DOROTHEA E. OREM Flashcards
- considered a grand nursing theory because it is applicable to all instances of nursing
- based on the belief that the individual has a need for self-care actions and that nursing can assist the person in meeting that need to maintain life, health, and well-being
Self-Care Deficit Theory
- consists of activities that individuals carry out on their own behalf
- deliberate, have pattern and sequence, and are developed from day-to-day living
- maintains health functioning, personal development, and well-being
self-care
- acquired ability or power to engage in self-care
- affected by basic conditioning factors (age, gender, developmental state, health state, socio-cultural, etc.)
self-care agency
the reasons for which self-care is undertaken; they express the intended or desired results
self-care requisites
requisites are associated with life processes and the maintenance of the human structure and functioning integrity
- sufficient intake of air, water, food
- provision of care associated with elimination
- maintenance of balance between activity and rest, and solitude and social interaction
- prevention of hazard to human life, functioning, and well-being
- promotion of human functioning and development
universal self-care requisites
actions to be undertaken that will provide developmental growth
- provision of conditions that promote development
- engagement in self-development
- prevention of the effects of human conditions that threatens life
developmental self-care requisites
required in illness or injury or as a result of medical tests or treatments to correct a condition
- seeking and securing appropriate medical assistance
- being aware of and attending to the effects and results of pathologic conditions and states
- effectively carrying out medically prescribed diagnostic, therapeutic, and rehabilitative measures
health deviation self-care requisites
done when an adult is incapable of providing continuous self-care
- acting for and doing for others
- guiding others
- supporting another
- providing an environment promoting personal development about meet future demands
- teaching another
5 methods of helping
summation of care measures to meet all of an individual’s known self-care requisites
- controlling or managing factors
- fulfilling the activity element of the requisites
therapeutic self-care demand
to meet the dependent’s self-care demand when their self-care agency is not adequate or operational
dependent care demand
ability to know and meet the therapeutic self-care demand of the dependent person
dependent-care agency
care provided to a person who is unable to perform self-care
dependent-care
dependent-care provider’s agency is not adequate to meet therapeutic self-care demand of dependent person
dependent-care deficit
- a complex property or attribute of people educated and trained as nurses that enable them to act, to know, and to help others meet their therapeutic self-care demands by exercising or developing their own self-care agency
- developed capabilities of persons educated as nurses
- capabilities of nurses to assist persons who provide dependent-care
nursing agency
- performed both before and after nursing diagnosis and prescription
- provide guides for achieving needed and foreseen results
nursing design
series and sequences of deliberate practical actions of nurses performed at time in coordination with the actions of their patients
- to know and meet components of patients’ therapeutic self-care demands
- to protect and regulate the exercise or development of patient’s self-care agency
nursing systems
the individual is unable to engage in those self-care actions
NURSE GIVES TOTAL CARE;
PATIENT ACTION IS LIMITED
- accomplishes patient’s therapeutic self-care
- compensates for patient’s inability to engage in self-care
- supports and protects patient
wholly compensatory system
both nurse and patient perform care measures or other actions
NURSE ACTION:
- performs some self-care measures for patient
- compensates for self-care limitations of patient
- assists patient as required
PATIENT ACTION:
- promotes some self-care measures
- regulates self-care agency
- accepts care and assistance from nurse
partly compensatory system
the person can carry out self-care activities but requires assistance; aka supportive developmental system
NURSE ACTIONS:
- regulates the exercise and development of self-care agency
PATIENT ACTIONS
- accomplishes self-care
supportive-educative system
- specialized assistance to persons with disabilities, making more than ordinary assistance necessary to meet self-care needs
- actions are geared towards independence of the client
- a distinguished human service
- based towards values
nursing
- men, women, and children cared for either singly or as social units
- material object of nurses
- integrated human functioning that has the potential for learning and developing
humans / human beings
- an external source of influence in the internal interaction of a person’s different aspects
- has physical, chemical, and biological features
- includes the family, culture, and community
environment
- being structurally and functionally whole or sound
- state that encompasses both the health of individuals or groups
- ability to reflect on oneself, symbolize experience, and communicate with others
health
