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THE CARE, CORE, CURE THEORY ► She spent her early years as a registered nurse

working for the Life Extension Institute of the

Metropolitan Life Insurance Company in
Pennsylvania and New York where the main focus
was on preventative health.
► She also had the opportunity to work for the
New York Heart Association from 1935 to 1940.
► In 1941, she became a staff nurse with the
Visiting Nurses Association of New York and
stayed there until 1947.
► She also managed to be an advocate of
community involvement in public health issues.
in 1950, she became a professor at Teacher’s
College at Columbia, where taught nursing
Lydia Eloise HalL students to function as medical consultants.
► She was also a research analyst in the field of
Early of Lydia Hall cardiovascular disease.
►She was born on September 21, 1906 in New ► Hall’s interest and research in the field of
York City as Lydia Eloise Williams. rehabilitation of chronically ill patients brought
►She was the of Louis V. Williams and Anna her to develop her now-famous Care, Cure, Core
Ketterman Williams. Theory.
►At a young age, her family move to York, ► She became involved in the establishment of
Pennsylvania, where her father was a physician in the Loeb Center for Nursing and Rehabilitation at
general practice the Montefiore Medical Center (MMC) in the
Education Bronx, New York.
►She graduated from York Hospital School in ► She became the founder and the first director,
Nursing in 1973with diploma on nursing. she was determined that nurses were in charge of
►She entered Teacher’s College at Columbia everyday activities and transactions..
University in New York and earned a Bachelor of ► Her nursing experience was in clinical nursing,
Science degree in health nursing in 1932. nursing education, research, and in a supervisory
►She resumed her education and received role.
master’s degree in the teaching of natural sciences the nursing-centered care reduced rehabilitation
from Columbia University in 1942. time and length of stay by up to one-half to one-
►Later, she pursued a doctorate and completed all third.
of the requirements for the dissertation.
In year 1945, she married Reginald A. Hall who During her time there, Hall authored 21
was a native of England. publications and a bulk of articles and addresses
regarding her theory.
Career and Appointments
► Lydia Hall’s nursing experience was THEORETICAL ASSUMPTION
functional, proficient as well as hypothetical. Lydia E. Hall believed that patient outcomes are
improve by direct care as given by the
professional nurse. She stood against the turning involves using the factors that make up the
over of care when patient is stabilized to practical concept of mothering (care and comfort of the
nurses and argued against the concept of team person) and provide for teaching-learning
nursing. She saw nursing as interacting with activities.
person called "the core", the body called "the ► The professional nurse provides bodily care for
care", the disease called "the cure“. the patient and helps the patient complete such
basic daily biological functions as eating, bathing,
Assumptions elimination, and dressing. When providing this
The assumptions of Hall’s Care, Cure, Core care, the nurse’s goal is the comfort of the patient.
Theory are as follows: ► Providing care for a patient at the basic needs
(1) The motivation and energy necessary for level presents the nurse and patient with an
healing exist within the patient, rather than in the opportunity for closeness. As closeness develops,
healthcare team. the patient can share and explore feelings with the
(2) The three aspects of nursing should not be nurse
viewed as functioning independently but as
interrelated. And lastly, The Core Circle
(3) The three aspects interact, and the circles THE PERSON Geriatric (patient)
representing them change size, depending on the ► It is based in the social sciences, involves the
patient’s total course of progress. 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

► Lydia Hall used her knowledge of psychiatry

The Cure Circle
and nursing experiences in the Loeb Center as a
THE DISEASE Geriatric Syndrome
framework for formulating her theory.
► It is also known as “the Three Cs of Lydia
► It is based in the pathological and therapeutic
Hall,” it contains three independent but
sciences and is shared with other members of the
interconnected circles: the core, the care, and the
health team. During this aspect of nursing care,
the nurse is an active advocate of the patient.
The Care Circle
THE BODY (The Nursing Care)
Hall’s Nursing Paradigm
► It represents the nurturing component of
nursing and is exclusive to nursing. Nurturing
► The individual human who is 16 years of age independent but interconnected circles. The three
or older and past the acute stage of a long-term circles are: the core, the care, and the cure.
illness is the focus of nursing care in hall’s work. ► The core is the patient, the cure refers to the
The source of energy and motivation for healing is medical and nursing interventions and the care is
the individual care recipient, not the health care the nurturing provided by nurses. Nursing
provider. Hall emphasizes the importance of the functions in all three of the circles but shares them
individual as unique, capable of growth and to different degrees with other disciplines.
learning, and requiring a total person approach. ► Even though Hall confined her concepts for
patients with the age of 16 years and above, the
HEALTH concepts of care, core and cure can still be applied
► Can be inferred to be a state of self-awareness to every age group but again, none was specified.
with conscious selection of behaviors that are This theory puts emphasis on the importance of
optimal for that individual. Hall stresses the need the total patient rather than looking at one part or
to help the person explore the meaning of his or aspect. There is also emphasis put on all three
her behavior to identify and overcome problems aspects of the theory, the three Cs, functioning
through developing self-identity and maturity together.
► And for a nurse to successfully apply Hall’s
ENVIRONMENT theory, the individual must pass an acute stage of
► The concept of society/environment is dealt illness. In this theory, no nursing contact with
with in relation to the individual. Hall is credited healthy individuals, families, or communities,
with developing the concept of loeb center contradicts the concept of health maintenance and
because she assumed that the hospital disease prevention.
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

► Is identified as consisting of participation in the
care, core, and cure aspects of patient care

► Lydia Hall used her knowledge of psychiatry
and nursing experiences in the Loeb Center as a
framework for formulating the Care, Core and
Cure Theory. Her model contains three