CHAPTER 9 SELF CARE DEFICIT NURSING THEORY DOROTHY OREM

Question 1

Dorothy Orem, one of America’s foremost nursing theorists was born in

Answer 1

Baltimore, Maryland in 1914.

Question 2

died in

Answer 2

June 22, 2007 at age 92

Question 3

comprises the practice of activities that maturing and mature persons initiate and perform, within time frames, on their own behalf in the interest of maintaining life, healthful functioning, continuing personal development, and well-being by meeting known requisites for functional and developmental regulations.

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Self-Care

Question 4

practice of activities that individuals initiate and perform independently on their behalf in maintaining life, health, and well-being

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Self-Care

Question 5

is a human ability which is the ability for engaging in self care activities: conditioned by age, developmental state, life experience, sociocultural orientation, health, and available resources.

Answer 5

Self Care Agency

Question 6

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.

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Therapeutic Self-Care Demand

Question 7

condition or affect the value of the therapeutic self-care demand and/or the self-care agency of an individual at particular times and under specific circumstances.

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Basic conditioning factors

Question 8

Ten Basic Conditioning Factors

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1. Age
2. Gender
3. Developmental state
4. Health state
5. Pattern of living
6. Healthcare system factors
7. Family system factors
8. Sociocultural factors
9. Availability of resources
10. External environmental factors

Question 9

actions directed towards provision of self-care

Answer 9

Self-Care Requisites

Question 10

associated with life processes and the maintenance of the integrity of human structure and functioning.

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Universal self-care requisites

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• associated with developmental processes, derived from a condition, or associated with an event.

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Developmental self-care requisites

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• required in conditions of illness, injury or diseasae.

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Health deviation self-care requisites

Question 13

• refers to the care that is provided to a person who, because of age or related factors, is unable to perform the self-care needed to maintain life, healthful functioning, continuing personal development, and well-being.

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Dependent-Care

Question 14

Refers to the acquired ability of a person to know and meet therapeutic self-care demand of the dependent person and/or regulate the development and exercise of the dependent’s self-care agency.

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Dependent-Care Agency

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• is a relationship that exists when the dependent-care provider’s agency is not adequate to meet the therapeutic self-care demand of the person receiving dependent-care.

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Dependent-Care Deficit

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• is the summation of care measures at a specific point in time or over a duration of time for meeting the dependent’s therapeutic, self-care demand when his or her self-care agency is not adequate or operational.

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Dependent-Care Demand

Question 17

• is the relationship between an individual’s therapeutic self-care demand and his or her powers of self-care agency in which the constituent-developed self-care capabilities within self-care agency are inoperable or inadequate for knowing and meeting some or all components of the existent or projected therapeutic self-care demand.

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Self-care deficit

Question 18

Five Methods of Helping

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1. Acting for and doing for others
2. Guiding others
3. Supporting another
4. Providing an environment to promote patient’s ability
5. Teaching another

Question 19

• are series and sequences of deliberate practical actions of nurses performed at times in coordination with the actions of their patients to know and meet components of patients’ therapeutic self-care demands and to protect and regulate the exercise of development of patient’s self-care agency.

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Nursing systems

Question 20

Three Classification of Nursing Systems

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1, Wholly compensatory system - the patient is dependent

2, Partially compensatory system - the patient can meet some needs

3, Supportive-educative system - the patient can meet self-care requisites, but needs assistance with decision making or knowledge and skills to learn self-care

Question 21

1Four Structured Cognitive Operations of Self-Care Deficit Nursing Theory

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1. Diagnostic
2. Prescriptive
3. Regulatory
4. Control

Question 22

• comprises developed capabilities of persons educated as nurses that empower them to represent themselves as nurses and within the frame of a legitimate interpersonal relationship to act, to know, and to help persons in such relationships to meet their therapeutic self-care demands and to regulate the development of exercise of their self-care agency.

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Nursing Agency

Question 23

• a professional function performed both before and after nursing diagnosis and prescription, allow nurses, on the bases of reflective practical judgements about existent conditions, to synthesize concrete situational elements into orderly relations to structure operational units.

Answer 23

Nursing design