FAYE GLENN ABDELLAH:

PATIENT-CENTERED APPROACHES TO
NURSING
FAYE GLENN ABDELLAH
• Born on March 13, 1919 in New
York City
• American pioneer in nursing
research who developed the
“Twenty-One Nursing Problems”
• The first nurse officer in the U.S.
to receive the rank of a two-star
rear admiral
 FAYE GLENN ABDELLAH
• Earned a nursing diploma from the Ann May School of Nursing
• Earned master and doctoral degrees from Columbia University
• The first nurse and the first woman to serve as deputy surgeon
general
• She was appointed Chief Nurse Officer of the U.S. Public Health
Service (USPHS) in 1970.
• She helped transform nursing theory, nursing care and nursing
education and as a result was inducted into The National Women’s
Hall of fame in 2000.
• Died February 24, 2017 (97)
Patient-centered approaches to nursing
THE TWENTY-ONE NURSING PROBLEMS
 21 NURSING PROBLEMS
• BASIC TO ALL PATIENTS
• SUSTENAL CARE NEEDS
• REMEDIAL CARE NEEDS
• RESTORATIVE CARE NEEDS
 THE TWENTY-ONE NURSING PROBLEMS
1. To maintain good hygiene and physical comfort.
2. To promote optimal activity: exercise, rest, and sleep.
3. To promote safety through the prevention of accidents, injury, or other trauma and through
the prevention of the spread of infection.
4. To maintain good body mechanics and prevent and correct deformities.
5. To facilitate the maintenance of a supply of oxygen to all body cells.
6. To facilitate the maintenance of nutrition of all body cells.
7. To facilitate the maintenance of elimination.
8. To facilitate the maintenance of fluid and electrolyte balance.
9. To recognize the physiological responses of the body to disease conditions – pathological,
physiological, and compensatory.
10. To facilitate the maintenance of regulatory mechanisms and functions.
 THE TWENTY-ONE NURSING PROBLEMS
11. To facilitate the maintenance of sensory functions.
12. To identify and accept positive and negative expressions, feelings, and reactions.
13. To identify and accept the interrelatedness of emotions and organic illness.
14. To facilitate the maintenance of effective verbal and nonverbal communication.
15. To promote the development of productive interpersonal relationships.
16. To facilitate progress toward achievement of personal spiritual goals.
17. To create and/or maintain a therapeutic environment.
18. To facilitate awareness of self as an individual with varying physical, emotional, and developmental
needs.
19. To accept the optimum possible goals in the light of limitations, physical and emotional.
20. To use community resources as an aid in resolving problems arising from illness.
21. To understand the role of social problems as influencing factors in the case of illness.
 APPLICATION
Marco, a 10 year old boy suffered from second degree burn in 15%
of his lower limbs due to spilled hot water.

PROBLEMS:
• Pain
• Blisters
• Swollen
• Redness
 APPLICATION
1. Basic to all patients
- A wet cloth soaked with cold water (cold compress) held to the skin to ease the pain (1)
- Apply antibacterial cream to help prevent infection (3)
- Apply other creams to lessen pain and swelling (1)
- Apply non stick dressing or bandage that’s changed everyday (1)
- Keeping the legs elevated to lessen pain and swelling (4)

2. Remedial Care Needs

- Encourage child to verbalize his feelings and allow him to cry when he needs to do so.
(13)
- When the child cannot express himself verbally, it is important to assess for nonverbal
cues. (14)