Lydia Eloise Hall

Core, Care and Cure Model

Presented by: Jeah S. Jacob RN

Presented by : Jeah Jacob

 Lydia Hall was born in New York City

on September 21, 1906. Graduate of York Hospital School of Nursing Earned her B.S. and M.S. degree from Teachers College, Columbia University,NY

Personal and Academic Background

Personal and Academic Background

Held faculty positions at York

Hospital School of Nursing and the Fordham Hospital School of Nursing.

Consultant at the State University of

New York, Upstate Medical Center.

Instructor at Teachers College

Personal and Academic Background

Career Interests: PHN Cardiovascular Nx Pediatric Cardiology Long-term illnesses

She received the Award for Distinguished Achievement in Nursing Practice from Columbia University

Personal and Academic Background

Hall served as administrative director of Loeb Center for Nursing (Montefiore Hospital, NY) from its opening in January 1963 till her death in February 1969.

Hall drew extensively from the schools of psychiatry and psychology.

Loeb Center for Nursing and Rehabilitation

Opened in January 1963, 80-bed capacity Provides nursing professional nursing care to persons past the acute stage of illness Patients- 16 y.o. and older Good candidates for care: a. Those who had the desire b. Recommended by physicians c. Favorable potential for recovery and return to community

Loeb Center for Nursing and Rehabilitation

Use of NON DIRECTIVE setting. The primary purpose was and and is to demonstrate high quality nursing care given by registered nurses.

CORE, CARE, CURE MODEL

CORE, CARE, CURE MODEL

CARE MOTHERING opportunity to develop closeness

CORE help patient verbally express feeling help patient gain self identity and further develop maturity REFLECTION

CORE, CARE, CURE MODEL

CURE based on pathological and therapeutic sciences nurse as active advocate of the patient nurse as potential cause of pain

Interaction of the Three Aspects of Nursing

Interaction of the Three Aspects of Nursing

Hall emphasized the importance of total person approach. The circles change size depending on the patient's total course of progress. During the recuperation stage, the care and core aspects are the most prominent and the cure aspect is lees prominent.

Definition of Nursing
NURSING Can and should be professional Patients should only be cared for and by professional registered nurse Nursing is Complex Nursing expertise centers around the body.

Definition of Nursing
PERSON Patients achieve their maximum potential through a learning process

Composed of three aspects

o Body o Pathology o Person

People behave on the basis of their feelings

Definition of Nursing
HEALTH Healing may be hastened by helping people move in the direction of self awareness. Once people are brought to terms with thier true feelings and motivations, they become free to release thier own power of healing.

Definition of Nursing
ENVIRONMENT Hospital nursing services are organized to accomplish tasks efficiently. Hall was not pleased with the idea of team nursing. Professional nurses should take direct care of the patient LOEB Center- focuses on providing an environment that is conducive to self development.

Theoretical Assertions

Nursing functions differently in the three

interlocking circles that constitutes aspects of the patient. As the patient needs less medical care, he or she needs more professional nursing care and teaching. Wholly professional nursing care will hasten the process of recovery.

THEORETICAL IMPLICATION
PRACTICE Professional nurse as the primary caregiver parallels primary care nursing to the extent that continuity and coordination of care is provided. Nurses being responsible and accountable for their own practice.

THEORETICAL IMPLICATION
EDUCATION BSN degree as the minimum entry-level requirement for professional practice. Nursing Diagnosis as guide for patient care rather than medical diagnosis.

THEORETICAL IMPLICATION
RESEARCH Until late 1980s, theory testing had been conducted only at Loeb Center. Pearson, Durand and Punton compared patients in an acute care hospital with patients receiving nursing care at a nursing unit. McMahon wrote two articles detailing the use and success of Oxford Nursing Development where Halls theory was implemented.

CRITIQUE
SIMPLICITY The language used and the major concepts are simple and easily understood. GENERALITY AGE- Hall refers only to adult patients in the second stage of their illness, thus eliminating younger patients The function of the nurse in the preventive healthcare and health maintenance is not addressed, nor the nurses role in community health

CRITIQUE
GENERALITY Delineates the family aspect of patient care only in the Cure Circle. Reflection was the only communication technique described as means to assist patients toward self awareness. EMPIRICAL PRECISION Wider range of testing in various settings is necessary to allow for increased empirical precision of the theory.

Processing Questions:

1.What other techniques in therapeutic

2. 3.
communication can we use during the CORE stage? How could we incorporate the role of the family in all aspects of care. (CORE, CARE and CURE) Is this model applicable and practical nowadays?