DOROTHEA OREM- SELF CARE DEFICIT THEORY Flashcards
(1914-2007)
• Born 1914 in Baltimore,
US
•Earned her diploma at Providence Hospital -
Washington, DC
• 1939 - BSN Ed., Catholic
University of America
• 1945 - MSN Ed., Catholic
University of America
DOROTHEA OREM
She worked as a staff nurse, private duty nurse, nurse educator and administrator and nurse
consultant.
• Received honorary Doctor
of Science degree in 1976.
• Theory was first published in Nursing: Concepts of Practice in 1971, second in
1980, in 1995, and 2001.
DOROTHEA OREM
Theoretical sources of Dorothea Orem
Primary source of ideas was her experiences in nursing
She was well versed in contemporary nursing literature and thought.
The view of human beings as dynamic, unitary beings who exist in their environment who are in the process of becoming, and who possess free will as well as other essential human qualities.
Major assumptions of Orem
People should be self-reliant and responsible for their own care and others in their family needing care.
People are distinct individuals.
Nursing is a form of action - interaction between two or more persons.
Successfully meeting universal and development self-care requisites is an important component of primary care prevention and ill health.
A person’s knowledge of potential health problems is necessary for promoting self-care behaviors
Self care and dependent care are behaviors learned within a socio-cultural context.
Theoretical assertions
The model shows that when an individual’s self-care capabilities are less than the therapeutic self-care demand, the nurse compensates for the self-care or dependent care deficits.
Is art, a helping service, and a technology
Actions deliberately selected and performed by nurses to help individuals or groups under their care to maintain or change conditions in themselves or their environments
Encompasses the patient’s perspective of health condition, the physician’s perspective, and the nursing perspective
Nursing
What are the goals of nursing based on Orem?
To render the patient or members of his family capable of meeting the patient’s self care needs
To maintain a state of health
To regain normal or near normal state of health in the event of disease or injury
To stabilize, control, or minimize the effects of chronic poor health or disability
These are the terms used to describe living things.
Health and healthy
It is when they are structurally and functionally whole or sound …wholeness or integrity. .includes that which makes a person human,…operating in conjunction with physiological and
psychophysiological mechanisms and a material structure and in relation to and interacting with other human beings.
Health
Environment components are enthronement factors, enthronement elements, conditions, and developed environment.
Environment
4 RELATED THEORIES OF SELF CARE DEFICIT THEORY
THEORY OF SELF CARE
THEORY OF DEPENDENT CARE
THEORY OF SELF CARE DEFICIT
THE THEORY OF NURSING SYSTEMS
It Describes why and how people care for themselves.
Theory of Self Care
Theory of self care includes:
Self care
Self care agency
Therapeutic self care demand
Self care requisites
It refers to practice of activities that an individual initiates and performs on his/her own behalf in maintaining life, health and well-being.
Self care
is a human ability which is “the ability for engaging in self care”; conditioned by age, developmental state, life experience, sociocultural orientation, health, and available resources
Self care agency
