LET’S CALL FOR A DESTINATION CHECK

Tasks. You will choose from the following theorists:

a. Abdellah
b. Henderson
c. Hall
d. Watson
Using your knowledge on the your chosen theory, think of a situation that is
currently happening in your household that you think, the use of the theory is
applicable.
1. Create a short script that will show the situation.
2. Explain how you are able to use the theory as basis for your actions in the
situation.

We are an extended household and we are currently residing in the province of Cebu
specifically in the municipality of San Fernando. In our household, my grandmother is in
charge of the kitchen, in short, she’s our chef. We were always delighted to taste her
specialties for it never fails to satisfy our cravings. But as time goes by, her dishes are slowly
losing its perfect balance of spices. Sometimes she would add too much sweetness or
bitterness in her dishes. She is also fond of eating too much sweet. It was shown through
the long run that her sense of taste is slowly getting imbalance. She has dark circles under
her eyes. She also feels an increasing need to urinate almost every now and then, and
always feels hungry. There is tingling on his extremities and numbness. Her once clear
vision is now experiencing cloudiness. He already feels tired just a few hours after waking
up even though he does not have any job and only stays at home. The wound on his right
knee has been there weeks but no improvement is seen. Several symptoms of diabetes
were shown. Upon check-up, we have discovered that our grandmother is a diabetic patient.
As a student nurse, I am taking the initiative to follow-up, guide and monitor my
grandmother’s condition. Since we have blood pressure and blood sugar meter electronic
device, I am the one checking her blood sugar and blood pressure. I always remind her
about the prescribed diet, the dos and don’ts, anti-diabetic medications work, exercise and
appointment with the healthcare provider at least twice a year for on-going evaluation and
routine nutrition updates.

Patient: Good afternoon nurse.  

Nurse: Good afternoon. How may I help you?
Patient: I want to check my condition, because I have noticed that the healing process of
my wound is very slow and I am not feeling well my head hurts.  
Nurse: Okay, Can I have your name ma’am?
Patient: Teresita Vildozola.
Nurse: May I know your age and birthdate ma’am?
Patient: I’m 69 years old and I was born on April 1, 1951.  
Nurse: Okay ma’am. Do you have any problems that you’re experiencing besides those?
Patient: My sense of taste is slowly getting imbalance, my skin is also dry and itchy, once
clear vision is now experiencing cloudiness.  
Nurse: Do you have a story of illness?
Patient: I have Arthritis.
Nurse: Okay ma’am, I would like to assess your pain first. What does it feel like? Does the
pain feel sharp? Or dull throbbing pain?
Patient: I feel my pain is like exposed by a dull object.  
Nurse: Oh right, May I know how severe is the pain on scale of 0 to 10, with 0 being no
pain and 10 being the worst pain ever?
Patient: I think my pain is in scale 7.  
Nurse: When did the pain originated?
Patient: 3 days ago, Nurse.  
Nurse: Okay, before being reviewed by doctor, I would like to take your vital signs. Could
you roll up your sleeve please? I will put the cuff on your arm because I want to check your
blood pressure.
Patient: Okay.  
Nurse: Well, ma’am Teresita, I’m going to check your blood sugar level too, could you lend
me your fingertip to test your blood sugar with this portable electronic device called a blood
sugar meter using a small drop of your blood.
Patient: Ok. Like this nurse?  
Nurse: Yes, thanks!  
Nurse: Well ma’am Teresita, your blood pressure is high, it’s about 130/90 mmHg, your
blood sugar level is 300 mg/dL or 16.6 mmol/L.
Patient: What does that mean?  
Nurse: Your blood pressure is high and also your blood sugar level is way too high and
dangerous.
Patient: Really? My father before had hypertension too and my mother was diabetic.  
Patient: So what should I do Nurse?  
Nurse: To control your high blood pressure and diabetes, you must maintain a healthy
weight, do a physical activity like walking, follow a healthy eating plan, reduce sodium in
your diet, and drink more water. To decrease your blood pressure you need to take a
medicine too. We need to have a strict monitoring of your blood pressure and blood sugar
level.
Patient: Okay, thank you nurse.
Nurse: You may now proceed inside the doctor’s office ma’am.
Patient: Thank you.

Using Lydia Hall’s Core, Care, & Cure Model, I believe that her theory is applicable in
our situation for care is the primary focus and that the type of care provided affects and
would enable the patient which is my grandmother achieve her maximum potential. This
theory puts emphasis on the importance of the total patient rather than looking at one
aspect. This is applicable for the assessment during my grandmother’s check-up, planning
for the things and guidelines to follow and the implementation of the patient care. There are
three interlocking circles, presenting a particular aspect of nursing like care, core and cure.
The Care Circle includes comfort measures, patient instructions and helping the patient meet
their needs where help is needed in which the major purpose of care is to achieve an
interpersonal relationship with the individual that will facilitate the development of the core.
This is present in our situation on how the nurse assisted my grandmother politely and how
she gives guidelines on what are the things to be done and to be avoided. The Core Circle is
where the nursing care is directed to the patient which involves basic support needs of the
patient. In our situation this is visible during the weekly monitoring of the blood pressure
and blood sugar of my grandmother. The Cure Circle focuses on the interventions or actions
given by the medical professionals geared towards treating the patient like how my
grandmother was given and assisted by the nurse and doctor with proper actions to be
followed and interventions needed.

include:
Comfort
measures,
Patient
instructions
and Helping
patients
meet their
needs
where help
is needed