Dorothea Orems Self Care Deficit Theory

This articles covers Dorothea Orems Self Care Deficit Theory :Dorothea Orem’s theory, self-care deficit, is one of the famous models used in nursing today. In 1914, Dorothea Orem was born in Baltimore, Maryland. First, Orem studied at Providence Hospital school of Nursing in Washington D.C. and received her nursing diploma in 1930’s.

permalink:https://myassignmenthelps.org/examining-dorothea-orems-self-care-deficit-theory

introduction

Dorothea Orem’s theory, self-care deficit, is one of the famous models used in nursing today. In 1914, Dorothea Orem was born in Baltimore, Maryland. First, Orem studied at Providence Hospital school of Nursing in Washington D.C. and received her nursing diploma in 1930’s. After that, Orem continued to study, and got her Bachelor of Science in Nursing Education in 1939 and Master of Science in Nursing Education in 1945, both from the Catholic University of America (Hartweg, 1995). She has received her honorary degree of Doctor of Science from Georgetown University in 1976 and 1980. Orem also earned CUA Alumni Association Award for Nursing Theory in 1980. Moreover, in 1988, she received Doctor of Humane Letters from Illinois Wesleyen University, and awarded the Linda Richards Award. In addition, she also received National League for Nursing in 1991 and Honorary Fellow of the American Academy of Nursing in 1992. In 1998, she earned the Doctor of Nursing Honoris Causae from the University of Missouri.

In her early experiences, she worked in operating room nursing, private duty nursing, pediatric and adult medical and surgical units, evening supervisor in the emergency room, and biological science technician. Other than that, from 1940 to 1949, Orem has taken the position as director in both nursing school and the department of nursing at Providence Hospital in Detroit.

From 1949 to1957, Orem had worked for the Division of Hospital and Institutional Services of the Indiana State Board of Health to upgrade the quality of nursing in general hospitals throughout the state. While working, she had noted that nurses had difficulty articulating needs to hospital administrators in the face of demands made upon them regarding such issues as length of stay, scheduling admissions and discharges, etc. (McLaughlin-Renpenning and Taylor, 2002). Thus, she started to develop her definition of nursing practices. After reflecting upon her own nursing experiences, Orem says “an understanding that the reason why individuals could benefit from nursing was the existence of…self care limitations” (Orem, 1978, cited in Fawcett, 2005, p.230).

Orem then moved to Washington D.C. in 1957 and become a consultant in the Office of Education. She was working to improve the nursing component of a vocational nursing curriculum. After that, she realized that the curriculum couldn’t be determined until there was an understanding of the subject matter of nursing in general.

In 1959, she took the position as an assistant professor at The Catholic University of America, where she continued to develop her concept of nursing and self-care. Orem’s ideas were further formalized after she joined the Nursing Development Conference Group (NDCG). This group, who came together in 1968, was “committed to the development of structured nursing knowledge and to nursing as a practice discipline” (Hartweg, 1995). Orem says her ideas are primarily the result of reflecting upon her experiences and she was not influenced by any one person, but she states that formal logic and metaphysics were among other disciplines that influenced her work. (Hartweg, 1991)

As you continue myassignmenthelps.org, has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us.

Dorothea Orems Self Care Deficit Theory

In 1970’s, she has first published her book, titled Nursing: Concepts of Practice. It was the conceptual framework’s original publication. Orem’s work characterized as “a time for changes within the nursing profession, being a time for planning, researching and expanding nursing roles.” (Chinn & Kramer, 2004)

Orem defined nursing as an act of assisting others in the provision and management of self-care to maintain or improve human functioning at home level of effectiveness. In general, nursing is an act of proving of self-care for person who needed in order to maintain the optimal health and wellness. Everyone possesses the ability and responsibility to care for themselves and dependents. Nursing is a service to people, not a derivative of medicine. Nursing promotes the goal of patient self-care.

According to Orem’s theory, it is divided into three parts, which are theory of self-care, self-care deficit and nursing system.

Theory of self care

Orem’s self-care theory is based on the concepts of self-care, self-care agency, self-care requisites and therapeutic self-care demand. Self-care consists of those activities performed individually by a person to promote and maintain personal well-being throughout life.

