Dorothea Orem Flashcards
Dorothea Orem
Self-Care Deficit Theory
- proposes that patients have the innate ability and responsibility to care for themselves.
- A nurse’s role goes beyond tending to patients’ physical needs; it involves supporting them on their journey to regain independence
Self-Care Deficit Theory
The self-care deficit theory is a general theory composed of the following 4 related theories:
- The theory of self-care
- The theory of dependent-care
- The theory of self-care deficit
- The theory of nursing systems
activities that persons initiate and perform, on their own behalf maintaining life, healthful functioning, continuing personal development, and well-being
Self-care
Care that is provided to a person who, because of age or related factors, is unable to perform the self-care needed
Dependent-Care
Actions to be performed that are known to be necessary in the regulation of an aspect of human functioning and development.
Self-Care Requisites
Type of self-care requisites
- Universal Self-Care Requisites
- Developmental Self-Care Requisites
- Health Deviation Self-Care Requisites
Universal Self-Care Requisites
8 Self-Care Requisites:
1. Air
2. Food
3. Water
4. Elimination processes and excrements
5. Balance between activity and rest
6. Balance between solitude and social interaction
7. Prevention of hazards to human life
8. Promotion of human functioning and development within social groups and the human desire to be normal
— supporting growth & development throughout life
Developmental Self-Care Requisites
persons who are ill or injured, who have specific forms of pathological conditions or disorders, including defects and disabilities
Health Deviation Self-Care Requisites
summation of care measures necessary f time to meet all of an individual’s known self- care requisites
Therapeutic Self-Care Demand
summation of care measures for meeting the dependent’s therapeutic selfcare demand when his or her self-care agency is not adequate or operational.
Dependent-Care Demand
— is the human’s ability or power to engage in self-care
Self-Care Agency
refers to the acquired ability of a person to know and meet the therapeutic self-care demand of the dependent person
Dependent-Care Agency
The individual cannot meet their own self-care needs due to physical or mental limitations and requires external support or nursing care.
Self-Care Deficit
The caregiver cannot adequately meet the self-care needs of a dependent person and requires assistance, training, or resources to provide proper care.
Dependent-Care Deficit
- comprises developed capabilities of persons educated as nurses.
- To help persons meet their therapeutic self- care demands.
- the capabilities of nurses to assist persons
Nursing Agency
Refers to the plan or framework that nurses develop to guide their care for patients with self-care deficits
Nursing Design
Sequential series of actions that will overcome or compensate for the health-associated limitations of individuals
Helping Methods
condition or affect the value of the therapeutic self-care demand
Basic Conditioning Factors
the individual is unable “to engage in those self-care actions. socially dependent on others for their continued existence and well-being.
(nurse provides all care)
wholly
“both nurse and patient perform care measures.
(nurse and patient share care responsibilities),
partly
person “is able to perform or can and should learn to perform required measures of externally or internally oriented therapeutic self-care but cannot do so without assistance.”
(nurse teaches the patient to care for themselves)
supportive-educative
◦Feeding a patient who is unconscious.
◦Turning and repositioning a bedridden.
◦Performing all hygiene care (bathing & oral care) for a patient with advanced paralysis.
◦Ventilator management for a patient with respiratory failure.
Wholly Compensatory
◦Assisting a post-operative patient in walking while they regain strength.
◦Helping a patient with limited mobility to dress or bathe.
◦Providing set-up assistance for meals to a patient who can feed themselves.
◦Guiding a patient with mild dementia to remember daily hygiene routines.
Partially Compensatory
◦Teaching a diabetic patient how to monitor blood glucose levels and administer insulin.
◦Educating a patient about wound care and infection prevention.
◦Providing dietary counseling to a patient with hypertension.
◦Supporting a patient with asthma by teaching them how to use an inhaler correctly.
◦Teaching lifestyle changes to promote long-term heart health.
Supportive-Educative
