Virginia Henderson 14 Basic Human Needs 1. 2. 3. 4. 5. 6. 7. Breathe normally. Eat and drink adequately. Eliminate body wastes.

Move and maintain desirable postures. Sleep and rest. Select suitable clothes-dress and undress. Maintain body temperature within normal range by adjusting clothing and modifying 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 ones Faith

12. Work in such a way that there is a sense of accomplishment. 13. Play or participate in various forms of recreation. 14. Learn, discover, or satisfy the curiosity that leads to normal development and health and use the available health facilities.

Metaparadigm in Nursing Hendersons theory and the four major concepts 1. Person Requiring assistance to achieve health and independence or a peaceful death. Considers the biological, psychological, sociological, and spiritual components.

2. Environment Settings in which an individual learns unique pattern for living. All external conditions and influences that affect life and development. Minimally discusses the impact of the community on the individual and family. Basic nursing care involves providing conditions under which the patient can perform the 14 activities unaided.

3. Health Definition based on individuals ability to function independently as outlined in the 14 components. Nurses need to stress promotion of health and prevention and cure of disease.

4. Nursing Temporarily assisting an individual who lacks the necessary strength, will and knowledge to satisfy 1 or more of 14 basic needs. Assists and supports the individual in life activities and the attainment of independence. Nurse serves to make patient complete whole", or "independent." Henderson's classic definition of nursing: "I say that the nurse does for others what they would do for themselves if they had the strength, the will, and the knowledge. But I go on to say that the nurse makes the patient independent of him or her as soon as possible."

The Nurse-Patient Relationship The nurse as a substitute for the patient, In times of illness when the patient cannot function fully, the nurse serves as the substitute as to what the patient lacks such, as knowledge, will and strength in order to make him complete, whole and independent once again. The nurse as a helper to the patient, in this situations where the patient cannot meet his basic needs, the nurse serves as a helper to accomplish them. Since these needs are needed to achieve health, the nurse focuses her attention in assisting the patient meet these needs so as to regain independence as quickly as possible. The nurse as a partner with the patient, as partners the nurse and the patient formulate the care plan together. Both as an advocate and as a resource-person, the nurse can empower the patient to make effective decisions regarding his care plans. As the relationship goes on, the patient and the nurse see each other as partners whose interest are the same having the patient achieve health and the independence. The Nurse- Physician Relationship Henderson asserted that nurses function independently from physicians. Though the nurse and the patient as partners formulate the plan of care it must be implemented in such a way that will promote the physicians prescribed therapeutic plan. She also insisted that nurses do not follow doctors order; rather they follow in a philosophy which allows physicians to give orders to patients or other healthcare team members. Henderson also indicated that many nursing roles and responsibilities overlap with that lose of the physicians. The Nurse as a Member of the Healthcare Team For a team to work together in harmony, every member must work interdependently. The nurse as a member of the healthcare team works and contributes in carrying out total program of care. However, working interdependently as Henderson indicated does not include taking other members roles and responsibilities. Assessment: In using the 14 fundamental needs of Henderson, I was able to determine that the ability of our patient was dependent on performing his activities of daily living. Eating and elimination patterns are altered as his condition is concerned with the disturbance in the renal function which causes him to have altered functioning in performing physiologic, psychological and social needs. Planning: The prioritized intervention should be towards the attainment of improvement of the condition of the patient and in the long run of therapy the main goal is to gain the independence of the patient and encouraged him and his family to have a consulatation to nephrologist for them to further understand whats the patients condition. Implementation: The nurse as a substitute for the patient, our patient lacks knowledge, will and strength in order to make him complete and also has an altered function to do his activities of daily living so as a nurse giving him enough encouragement and health teachings not only to the patient and also to the relatives of the patient.

Evaluation: The nurse would include the patient over setting to make his condition better and make sure that his thoughts and concerns are addressed so as to assert his functioning and his role as substitute in his care. Application of Theory Physiologic Our patient has altered renal function because we all know that due to his present condition he cannot perform most of his activities of daily living. Psychological He continues to communicate with others in expressing emotions, needs, fears, or opinions but have difficulty doing it. Moral He continues to have worship according to ones faith. Social He has altered social function.