Care,cure,core

Strengths of
Lydia Hall’s Model
The model is complete and logical-it can be
viewed as the philosophy of nursing (Alligood &
Tomey, 2010).
The three Cs in the theory were unique- in all the
circles, the nurse is present, although focus of
the nurse’s role is on the care circle (Alligood &
Tomey, 2010).

Weaknesses of
Lydia Hall’s Model
Limited generality (Alligood & Tomey, 2010).
Emphasis on patient, the role of nurse in preventive care is overlooked (Alligood &
Tomey, 2010).
Acute stage illness patients are not included
Family is only mentioned in the cure cycle (Alligood & Tomey, 2010)
Reflection is the only tool of communication (Alligood & Tomey, 2010).
The theory refers only to adult patients (16 years and above).
The theory was not concerned with the ‘team nursing’ concept.

The Care Circle
Brittany Hunter

Lydia Hall proposed
that the aspect of
nursing that is
associated with
intimate physical care
belongs exclusively
to the nursing field.
(Parker 2010)

Caring for the patients includes:
 Bathing
 Feeding
 Toileting
 Positioning
 Moving
 Dressing and undressing
 Maintaining a healthful environment

CARE
Nursing is essential when
patients or clients are not
capable of performing
activities of daily living for
themselves. This quality
afforded the opportunity
for familiarity and
obligated that the practice
is viewed as an
interpersonal relationship
(Parker 2010).

“The focus of bodily care is to comfort the patient. Through this comforting, the patient as a
person, as well as his or her body, responds to the physical care” (Parker, 2010).

Reference
Parker, Marilyn E.; Smith, Marlaine C., Jun 30, 2010, Nursing Theories
& Nursing Practice F. A. Davis Company, Philadelphia, ISBN:
9780803625280

The Role of the Cure in
the 3 C’s
Lydia E. Hall’s theory of the 3 C’s or Care, Cure, Core
Theory deals with three different, independent
principles or circles that are also interconnected with
each other
The cure circle deals with the aspect of nursing that
deals with “The Disease”
The physical and practical part of nursing and
medicine
Administration of medications
Implementation of treatments
Assessment of patient condition

The
Cure
Hall asserted that this medical aspect of nursing could be
viewed as the nurse assisting in two ways
Nurse assisting the doctor
Assuming medical tasks and functions
Nurse assisting the patient
Helping through a patient’s medical, surgical, and
rehabilitative care
Acting as a comforter and nurturer but also as an
advocate

Patient Advocate
In this circle, we focus on the practical aspect of nursing
care, which in turn allows the nurses to be their patients’
advocates
Being involved in direct patient care allows for nurses to
have a hands on approach and insider perspective into
what their patient needs and wants
Allows nurses to more accurately relay patient condition
to physicians and staff
Allows patients to adequately get their needs met

Cure
Based on Hall views of the person as a patient. She visualized nursing as
having three aspects…
Hall was certain that her model reflected nursing in its own nature as a
professional interpersonal process
Hall visualized each of the three aspects as circles that overlap and stated
them as
“ aspects of the nursing process related to the patient, to the supporting
science, and to the underlying philosophical dynamics” ( as cited in Parker,
2005, p. 117).
This circles overlap and change in size as the patient progresses through a
medical condition to the rehabilitative phase of the illness.
 In the acute care phase, the cure circle is the largest ( Parker, 2005).
Dayron Barzaga
Dieguez

The cure is the aspect of the nursing process of Hall theory that is shared
with medicine.
According to Hall there are two ways that this medical aspect of nursing
may be viewed.
First, it can be view as the nurse assisting the doctor by assuming medical
task or functions, which I personally see every day in practice.
The development of practice and professionalism by nurses have gotten
them the trustworthiness of assuming many medical functions only
practice before by doctors.
 Second, the nurse can be view as the comforter and nurturer of the
patient as he/she transitions through his/her medical, surgical, and
rehabilitative care ( Parker, 2005).

