Dorothea Orem Flashcards
who developed the Self-Care Deficit Nursing Theory
Dorothea E. Orem
Self-Care Deficit Nursing Theory also known as
Orem Model of Nursing
composed of three interrelated theories:
(1) the theory of self-care
(2) the self-care deficit theory
(3) the theory of nursing systems
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.”
Self-Care Deficit Nursing Theory
explains the terms self-care, nursing systems, and self-care deficit essential to students who plan to start their nursing careers.
Self-Care Deficit Nursing Theory
this theory signifies that all patients want to care for themselves. They can recover more quickly and holistically by performing their own self-care as much as they’re able. This theory is particularly used in rehabilitation and primary care or other settings where patients are encouraged to be independent.
Self-Care Deficit Nursing Theory
the performance or practice of activities that individuals initiate and perform on their own behalf to maintain life, health, and well-being.
Self-Care
the human’s ability or power to engage in self-care and is affected by basic conditioning factors.
Self-Care Agency
are age, gender, developmental state, health state, socio-cultural orientation, health care system factors, family system factors, patterns of living, environmental factors, and resource adequacy and availability.
Basic Conditioning Factors
totality of “self-care actions to be performed for some duration to meet known self-care requisites by using valid methods and related sets of actions and operations.”
Therapeutic Self-care Demand
when nursing is needed
Self-Care Deficit
Nursing is required when an adult is ___ of providing continuous effective self-care.
incapable
attribute of people educated and trained as nurses that enables them to act, know, and help others meet their therapeutic self-care demands
Nursing Agency
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
Nursing
“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
Humans
physical, chemical, and biological features. It includes the family, culture, and community.
Environment
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.
Health
product of a series of relations between the persons: legitimate nurse and legitimate client.
Nursing System
This theory focuses on the performance or practice of activities that individuals initiate and perform on their own behalf to maintain life, health, and well-being.
Theory of Self-Care
actions directed toward the provision of self-care.
Self-Care Requisites
Self-Care Requisites presented in three categories
Universal Self-Care Requisites
Developmental self-care requisites
Health deviation self-care requisites
associated with life processes and the maintenance of the human structure and functioning integrity
Universal Self-Care Requisites
“either specialized expressions of universal self-care requisites that have been particularized for developmental processes or they are new requisites derived from a condition or associated with an event.”
Developmental self-care requisites
are required in conditions of illness, injury, or disease or may result from medical measures required to diagnose and correct the condition.
Health deviation self-care requisites
This theory delineates when nursing is needed.
Nursing is required when an adult (or in the case of a dependent, the parent or guardian) is incapable of or limited in providing continuous effective self-care.
Theory of Self-Care Deficit
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
This theory is the product of a series of relations between the persons: legitimate nurse and legitimate client.
This system is activated when the client’s therapeutic self-care demand exceeds the available self-care agency, leading to nursing.
Theory of Nursing System
Example: Nurse guides a mother on how to breastfeed her baby, Counseling a psychiatric client on more adaptive coping strategies.
Supportive-Educative System
This is also known as a supportive-developmental system. The person “can perform or can and should learn to perform required measures of externally or internally oriented therapeutic self-care but cannot do so without assistance.”
Supportive-Educative System
This is represented by a situation in which “both nurse and perform care measures or other actions involving manipulative tasks or ambulation… [Either] the patient or the nurse may have a major role in the performance of care measures.”
Partial Compensatory Nursing System
This is represented by a situation in which the individual is unable “to engage in those self-care actions requiring self-directed and controlled ambulation and manipulative movement or the medical prescription to refrain from such activity… Persons with these limitations are socially dependent on others for their continued existence and well-being.”
Wholly Compensatory Nursing System
Example: care of a newborn, care of client recovering from surgery in a post-anesthesia care unit
Wholly Compensatory Nursing System
Example: Nurse can assist the postoperative client in ambulating, Nurse can bring a meal tray for a client who can feed himself
Partial Compensatory Nursing System
This is represented by a situation in which the individual is unable “to engage in those self-care actions requiring self-directed and controlled ambulation and manipulative movement or the medical prescription to refrain from such activity… Persons with these limitations are socially dependent on others for their continued existence and well-being
Wholly Compensatory nursing system
This is represented by a situation in which “both nurse and perform care measures or other actions involving manipulative tasks or ambulation… [Either] the patient or the nurse may have a major role in the performance of care measures.”
Partial Compensatory Nursing System
The person “can perform or can and should learn to perform required measures of externally or internally oriented therapeutic self-care but cannot do so without assistance.”
Supportive educative system
This theory is the product of a series of relations between the persons: legitimate nurse and legitimate client. This system is activated when the client’s therapeutic self-care demand exceeds the available self-care agency, leading to nursing.
Theory of nursing system
