Ida Jean Orlando

PRESENTED BY:
TERESA CARMELA S. VARGAS
KEZIAH GUANZON
SECTION - N1A
EDUCATION

Nursing diploma – New York Medical College

Bachelor of Science in Public Health - St. John's
University in Brooklyn, New York
Master of Arts Degree in Mental Health Nursing -
Teachers College, Columbia University.
CAREER

Yale School of Nursing

- An associate professor
- Served as the Director of the Graduate Program
in Mental Health Psychiatric Nursing
- She was project investigator of a National
Institute of Mental Health Grant.
NATIONAL INSTITUTE OF MENTAL HEALTH GRANT.

The research from this grant led the

development of the Deliberative Nursing
Process published in 1961.

The Dynamic Nurse – Patient Relationship:

Function, Process and Principles
( NLN Classics in Nursing Theory)
CAREER

- She worked as the director of a research project

at McLean Hospital in Belmont, Massachusetts
and published in 1972
The Discipline and Teaching of Nursing
Process ( an evaluative study)
- She served as a board member of Harvard
Community Health Plan.
 NURSING THEORY: DELIBERATIVE NURSING PROCESS

- This theory is set in motion by the behaviour of

the patient.
- According to the theory, all patient behaviour
can be a cry for help, both verbal and non-
verbal
- It is up to the nurse to interpret the behaviour
and determine the needs of the patient.
The Deliberative Nursing Process has five stages:
assessment
diagnosis
planning
implementation
evaluation.
ASSESSMENT STAGE

The nurse completes a holistic assessment of the

patient's needs.
- without taking the reason for the
encounter into consideration.
- The nurse uses a nursing framework to
collect both subjective and objective
data about the patient.
DIAGNOSIS STAGE

The nurse uses her clinical judgment about health

problems.

The diagnosis can then be confirmed using links to

defining characteristics, related factors, and risk
factors found in the patient's assessment.
PLANNING STAGE

This addresses each of the problems identified in

the diagnosis.
Each problem is given a specific goal or
outcome
Each goal or outcome is given nursing
interventions to help achieve the goal.
By the end of this stage, the nurse will have a
nursing care plan.
IMPLEMENTATION STAGE

The nurse begins using the nursing care plan.

EVALUATION STAGE

The nurse looks at the progress of the patient

toward the goals set in the nursing care plan.
Changes can be made to the nursing care plan
based on how well (or poorly) the patient is
progressing toward the goals.

If any new problems are identified in the

evaluation stage, they can be addressed,
and the process starts over again for those
specific problems.
GOAL
The goal for this model is for a nurse to act
deliberately rather than automatically.

This way, a nurse will have a meaning behind the

action which means the patient gets care
geared specifically toward his or her needs at
that time.
This nursing process is also one that can easily
be adapted to different patients with different
problems, and can be stopped at anytime,
depending on the patient's progress or health.
This makes Orlando's theory universal for the
nursing field.
- Nursing care has to be flexible.
- Not only does a nursing care plan depend on
the needs of the patient at the time of
admittance, but it also needs to be able to
change when and if any complications come up
during the treatment and recovery process
Ida Jean Orlando's
“Deliberative Nursing Process “
directly addresses this need for flexibility, and
helps nurses focus on the patient rather than
simply sticking to a nursing care plan no matter
what.
METAPARADIGM
 Human – an individual in need. Unique individual
verbally or non verbally. Assumption is that
individuals are at times able to meet their own
needs and at order times unable to do so.
 Health Assumption – is that being without
emotional or physical discomfort and having a
sense of well-being contribute to a healthy state.
She further assumed that freedom from mental or
physical discomfort and feelings of adequacy and
well being contribute to health.
 Environment – Orlando assumes it as a nursing
situation that occurs hen there is a nurse-
patient contact and that both nurse and
patients perceive, think, feel, and act in the
immediate situation. ‘
 Nursing – a distinct profession “Providing direct
assistance to individuals in whatever setting
they are found for he purpose of avoiding ,
relieving, diminishing or curing the individual’s
sense of helplessness”. Professional nursing is
conceptualized as finding out and meeting the
client’s immediate need for help.
IDA JEAN ORLANDO
AUGUST 1926 – NOVEMBER 2007