21 Problems

A Presentation of Faye AbDELLAHS Nursing Theory

Presented by: Theresa Clark and Heather Saunders 21 Problems Faye AbdellahNursing research and theorist First woman to become a surgeon general as a nurseInfluenced nursing theory aimed towards the patientGraduated with a Doctoral degree from Columbia UniversityTheory revolved around the idea that nurses should make decisions competently and focus primarily on the patient. Abdellah theorized 21 problems to help influence this idea(Nursing Theories: Changing the World. One Step at a Time(Faye G. Abdellah), 2009)

Image retrieved from the American Nurses Association website at http://www.nursingworld.org/fayeglennabdellah

Abdellahs Theory and Nursing Influence NursingPATIENTPhysiologicSociologicPsychological

Rehabilitation NursingFocused on returning patients to their optimal level of functioning physically, emotionally, and cognitivelyAreas include: Neuro, Spinal Cord Injury, TBI, Orthopedic, Pain Management, and several progressive disease processesInpatient environment offers physical therapy , occupational therapy, speech therapy, and nursing care

Image retrieved from Lexington Place Nursing at: http://www.lexingtonplacenursing.net/

PhysiologicHygiene and Comfort2Activity, Exercise, and Sleep2Safety (Accidents vs. Infections)2Body Mechanics2Nutrition2Fluid and Electrolyte Maintenance2Disease Process2Maintaining or Improving Sensory Function2Oxygenation2Elimination2(Faye Glenn Abdellah- Twenty-One Nursing Problems-Cardinal Stritch university Library)

PsychologicalEffective verbal and nonverbal communication2Helping the patient accept self during and after disease2Continued motivation to accomplish goals2Acknowledging and identifying the patients emotions2(Faye Glenn Abdellah- Twenty-One Nursing Problems-Cardinal Stritch university Library)

SociologicalTherapeutic Relationships2Spirituality/ Religious Beliefs2Supportive Environment2Community Resources2Being aware of domestic concerns and how they may potentially affect care or treatment of the patient (Faye Glenn Abdellah- Twenty-One Nursing Problems-Cardinal Stritch university Library)

Application of Theory related to Rehabilitation NursingPhysiological- PAIN, HYGIENE, SAFETY, ELIMINATION, HEALING1

Psychological-TRAUMA, EMOTIONS, COGNITIVE FUNCTION1

Sociological- Environmental Factors, Family Dynamics1How the 21 Problems Theory Influences Future uses in Practice and Potential Limitations of these Concepts:Future Uses in Practice: Framework relates to all fields and specialties of nursing, this was a theory based off of research so further innovations in research could help clarify or breakdown topics into specialty practice standards. For ex: how can hygiene and activity better be applied to a newborn rather than remaining generalized.

Potential Limitations include: research funding, standards of care, healthcare laws and regulations, and the later effects of a nursing shortage can affect the number of nursing educators and researchers in the future.

ConclusionThe 21 Problems theorized by Faye Abdellah directly relate to nursing care in all specialties. It focuses on patient care overall and can be utilized in nursing to provide an outline that encompasses all aspects of psychological , physiological, and sociological needs. The theory also ensures that the nurse taking care of the patient practices competent care and makes precise nursing judgements. (Faye Glenn Abdellah- Twenty-One Nursing Problems-Cardinal Stritch university Library)

References1Faye Glenn Abdellah- National Womens Hall of Fame . (n.d.). Retrieved October 1st, 2013, from National Women's Hall of Fame: http://www.greatwomen.org/women-of-the-hall/search-the-hall/details/2/1-Abdellah2Faye Glenn Abdellah- Twenty-One Nursing Problems-Cardinal Stritch university Library. (n.d.). Retrieved October 1st, 2013, from Cardinal Stritch University Library: http://www.stritch.edu/Library/Doing-Research/Research-by-Subject/Health-Sciences-Nursing-Theorists/Faye-Glenn-Abdellah---Twenty-One-Nursing-Problems/3Lexington Place Nursing and Rehabilitation Community Giving Care Celebrating Life. (n.d.). Retrieved October 1st, 2013, from Lexington Place Giving Care Celebrating Life: http://www.lexingtonplacenursing.net/4Nursing Theories: Changing the World One Step at a Time(Faye G. Abdellah). (2009, July 18th). Retrieved October 1st, 2013, from Nursing Theories: http://nursingtheories.blogspot.com/2009/07/changing-world-one-step-at-time-faye-g.html5RADM Faye Glenn Abdellah,(Ret.),USPHS,EdD,ScD, RN, FAAN, 2012 Inductee. (n.d.). Retrieved October 1st, 2013, from American Nurses Association Nursing World : http://www.nursingworld.org/fayeglennabdellah