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Executive Overview The Girzelska-FUNDAMENTAL document is an indispensable clinical resource designed for healthcare professionals—including nurses, physiotherapists, and geriatricians—who require a precise, standardized method for evaluating patient autonomy. This comprehensive guide moves beyond basic observations, providing a multidimensional lens through which a patient’s functional capacity and nursing care requirements can be accurately quantified. Core Content & Methodology This document outlines a rigorous scoring system focused on the "Fundamentals" of human survival and dignity. It categorizes patient health into actionable data points, ensuring that care plans are neither overestimated nor insufficient. Key areas of focus include: Self-Care & Hygiene: Detailed parameters for assessing the ability to perform activities of daily living (ADLs), from grooming to complex motor tasks. Mobility & Locomotion: A deep dive into the patient’s physical range, including transfer safety and the risk of falls. Physiological Regulation: Evaluation of sphincter control and metabolic stability as indicators of systemic health. Cognitive-Social Integration: Assessing the intersection between mental clarity and the ability to navigate one's environment safely. Why This Document is Essential Unlike generic assessment tools, the Girzelska-FUNDAMENTAL approach emphasizes holistic rehabilitation. It serves as a bridge between a patient's current limitations and their potential for recovery. By utilizing this framework, practitioners can: Optimize Resource Allocation: Identify exactly where a patient needs 24/7 support versus where they can be encouraged toward independence. Track Therapeutic Progress: Use the scale as a longitudinal benchmark to prove the efficacy of interventions over time. Enhance Interdisciplinary Communication: Provide a common language for doctors, nurses, and families to discuss the patient’s status. Target Audience Clinical Administrators looking to standardize patient intake and care mapping. Rehabilitation Specialists seeking a data-driven approach to motor-skill recovery. Nursing Educators requiring a robust teaching tool for functional health patterns.

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FUNDAMENTALS
OF NURSING
THEORETICAL AND PRACTICAL



COURSEBOOK. CASE STUDIES
Monographs of the Faculty of Human Sciences of WSEI
Volume 24




JOANNA GIRZELSKA 24
VOLUME

,Fundamentals
of nursing


Theoretical part
Chapter 1


Editor:
Joanna Girzelska




Lublin 2023

, WSEI UNIVERSITY

Publishing series: Monographs of the Faculty of Human Sciences of WSEI

Volume: 24
FUNDAMENTALS OF NURSING
Ch. I - Theoretical part Ch. II - Practical part


Editors:
Joanna Girzelska


Reviewers:
dr Lidia Sierpińska
dr Violetta Mianowana


DTP:
Marta Krysińska-Kudlak


Cover design:
Patrycja Kaczmarek


@Copyright by
Innovatio Press, Lublin 2023


All rights reserved. Publication, in whole or in part, may not be reproduced
or disseminated by means of electronics, mechanical, copying or other
devices, without the written permission of the copyright holder.

The publication and reviews were carried out under the Operational
Programme Knowledge Education Development 2014-2020 co-financed by
the European Social Fund.


Printed in Poland
Innovatio Press Publishing House
WSEI University
20-209 Lublin, Projektowa 4
tel.: +48 81 749 17 77, fax: +48 81 749 32 13
www.wsei.lublin.pl, e-mail:



E-ISBN: 978-83-67550-06-2

, Table of contents
Introduction ..................................................................................... 5

1. The development of nursing worldwide and in Poland ................ 6
1.1. Philosophical trends in nursing ............................................ 7
1.2. Pre-modern and modern nursing ........................................ 8
1.3. Factors affecting the development of nursing practice ...... 14

2. The nature of nursing and nursing care ..................................... 20

3. Health and disease versus nursing ........................................... 26

4. Caring - touch, helping, caring support. Support
and its types in nursing .................................................................. 35

5. Nursing caregiver - the nurse. Legal basis
of the nursing profession ............................................................... 38

6. Professional functions of a nurse .............................................. 42

7. Theories and models of nursing ................................................ 46
7.1. The model of nursing by Florence Nightingale .................. 50
7.2. The model of nursing by Virginia Henderson ................... 53
7.3. The model of nursing by Dorothy Orem ........................... 58
7.4. The nursing model by Calista Roy .................................... 60
7.5. The model of nursing by Betty Neuman ............................ 64

8. Traditional and individualized care. Primary nursing -
the essence and differences .......................................................... 67

9. Nursing process as a nurse’s working method .......................... 71

10. Patient in a healthcare facility .................................................. 75

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