Self care agency is the ability of a person to perform their self-care activities. Self-care agency consists of two agents, self-care agent and dependent care agent. Self-care agent is a person who provides the self-care and dependent care agent is a person other than the individual who provides the care, for example, the patients.

Therapeutic self care demand is the totality of self care actions to be performed for some duration in order to meet self care requisites by using valid methods and related sets of operations and actions.

Self-care requisites also called as self-care needs. It is an action directed towards provision of self care. There are three categories of self care requisites, which are universal, developmental and health deviation. Universal self-care requisites are defined as the needs that are common to all individuals’ activities of daily living. Moreover, the universal self-care requisites are identified by eight elements, which are air, water, food, elimination, activity and rest, solitude and social interactions, prevention of harm, and promotion of normality. Developmental self-care requisites are the needs resulting from the interventions and teachings designed to return a person to or sustain a level of optimal health and well being. For example, educate the child on toilet using and eat healthy diet. Health deviation self-care requisites are the needs resulting from illness, injury and disease or its treatment.

Theory of Self-Care Deficit

Theory of self-care deficit is the self-care needed by a person when their ability has achieved certain limitation. In another meaning is that a person benefits from nursing intervention when a health situation inhibits their ability to perform self-care or creates a situation where their abilities are not sufficient to maintain own health and wellness. The nursing action will be focuses on identification of limitation and implementing appropriate interventions to meet the needs of person. Nursing is required when an adult is incapable in the provision of continuous effective self-care. In addition, there are five methods of helping identified by Orem, which are acting (or doing for another), guiding, supporting (physically or psychologically), teaching and providing an environment to promote the patient’s ability to meet current or future demands. The nurse can use any of these to help the individual.

As you continue myassignmenthelps.org, has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us.

Dorothea Orems Self Care Deficit Theory

Theory of Nursing Systems

Theory of nursing system is defined as the nursing interventions needed when individual are unable to perform the necessary self-care activities. In other way of meaning, this theory also defined as a series of actions a nurse takes to meet a patient’s self-care needs. It describes the nursing responsibilities, roles of the nurse and patient, rationales for the nurse-patient relationship, and the types of actions needed to meet the patient’s demands.

Nursing system composed of three systems, which are wholly compensatory, partial compensatory and supportive-educative. Wholly compensatory is a nurse need to provide full self-care for the patient, because the patient’s self-care agency has exceeded the limitation that he or she must depends on others (nurse) for well-being. For examples, the coma patient paralysed patient or mental retardation patient.

Partial compensatory is some self-care requisites that need the assistant from nurse to meet, but some can be done by patient. For example, give assistance in ambulation for the patient who is following on surgery.

Supportive-educative is a nurse’s action of using knowledge, support and encouragement to develop the self-care abilities of patient in terms of decision making or behavior control. For example, advising the teenagers on effects of smoking or taking drugs.

The reason why I choose to write Dorothea Orem is because I feel curious to know more about her after Madam Jaya taught us about the nursing theorists. During in that class, I heard that Madam Jaya said she likes Orem’s theory. So, when I read the theory, I started to feel like to know more about her and how she comes out with such theory.

After I did some research on Dorothea Orem, I found that I started to like her theory. It’s true that when an individual has exceeded their limitation of abilities, the self-care deficits occur. Thus, provision of self-care is needed to assist the individual to cope up the activities in daily living.

Dorothea Orem’s Self-Care Deficit Theory

There are instances wherein patients are encouraged to bring out the best in them despite being ill for a period of time. This is very particular in rehabilitation settings, in which patients are entitled to be more independent after being cared for by physicians and nurses. Between 1959 and 2001, Dorothea Orem developed the Self-Care Nursing Theory or the Orem Model of Nursing. It is considered a grand nursing theory, which means the theory covers a broad scope with general concepts applicable to all instances of nursing.

Description

Dorothea Orem’s Self-Care Deficit Theory defined Nursing as “The act of assisting others in the provision and management of self-care to maintain or improve human functioning at the home level of effectiveness.” It focuses on each individual’s ability to perform self-care, defined as “the practice of activities that individuals initiate and perform on their own behalf in maintaining life, health, and well-being.”

