Lydia E. Hall Care, Core, Cure Model of Nursing

Presented by Tanisha Pryor

Identification of Lydia E. Hall

• • • Born in New York City September 21, 1906 Graduated from York Hospital School of Nursing in Pennsylvania Bachelor of Science & Master of Arts from Teacher’s College, Columbia University • Died February 27, 1969 of heart disease in Queens Hospital of New York

Hall’s Background

• • • • • She spent her early years as a registered nurse working for Metropolitan Life Insurance Company where the main focus was on preventive health.

Worked for New York Heart Association as a staff nurse.

Advocate of community involvement in public health issues.

Professor at Teacher’s College at Columbia University.

Research analyst in the field of cardiovascular disease (Alligood & Tomey 2010).

Interest & Research Focus

• • • Research in the field of rehabilitation of chronically ill patient’s brought her to develop the Care, Cure, Core Theory.

Interested in rehabilitative nursing and the role that the professional nurse played and the patient’s recovery and welfare (Alligood & Tomey 2010).

She became the founder and first director of the Loeb Center for Nursing and Rehabilitation at the Montefiore Medical Center in Bronx, New York

The Care Circle

• • • Explains the role of nurses and focused on performing that noble task of the nurturing patients.

Component of this model is the “motherly care” provided by the nurses (George, J.B 2000).

Which may include: • Comfort measures • • Patient instructions Helping patients meet their needs where help is needed.

Major purpose of care is to achieve an interpersonal relationship with the individual that will facilitate the development of the core ( Texas Woman’s University).

The Core Circle

• • The person or patient to whom nursing care is directed and needed.

Core involves the therapeutic use of self, and empathizes the use of reflections (Texas Woman’s University).

• • The core has goals set by himself and not by any other person.

Behaves according to his or hers feelings and values (George, J. B 200).

The Cure Circle

• • • • Focus on nursing related to the physician’s orders.

Attention given to patients by medical professionals.

Shared by the nurse with other health professionals, such as physicians or physical therapist.

Interventions or actions geared toward treating the patient for whatever illness or disease he or she is suffering from (George, J.B 200).

How do nurses relate?

• • • • • • Hall proposed many ideas of professional practice, such as the nursing process.

Improvement of nurses to meet the needs of the patient with better professional nursing care.

Management of nursing care.

Establishment of nurse patient relationship.

Collaboration with other health professionals.

Deliverance of care to ill patients.

Limitations to care

• Individuals must pass an acute stage of illness for you to successfully apply her theory.

• • Therefor theory relates to only those who are ill.

No nursing contact with healthy individuals, families or communities and it negates the concept of health maintenance and prevention (Gonzalo 2011).

• Lacks application to pediatric care.

Conclusion

• • • Hall believed patients should only receive care from professional nurses.

Hall defined her philosophy on the basis of the patient.

Hall believed that patients come to the hospital in biological crisis (acute episode of a disease) and that medicine does a great job at treating this crisis, but fails to treat the chronic underlying disease. This is where she felt nursing could make a significant difference.

• Hall felt that taking over this sub-acute phase was the way for nursing to legitimize itself into a true profession.

References

• Alligood, M., & Tomey, A. (2010). Nursing theorists and their work, seventh edition (No ed.). Maryland Heights: Mosby-Elsevier.

• George, J.B.; Nursing Theories: The Base for Professional Nursing Practice; 2000.

• Gonzalo, (2011). Theoretical foundations of nursing. nursingtheories.weebly.com/lydia-e-hall.html • Texas Woman’s University. Nursing Theorist.