THEORETICAL FOUNDATION IN NURSING
Hall’s Core, Care, Cure Theory of Nursing
Care, Core and Cure Model
“Individuals could be conceptualized in three
separate domains:”
 The Body – Care
 The Illness – Cure
 The Person – Core
Lydia Hall
 Received her basic nursing education
at New York Hospital School of Nursing
in New York, Pennsylvania in 1927.
 Earned her Bachelors in Public Health
Nursing in 1937 from Teachers College,
Columbia University, New York.
 Masters in Teaching Natural Sciences
in 1942 from Teachers College,
Columbia University, New York.
 1st Director of Loeb Center for Nursing
and Rehabilitation.
 She originated the philosophy of care
of Loeb Centre at Montefiore Hospital,
Bronx, New York, Loeb Center
provided professional nursing care to
people past the acute stage of illness.
 Center’s functioning concept was that
the need for professional nursing care
increases as the need for medical care
decreases.
Theory Overview
 Theory developed in late 1960’s.
 Nursing care can be delivered in three
interlocking levels:
CARE Hands on bodily
care.
CORE Using self in
relationship to
patient.
CURE The disease:
Applying medical
knowledge.
The care circle
 The nurturing component of care and
is exclusive to nursing.
 It involves the concept of “mothering”
(care and comfort of the person) and
provide for teaching-learning
activities.
 The professional nurse provides bodily
care for the patient and helps the
patient to complete such basic daily
biologic activities like eating, bathing,
elimination and dressing.
The Body
Natural and Biologic
Intimate bodily care
Aspect of nursing
“THE CARE”
The Core Circle
 The core circle of patient care is based
on the social sciences.
 Involves the therapeutic use of self.
 The nurse is able to help the patient
verbally express feelings regarding the
disease process and its effects, as well
as discuss the patient’s role in recovery
or healing process.
 The patient is able to maintain who
they are (self-identity.)
The Person
Social Sciences
Therapeutic use of self
Aspect of nursing
“THE CORE”
The cure circle
 The cure circle of patient care is based
in the pathological and therapeutic
sciences and is shared with other
members of the health team.
  The professional nurse helps the Care and Core Predominate
patient and family through the
medical, surgical and rehabilitative
prescriptions made by the physician.
During this aspect of nursing care, the
nurse is an active advocate of the
patient.
Interaction of the Three Aspects of Nursing
 The three aspects interact and the
circles representing them change size,
depending on the patient’s total
course of progress.
 In the philosophy of Loeb’s Center, the
professional nurse functions most
therapeutically when patients have
entered the second stage of their
hospital stay (i.e., they are
Six phases of nursing process:
recuperating and are past the acute
stage of illness.) 1. ASSESSMENT PHASE involves
 During this recuperating stage, the collection of data about the health
care and core aspects are the most status of the individual.
prominent, and the cure aspect is less2. NURSING DIAGNOSIS PHASE is a
prominent. statement of the patient’s need or
 Nursing is defined as the function problem area.
necessary to carry out care, core and 3. OUTCOMES and
cure. 4. PLANNING involves setting priorities
Hall’s Three Aspects of Nursing and mutually establishing patient-
centered outcome and goals.
5. IMPLEMENTATION involves the actual
institution of the plan of care.
6. EVALUATION is the process of
assessing the patient’s progress
toward the health goals.
The Disease Concepts:
The
ThePerson
Body
Seeing the patient and the family through 1. Person. The individual human who is
Therapeutic
Intimate bodily
use of
care.
self. 16 years old or older and past the
medical care.
“THE CORE”
CARE” acute stage of long-term illness is the
“THE CURE”
focus of nursing care in Hall’s theory.
2. Health. A state of self-awareness with
conscious selection of behaviors that
are optimal for that individual.
3. Environment/Society. Is dealt with in
relation to the individual.
4. Nursing. Is identified as consisting of
participation in the care, core and cure
aspects of patient care.