“The condition that validates the existence of a requirement for nursing in an adult is the absence of the ability to maintain continuously that amount and quality of self-care which is therapeutic in sustaining life and health, in recovering from disease or injury, or in coping with their effects. With children, the condition is the parent’s inability (or guardian) to maintain continuity for the child the amount and quality of care that is therapeutic.” (Orem, 1991)

Assumptions of the Self-Care Deficit Theory

Dorothea Orem’s Self-Care Theory assumptions are: (1) To stay alive and remain functional, humans engage in constant communication and connect among themselves and their environment. (2) The power to act deliberately is exercised to identify needs and to make needed judgments. (3) Mature human beings experience privations in the form of action in care of self and others involving making life-sustaining and function-regulating actions. (4) Human agency is exercised in discovering, developing, and transmitting to others ways and means to identify needs for, and make inputs into, self and others. (5) Groups of human beings with structured relationships cluster tasks and allocate responsibilities for providing care to group members.

Major Concepts of the Self-Care Deficit Theory

In this section are the definitions of the major concepts of Dorothea Orem’s Self-Care Deficit Theory:

Nursing

Nursing is an art through which the practitioner of nursing gives specialized assistance to persons with disabilities, making more than ordinary assistance necessary to meet self-care needs. The nurse also intelligently participates in the medical care the individual receives from the physician.

Humans

Humans are defined as “men, women, and children cared for either singly or as social units” and are the “material object” of nurses and others who provide direct care.

Environment

The environment has physical, chemical, and biological features. It includes the family, culture, and community.

Health

Health is “being structurally and functionally whole or sound.” Also, health is a state that encompasses both the health of individuals and groups, and human health is the ability to reflect on oneself, symbolize experience, and communicate with others.

Self-Care

Self-care is the performance or practice of activities that individuals initiate and perform on their own behalf to maintain life, health, and well-being.

Self-Care Agency

Orem's Self-Care Theory: Interrelationship among concepts. Click to enlarge.
Orem’s Self-Care Theory: Interrelationship among concepts. Click to enlarge.

Self-care agency is the human’s ability or power to engage in self-care and is affected by basic conditioning factors.

Basic Conditioning Factors

Basic conditioning factors are age, gender, developmental state, health state, socio-cultural orientation, health care system factors, family system factors, patterns of living, environmental factors, and re

Read more;

Complications of Endoscopic Sinus Surgery best 2022 essay

Did not find what you wanted? Get help from our experts.

Find a Perfect and Reliable Professional Essay Writer Helper to write your essay for a Reasonable Price.

best essay writing service

Need help with your Assignment?

Give us your paper requirements,and we’ll deliver the highest-quality essay at only $13 a page.

Some of the free features you will receive:

Find a perfect and reliable professional for your essay writing needs.

Essay Writing Services

If you are a student who is struggling to meet tight deadlines, we are here to help! Do you need to employ an essay writing service? Hire us if you want the best essays. We are a dedicated staff of professional, well-seasoned, and superb essay writer helpers.

Dissertation Writing Services

Did you know we provide the best dissertation writing service on the internet? We continue to receive favorable feedback from our consumers about the excellent work we produce. So, instead of worrying about whom to pay for the dissertation, contact us. We are a dedicated staff of professional, well-seasoned, and superb essay writer helpers.

Assignment Writing Services

We attempt to provide the essay help you require ensuring, that your papers are of the highest quality. When you decide to work with us, we assess your requirements and find the best writer to assist you with your essay. We are a dedicated staff of professional, well-seasoned, and superb essay writer helpers.

Nursing Essays Writing Services

Here’s how it works: you place an order for a nursing essay, and we deliver. It’s as easy as it sounds. This is workable because we have the greatest professional paper writers that are both quick and skilled. We will assign your assignment to the most qualified writer

Coursework Writing Help

Our staff of qualified and professional paper writers has continuously distinguished us as the best coursework writing help service. They are all-natural English speakers with advanced degrees in a variety of professions. We offer the best essay writing services.

Article Writing Services

Our knowledgeable and expert article writing paper writers have advanced degrees in a variety of subjects. We will assign the most appropriate one to you based on the field and topic of your article review. They are all fluent English speakers who fully grasp your requirements. We are a dedicated staff of professional, well-seasoned, and superb essay writer helpers

You May Also Like…

We use cookies in order to give you the best possible experience on our website. By continuing to use this site, you agree to our use of cookies.
Accept