Orem's Self-Care Deficit Theory Flashcards
What is the focus of nursing?
It is on the identification of the client’s self-care requisites and the designing of methods to meet the requisites.
What are the 3 theories?
The Theory of Self-care
The Self-Care Deficit Theory (SCDT)
The Theory of Nursing Systems
What is the view of Theory of Self-Care?
Views the person/patient as the self-care agent (SCA), whom deliberately engages in actions that promote health and well-being.
If you breakdown self-care and agent, how are they defined?
Self-Care: the practice of all the activities that individuals initiate and perform on their own behalf in maintaining life, health, and well-being.
Agency of the person: The ability or power to meet self-care needs.
What is the ability to perform self-care influenced by?
Basic Conditioning Factors (BCF)
What are Basic Conditioning Factors?
The factors that influence the individual’s unique response, perceptions, and reactions to health, injury, disease or contact w/ the health care system.
What are self-care requisites?
Basic self-care needs.
What are the 3 types of self-care requisites (or requirements)?
Universal, Developmental, and Health Deviation
What does the Universal Self-Care Requisites (USCR) refer to?
Focuses on the requisites needed for a human being to survive physically and socially in his/her environment.
What does the Developmental Self-Care Requisites (DSCR) refer to?
The maturational and situational events occurring across the lifespan. (Ex. adjusting to a new job or body changes due to surgery)
What does the Health Deviation Self-Care requisites (HDSCR) refer to?
Needs that occur when individuals live w/ states of injury and illness. They reflect actions and adjustments the SCA must make when living w/ health deviations. (May result from medical measures needed to diagnose or correct the condition)
Who is a dependent-care agent (DCA)?
an individual who takes actions necessary to meet another person’s self-care needs, other than the person/patient or the nurse.
When might a DCA be needed?
When the SCA is unwilling, unable, or too young to meet their own needs.
When is dependent-care agency?
When the DCA has the sufficient ability/power to meet the needs of the person/patient.
What is therapeutic self-care demand?
Determining if the self-care requisites (needs) are sufficiently met at a therapeutic level that maintains health and well-bring.
If the SCA or DCA is unable to meet the TSCDs, what exists?
A self-care deficit or self-care limitation.
What is the Self-Care Deficit Theory?
(Nursing care is needed!) It is concerned w/ evaluating the SCA’s ability to meet TSCD. If agency is lacking, nursing diagnoses are made according to the self-care requisites that cannot be achieved by the SCA or DCA.
What is the Theory of Nursing Systems?
It defines actions designed and produced by nurses for persons w/ limitations in self-care of dependent-care
What is nurse agency?
Specialized competencies and knowledge that enable the nurse to provide care to compensate for the self-care and dependent-care deficits of others. INCLUDES: the ability to diagnose a person’s self-care deficits, and prescribe/regulate nursing interventions.
When is a nurse agent necessary?
When the SCA or DCAs are unable to give or supervise care. The nurse agent must possess and exercise agency.
What are the 3 basic nursing systems?
Wholly compensatory,
Partly compensatory,
Supportive-educative system
Wholly compensatory
A nursing system where the nurse meets all of the SCA’s needs. (Ex. comatose patient)
Partly compensatory
A nursing system where both the nurse and SCA engages in meeting self-care needs.
(Ex. surgery patient can provide some of his/her own ADLs, but needs assistance w/ dressing changes)
Supportive-educative system
SCAs are able to perform self-care w/ assistance. Nursing assistance in this system enhances an individual’as knowledge, skill acquisition, and decision-making ability, while providing an environment conducive to self-care development. Promoting patient as SCA. (Ex. newly diagnosed diabetic patient needs to be taught for home maintenance of disease)
