3. • Was born in New York City on September
21, 1906.
• Basic nursing education in 1927
• Bachelors in Public Health Nursing in
1937
• Masters in teaching Natural Sciences in
1942
• First director of Loeb Center for Nursing
• Nursing experience in clinical, education,
research and supervisor role
4. As Hall (1965) says; “To look at and listen to self is often too
difficult without the help of a significant figure (nurturer) who has
learned how to hold up a mirror and sounding board to invite the
behaver to look and listen to himself. If he accepts the invitation, he
will explore the concerns in his acts and as he listens to his
exploration through the reflection of the nurse, he may uncover in
sequence his difficulties, the problem area, his problem, and
eventually the threat which is dictating his out-of-control
behavior.”
6. THE INDIVIDUAL HUMAN WHO IS 16 YEARS OF AGE OR
OLDER AND PAST THE ACUTE STAGE OF A LONG-TERM ILLNESS IS
THE FOCUS OF NURSING CARE IN HALL’S WORK. THE SOURCE OF
ENERGY AND MOTIVATION FOR HEALING IS THE INDIVIDUAL CARE
RECIPIENT, NOT THE HEALTH CARE PROVIDER. HALL EMPHASIZES
THE IMPORTANCE OF THE INDIVIDUAL AS UNIQUE, CAPABLE OF
GROWTH AND LEARNING, AND REQUIRING A TOTAL PERSON
APPROACH.
7. CAN BE INFERRED TO BE A STATE OF SELF-AWARENESS WITH
CONSCIOUS SELECTION OF BEHAVIORS THAT ARE OPTIMAL
FOR THAT INDIVIDUAL. HALL STRESSES THE NEED TO HELP
THE PERSON EXPLORE THE MEANING OF HIS OR HER
BEHAVIOR TO IDENTIFY AND OVERCOME PROBLEMS THROUGH
DEVELOPING SELF-IDENTITY AND MATURITY.
8. THE CONCEPT OF SOCIETY/ENVIRONMENT IS DEALT WITH IN RELATION
TO THE INDIVIDUAL. HALL IS CREDITED WITH DEVELOPING THE CONCEPT OF
LOEB CENTER BECAUSE SHE ASSUMED THAT THE HOSPITAL ENVIRONMENT
DURING TREATMENT OF ACUTE ILLNESS CREATES A DIFFICULT PSYCHOLOGICAL
EXPERIENCE FOR THE ILL INDIVIDUAL (BOWAR-FERRES, 1975). LOEB CENTER
FOCUSES ON PROVIDING AN ENVIRONMENT THAT IS CONDUCIVE TO SELF-DEVELOPMENT.
IN SUCH A SETTING, THE FOCUS OF THE ACTION OF THE
NURSES IS THE INDIVIDUAL, SO THAT ANY ACTIONS TAKEN IN RELATION TO
SOCIETY OR ENVIRONMENT ARE FOR THE PURPOSE OF ASSISTING THE
INDIVIDUAL IN ATTAINING A PERSONAL GOAL.
9. IS IDENTIFIED AS CONSISTING OF PARTICIPATION IN THE
CARE, CORE, AND CURE ASPECTS OF PATIENT CARE.
10.
11. The Care Circle
It represents the nurturing component of
nursing and is exclusive to nursing.
Nurturing involves using the factors that
make up the concept of mothering (care
and comfort of the person) and provide
for teaching-learning activities.
The professional nurse provides bodily
care for the patient and helps the patient
complete such basic daily biological
functions as eating, bathing, elimination,
and dressing. When providing this care,
the nurse’s goal is the comfort of the
patient.
Providing care for a patient at the basic
needs level presents the nurse and
patient with an opportunity for
closeness. As closeness develops, the
patient can share and explore feelings
with the nurse.
THE
BODY
(The Nursing Care)
12. The Core Circle
It is based in the social sciences,
involves the therapeutic use of self,
and is shared with other members of
the health team. The professional
nurse, by developing an
interpersonal relationship with the
patient, is able to help the patient
verbally express feelings regarding
the disease process and its effects.
Through such expression, the patient
is able to gain self-identity and
further develop maturity.
The professional nurse, by the use of
reflective technique (acting as a
mirror to the patient), helps the
patient look at and explore feelings
regarding his or her current health
status and related potential changes
in lifestyle.
THE
PERSON
GERIATRIC
(Patient)
13. The Core Circle………
Motivations are discovered through the
process of bringing into awareness the
feelings being experienced. With this
awareness, the patient is now able to
make conscious decisions based on
understood and accepted feelings and
motivation.
14. The Cure Circle
It is based in the pathological
and therapeutic sciences and
is shared with other members
of the health team. During this
aspect of nursing care, the
nurse is an active advocate of
the patient.
THE
DISEASE
(Geriatric
Syndromes)
15.
16. THE MOTIVATION AND ENERGY NECESSARY FOR HEALING EXIST WITHIN THE
PATIENT, RATHER THAN IN THE HEALTH CARE TEAM.
THE THREE ASPECTS OF NURSING SHOULD NOT BE VIEWED AS FUNCTIONING
INDEPENDENTLY BUT AS INTERRELATED.
THE THREE ASPECTS INTERACT, AND THE CIRCLES REPRESENTING THEM CHANGE
SIZE, DEPENDING ON THE PATIENT’S TOTAL COURSE OF PROGRESS.
17. Hall imposed an age requirement for the application of her theory which is 16 years
of age and above. This limits the theory since it cannot be disregarded that nurses are faced
with pediatric clients every now and then. Even though Hall confined her concepts for that age
bracket, the concepts of care, core and cure can still be applied to every age group but again,
none was specified.
The only tool of therapeutic communication Hall discussed is reflection. By
inference, all other techniques of therapeutic communication are eliminated. Reflection is not
always the most effective technique to be used.
The concept of a patient aggregate such as having families and communities as the
focus of nursing practice was not tackled. It is purely on the individual himself. Although, the
role of the family or the community within the patient’s environment was modestly discussed.
In the focus of nursing care in Hall’s concepts, the individual must pass an acute
stage of illness for you to successfully apply her theory. Therefore, this theory relates only to
those who are ill. This indicates that no nursing contact with healthy individuals, families, or
communities, and it negates the concept of health maintenance and disease prevention.
18. “TO CARE IS TO
NURSE AND TO NURSE
IS TO GIVE YOURSELF
WHEN YOU CARE. “
19. THANK YOU !!
AND GOOD MORNING
References:
http://nursingtheories.weebly.com/lydia-e-
hall.html
http://rnspeak.com/fundamentals-of-nursing/
lydia-halls-nursing-theory-core-care-
and-cure-model-for-geriatric-care/
Editor's Notes
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