieve an interpersonal relationship with the
individual that will facilitate the development of the core.

Concepts:

The"Core,Care,andCure"Theorywasdevelopedinthelate1960's.Shepostulatedthat
individualscouldbeconceptualizedinthreeseparatedomains:thebody(care),theillness,
(cure),andtheperson(core).
HallbelievedpatientsshouldreceivecareONLYfromprofessionalnurses.Nursinginvolves
interactingwithapatientinacomplexprocessofteachingandlearning.Hallwasnotpleased
withtheconceptofteamnursingshesaidthat"anycareerthatisdefinedaroundtheworkthat
hastobedone,andhowitisdividedtogetitdone,isa"trade"(ratherthanaprofession).
Nursingfunctionsinallthreeofthecircles(core,care,andcure)butsharesthemtodifferent
degreeswithotherdisciplines.Forexample,thenurse'sfunctioninthecurecircleislimitedto
helpingpatients/familiesdealwiththemeasuresinstitutedbythephysician.Shefeltthatthecare
circlewasexclusivetonursing.Thecorecirclewassharedwithsocialworkers,psychologists,
clergy,etc.

APPLICATION
Nursing functions in all three of the circles (core, care, and cure) but shares them to
different degrees with other disciplines. For example, the nurse's function in the cure
circle is limited to helping patients/families deal with the measures instituted by the
physician. She felt that the care circle was exclusive to nursing. The core circle was
shared with social workers, psychologists, clergy, etc.

NURSING PHASE:
1. The assessment phase involves collection of data about the health
status of the individual.
2. The nursing diagnosis is the statement of the patient's need or
problem area.
3. outcomes and planning invovles setting priorities and mutually
establishing patient-centered outcomes and goals.
4. Implementation involves the actual institution of the plan of care.

*Evaluation is the process of assesing the patient's progress toward the


health goals.