VIRGINIA HENDERSON

THEORY

1897-1996
Army School of Nursing,
Presented by:
Lee, B
Lee, E
Defoe, A
Cross, P
Thomas, A
 Objective


 We will discuss her nursing theory

 Prioritize client’s needs
 Integrate her theory with another theorist
 List of functional health patterns
 Prioritize NIC
 Prioritize NOC
 Conclusion

 Case Scenario

 A home care nurse visits an elderly client

 who lives alone and is restricted to bed
 because of pain in his joints due to
 osteoarthritis. During conversation, the
 nurse finds that the client feels sad and
 inadequate due to his disability.
 THEORY

 Viewed the patient as an individual requiring
help toward achieving independence.

 Interpreted nursing function as a synthesis of
many influences.

 THEORY


She identified 3 levels of nurse-patient



relationships:

 Substitute for the patient
 Helper to the patient
 Partner with the patient
 THEORY
Nursing care is based on 14 basic human needs


 1. Breath normally
 2. Eat and drink adequately
 3. Eliminate body wastes
 4. Move and maintain desirable postures
 5. Sleep and rest
 6. Select suitable clothes; dress and undress
 7. Maintain body temperature within a normal
 range by adjusting clothing and modifying
the
 environment


8. Keep the body clean and well groomed and
 protect the integument
9. Avoid dangers in the environment and avoid
 injuring others
10. Communicate with others in expressing

 emotions, needs, fears, or opinions

11. Worship according to one's faith

12. Work in such a way that there is a sense of

 accomplishment
13. Play or participate in various form of recreation

14. Learn, discover, or satisfy the curiosity that

leads
 to normal development and health and use
 THEORY

 Virginia Henderson supported empathetic
understanding and stated that "the nurse
must get inside the skin of each of her
patients in order to know what he/she needs"
(Henderson, 1964, p.63)
Pain


 (Chronic joint pain)



Inadequacy
 (Lack of ability to move and function )


Sadness
 (Depression)
 Integrated Theory
HENDERSON MASLOW'S
Breathe normally
Eat and drink adequately
Eliminate by all avenues of elimination
Move and maintain desirable posture
Sleep and rest
Select suitable clothing Physiological needs
Maintain body temperature
Keep body clean and well
groomed and protect the integument

Avoid environmental dangers and

avoid injuring others Safety needs
HENDERSON MASLOW'S
Communicate with others Belongingness and love needs
Worship according to faith

Play or participate in various forms of Esteem needs

recreation
Learn, discover, or satisfy curiosity

Work at something providing a Self actualization needs

sense accomplishment.
Self-Perception and Self-Concept


Activity and Exercise



Sleep and Rest



Coping and Stress Management




Pain Management (1400)


Explore patient’s knowledge and beliefs

 about pain


Explore with patient factors that

 relieve/worsen pain


Teach principles of pain management




 J oint Mobility (0224)


 Initiate pain control measures before

 beginning joint exercise


 Determine limitations of joint movement

 and effect on function


 Provide written discharge instructions for

 exercise



Self-Esteem Enhancement (5400)


Encourage patient to accept new challenges



Monitor levels of self-esteem over time, as appropriate



Determine patient’s confidence in own judgment




Pain Control (1605)


Recognizes pain onset



Uses analgesics as recommended (ex. codeine,

 naproxen, hydromorphone)


Reports changes in pain symptoms to health

 professional

Adaptation To Physical Disability (1308)


Adjustment to changes in body

 function


Adjustment to body changes due to aging



Internal picture of self


Depression Level (1208)


Depressed mood
Sadness

Loneliness

Depression Self-Control (1409)



Reports improved mood

Follows treatment regimen

Set realistic goals


 Conclusion
Virginia Henderson believes in the nature of
nursing,
her purpose is to assist the client in gaining

independence as rapidly as possible by her 14

components of nursing. As we discussed, we

covered:

We will discuss her nursing theory

Prioritize client’s needs

Integrate her theory with another theorist

List of functional health patterns

Prioritize NIC

Prioritize NOC
 QUESTIONS


 THANK YOU