Hall felt the nursing profession was assuming more of the medical aspects
of care; conversely, giving away the nurturing and comforting process of
nursing to less well-prepared individuals.
“Interestingly enough, physicians do not have practical doctors. They
don’t need them...they have nurses. Interesting, too, is the fact that
most nurses show by their delegation of nurturing to others, that they
prefer being second class doctors to being ﬁrst class nurses. This is the
prerogative of any nurse .If she feels better in this role, why not? One
good reason why not for more and more nurses is that with this
increasing trend, patients receive from professional nurses second class
doctoring; and from practical nurses, second class nursing. Some
nurses would like the public to get ﬁrst class nursing. Seeing the
patient through [his or her] medical care without giving up the
nurturing will keep the unique opportunity that personal closeness
provides to further [the] patient’s growth and rehabilitation” ( Parker,
2005).

Parker, M. E. (2005). Nursing Theories and Nursing Practice.
Philadelphia: F.A. Davis Company.
References

Engaging The Core
Lydia Hall’s Nursing Theory
Keron Edmund

The Patient
The core is the patient and the largest part of Lydia Hall’s
Nursing Theory. (George, J.B 2000)
According to Hall, the patient plays the biggest role in their
recovery.
The core consists of a patient’s feelings, beliefs, social,
emotional, spiritual, and intellectual needs. (Alligood, M.,&
Tomey, A 2010)
To aid in the patient’s recovery, other factors to be
addressed are, family aid, community resources, and
institutions. (Alligood, M.,& Tomey, A 2010)

Influencing The Core
Each patient is unique in their thoughts, and beliefs and
knowledge on their disease process.
The Reflective Technique is used by nurses to gather patients’
thoughts and feelings regarding their health and life style
changes that are needed. (Alligood, M.,& Tomey, A 2010).
When a patient’s thoughts and feelings are assessed, the
nurse can then address the concerns of the patient.
Through teaching and education, the nurse can change the
patient’s feelings towards their health. This in return can
improve the overall life of the patient in influencing their
thoughts and what they know about their particular disease
process.

Improving the Core
With proper education, teaching and patient understanding,
the patient may become more motivated to living a
healthier life.
Motivations are developed when the patient’s feelings and
concerns are addressed. Once they understand the
disease process, that overwhelming feeling dissipates.
(Alligood, M.,& Tomey, A 2010).
With the right teaching, the patient can now make the right
life style choices and develop an optimistic view on life.

My Thoughts
The Core is the most important part of Lydia Hall’s
Nursing Theory simply because it is the patient.
The patient can obtain a healthy status in the hospital
monitored by a health care team. When the patient
leaves the hospital, they have to care for themselves.
That is why teaching and patient education is so
important.
With the proper education and teaching, the patient
can resume self care and actually improve their life.

References
1. Alligood,M., & Tomey,A 2010. Nursing theorists and
their work, seventh edition (Noed.) Maryland Heights;
Mosby – Elsevier.
2. George, JB.; Nursing Theories: The Base for
Professional Nursing Practice; 2000.

Lydia Hall’s theory –the core cycle
The core describes the person or patient at the end of nursing care (Alligood & Tomey,
2010).
Core has goals set by self only
Patients behave as per their feelings and values (Touhy & Birnbach, 2001).
The behavior regards therapeutic use of self and it is shared with other members of the
health team.
Helps patient learn their role in the healing process
The core emphasizes on the social, spiritual, emotional, and intellectual needs of the patient
(Touhy & Birnbach, 2001).
The needs are in relation to family, community, institution and the world.
The patients can express their feelings regarding the disease process and its effects by the
use of reflective technique (Alligood & Tomey, 2010).

Core cont……
The patients are able to have self-identity and develop maturity via the expression when a
nurse listens to them and acts as sounding board (Touhy & Birnbach, 2001).
Patients make more informed decisions.
The core also encompasses reflective technique and motivations as the communication
techniques to help patients to self-awareness (Touhy & Birnbach, 2001).
Reflective technique- as a mirror, a nurse helps the patients explore their feelings
concerning present health status and associated probable changes in lifestyle.
Motivations- experiences enable a patient to make conscious decisions based on the
understood and accepted feelings.
Patients make more rapid progress towards recovery and rehabilitation (Touhy &
Birnbach, 2001).

References
Alligood, M., & Tomey, A. (2010). Nursing theorists and their work, seventh edition (No ed.). Maryland
Heights: Mosby-Elsevier.
Touhy, T. A., & Birnbach, N. (2001). Lydia Hall, The Care, Core, Cure Model.M. Parker (Ed.), Nursing
theories and nursing practice, 131-142.

Care,cure,core

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