LYDIA HALL’S CARE, CORE, CURE THEORY

Lydia Hall's theory is represented visually by interlocking circles, each representing a

different component of nursing, the care, cure, and core.
The Care, Cure, Core Theory puts emphasis on the importance of the total patient
rather than looking at one part or aspect. The core is the patient receiving nursing care.
It has goals set by him or herself rather than by any other person, and behaves
according to his or her feelings and values. The cure is the attention given to patients by
medical professionals. In the model, it is explained that the cure circle is shared by the
nurse with other health professionals, such as physicians or physical therapists. The
care circle addresses the role of nurses, and is focused on performing the task of
nurturing patients. This means the “motherly” care provided by nurses, which may
include comfort measures, patient instruction, and other things that help the patient
meet his or her needs. (Nurse Buff, October 2020)
For the cure aspect, prior to admission, the patient's chief complaint was vaginal
bleeding; a collaboration with other healthcare professionals is necessary for laboratory
such as transabdominal ultrasound and transvaginal ultrasound to obtain more apparent
diagnostic data to determine if the complication was placenta previa. The members of
the surgical team in perioperative (surgeon, surgical assistant, anesthesiologist, certified
registered nurse anesthetist, holding area nurse, scrub nurse, circulating nurse, surgical
and operating room technicians) did the surgical management and medical
management safety.
For the care aspect, as the surgery is done, the patient will be transferred by a stretcher
to the PACU (postanesthesia care unit) and wouldn’t be able to move her legs. A
nurse's primary responsibility was to nurture and to provide care. Also, to avoid any
complications, health education should be provided. For the core aspect, nurse must
help the patient to reflect and understand her situation. This will give the patient
awareness prior to her health status and future pregnancies.
DOROTHEA OREM’S SELF - CARE DEFICIT THEORY
Dorothea Orem developed the Self-Care Deficit Theory of Nursing. The theory
comprises three interrelated theories: self-care theory, self-care deficit theory, and
theory of nursing systems. Self-care is the performance or practice of activities that
individuals initiate and carry out on their behalf to maintain life, health, and well-being.
According to Regis college (2019) A self-care deficit is an inability to perform certain
daily functions related to health and well-being, such as dressing or bathing. Self-care
deficits can arise from physical or mental impairments, such as surgery recovery,
depression, or age-related mobility issues. Nurses play an important role when it comes
to addressing self-care deficits through assessment and intervention. For assessment,
nurses must be aware of the patient’s strengths, weaknesses, environment, and
situational needs. Intervention can include, but is not limited to, helping patients create
short-term goals, spurring motivation, creating opportunities for independence, and
offering help with daily activities.
A few days following the labor, the patient could not do self-care such as to cleanse or
to take a bath due to the acute pain she experienced in her surgical incision. According
to HonorHealth (September 2017), it takes six weeks to recover from the cesarean
section fully, and pain medication is needed for one to two weeks. As a nurse we have
to fill the gap of the self-care deficit of the patient by helping, guiding and let the patient
know the importance of practicing daily hygiene. Also, assist her with the tasks she
cannot accomplish on her own.