Dorothea Elizabeth Orem: Self-Care Deficit Theory

Question 1

She was one of America’s foremost nursing theorist who developed the Self-care Deficit Nursing Theory

Answer 1

Dorothea Elizabeth Orem

Question 2

• Anyone that is being cared for either singly or social units
• The material object of nurses and others who provide direct care

Answer 2

Man

Question 3

• It is being structurally and functionally as a whole or sound
• Encompasses both health for individuals and group
• Human health is the ability to reflect on oneself, symbolize experience, and communicate with others

Answer 3

Health

Question 4

It has physical, chemical, and biological features which includes family, culture, and community

Answer 4

Environment

Question 5

• It is an art which the nurses gives specialized assistance to patients and persons with disabilities to meet self-care needs
• Nurses also participates in the medical care the individual receives from the physician

Answer 5

Nursing

Question 6

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 judgements
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 other ways and means to identify needs for, and make inputs into, self and others.
5. Groups of human beings withe structured relationships cluster tasks and allocate responsibilities for providing care to group members.

Answer 6

Assumptions of the Self-Care Deficit Theory

Question 7

comprises the practice of activities that a person initiates or performs on their own behalf to maintain life and healthful functioning

Answer 7

Self-Care

Question 8

the care that is provided to a person who is unable to perform the self-care needed to maintain life and healthful functioning

Answer 8

Dependent-Care

Question 9

a formulated and expressed insight about actions to be performed that are known or hypothesized to be necessary in the regulation of human functioning and development

Answer 9

Self-Care Requisites

Question 10

1. Factors to be controlled or managed to keep an aspect of human functioning and development.
2. The nature of required action

Answer 10

2 Elements of Self-Care Requisites

Question 11

• Universally required goals are to be met through self-care or dependent-care
• Self-Care requisites common to men, women, and children

Answer 11

Universal Self-Care Requisites

Question 12

• Provisions of conditions that promote development
• Engagement in self-development
• Prevention of or overcoming effects of human conditions and life situations that can adversely affect human development

Answer 12

Developmental Self-Care Requisites

Question 13

• Exists for persons who are ill or injured, who have specific forms of pathological conditions or disorders, including defects and disabilities, and who are under medical diagnosis and treatment
• The characteristics of health deviation as conditions extending over time determines the types of care demands that individuals experience as they live with the effects of pathological conditions and live through their durations.

Answer 13

Health Deviation Self-Care Requisites

Question 14

consists of the summation of care measures necessary at specific times or over a duration of time to meet all of an individual’s known self-care requisites, particularized for existent conditions & circumstances by methods appropriate for the following:

• Controlling or managing factors identified in the requisites, the values of which are regulatory of human functioning (sufficiency of air, water, and food)
• Fulfilling the activity element of the requisites (maintenance, promotion, prevention, and provision)

Answer 14

Therapeutic Self-Care Demand

Question 15

Summation of care measures at a specific point in time for meeting the dependent’s therapeutic self care demand when his/her self agency is not adequate or operational

Answer 15

Dependent Care Demand

Question 16

Person’s ability to regulate their own human functioning, development, and in self care which is affected by its basic conditioning factors

Answer 16

Self Care Agency

Question 17

Ability of a person to know the therapeutic self care demand of the dependent person. Regulates the development and exercise of the dependent’s self care agency.

Answer 17

Dependent Care Agency

Question 18

Relationship between the person’s therapeutic self care demand and his or her powers of self-care agency. The constituent developed self care capabilities within self care agency are inadequate or inoperable for knowing some or all components of the projected self-care demand.

Answer 18

Self-Care Deficit

Question 19

Exist when the dependent care provider’s agency is not adequate to meet the therapeutic self care demand of the person receiving dependent care

Answer 19

Dependent Care Deficit

Question 20

• Comprises the developed capabilities of nurses that empowers them to represent themselves
• Enables nurses to act, know, and help others meet their therapeutic self are demands and not to regulate the development of their self agency
• Assist persons who provide dependent care to regulate exercise of their dependent care agency

Answer 20

Nursing Agency

Question 21

A professional function performed before and after nursing diagnosis and prescription. Its purpose is to provide guides for achieving needed and foreseen result in the production of nursing toward the achievement of nursing goals

Answer 21

Nursing Design

Question 22

Series and sequences of deliberate practical actions of nurses performed at times in coordination with the actions of their patients

Answer 22

Nursing System

Question 23

Sequential series of actions that will overcome or compensate for the health-associated limitations of individuals

Answer 23

Helping Methods

Question 24

1) acting for or doing for another
3) guiding and directing
3) providing physical or psychological support
4) providing and maintaining an environment that supports personal development
5) teaching

Answer 24

Methods are as follows:

Question 25

• condition or affect the value of the therapeutic self-car
• ten factors include:
  1. Age
  2. Gender
  3. Developmental state
  4. Health State
  5. Patter of Living
  6. Health Care System Factors
  7. Family System Factors
  8. Sociocultural Factors
  9. Availability of Resources
  10. External environment factors

Answer 25

Basic Conditioning Factors

Question 26

• Orem’s theory provides a thorough foundation for nursing practice. It is useful for professional nurses in nursing practice, nursing education, and administration.
• The terms self-care, nursing systems, and self-care deficit are simple for a new student nurse to understand and can be explored further as they gain more knowledge and experience.

Answer 26

Implications of the Nursing Theory to Nursing Practice and Nursing Education

Question 27

1) Orem’s Theory and the Nursing Process
2) Wholly Compensatory Nursing System
3) Partial Compensatory Nursing System
4) Supportive-Educative System

Answer 27

Application to Actual Health Care Situations