Dorothea Orem

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SELF-CARE DEFICIT NURSING THEORY
DOROTHEA E. OREM

Presented to
The Faculty of Graduate School
University of the East
Ramon Magsaysay Memorial Medical Center

In Partial Fulfillment
of the Requirements for the Degree
Master of Science in Nursing

By
Llana Pauline D. Jacinto
2012
TABLE OF CONTENTS

INTRODUCTION SELF-CARE DEFICIT NURSING THEORY1
The Theory of Self-Care3
The Theory of Self-Care Deficit4
The Theory of Nursing Systems5
SUMMARY6
CASE STUDY8
TYPE 2 DIABETES MELLITUS WITH HIGH CHOLESTEROL

Basic Conditioning Factors 9
Universal Self-care9
Developmental Self-Care9
Health Deviations9
Medical Problem and Plan10
Self-care Deficits10
Nursing Diagnosis10
Outcomes and Plan10
Implementation11
Evaluation11
REFERENCES12

INTRODUCTION:
SELF-CARE DEFICIT NURSING THEORY BY DOROTHEA ELIZABETH OREM

Dorothea E. Orem, M.S.N.Ed., D.Sc., R.N., was born in 1914 in Baltimore, Maryland. Her first nursing education was in the early 1930’s at the Providence Hospital School of Nursing in Washington, DC. After that she earned her Bachelor of Science in Nursing Education in 1939 and her Master of Science in Nursing Education in 1945 from the Catholic University of America. She was given a honorary degree including a Doctor of Science from Georgetown University in 1976; Doctor of Science from the Incarnate World College, San Antonio, Texas in 1980; and Doctor of Humane Letters from Illinois Western University, Bloomington, Illinois in 1988. She was also a member of Sigma Theta Tau and Pi Gamma Mu. She has national awards like the Catholic University of America’s Alumni Achievement Award for Nursing Theory in 1980, the Linda Richards Award from the National League for Nursing in 1991, and was named an honorary fellow of the American Academy of Nursing in 1992. Orem also worked as a staff nurse, a private duty nurse, a nurse educator, a nurse administrator, and nursing consultant to refine her nursing theory. She died in 2007 in Savannah, Georgia, where she had spent the last 25 years of her life as a consultant and author. She was 92. “Orem began her work in the late 1950s while working with licensed practical nurses. She continued the development of her theory throughout the twentieth century and into the twenty-first century. Her work initially focused on the individual inpatient, but in her fifth and sixth editions (1995, 2001) discusses the multiperson unit, the person at home, and positive mental health. She has indicated that the theory is derived from clinical practice and that its evaluation is dependent on continued contact and exchange with clinicians.” (George, 2008) OREM’S GENERAL THEORY OF NURSING

Orem (2001) states her general theory as follows:
The condition that validates the existence of a requirement for nursing in and adult is the health-associated absence of the ability to maintain continuously that amount and quality of self-care that is therapeutic in sustaining life and health, in recovering from disease or injury, or in coping with their effects. With children, the condition is the inability of the parent (or guardian) associated with the child’s health state to maintain continuously for the child the amount and quality of care that is therapeutic. (p.82). Orem developed the Self-care Deficit Theory of Nursing is composed of three interrelated theories: (1) the theory of self-care, (2) the theory of self-care deficit, and (3) the theory of nursing systems. Incorporated with these three theories are six central concepts (self-care and dependent care, self-care agency and dependent care agency, therapeutic self-care demand, self-care deficit, nursing agency, and nursing systems) and the peripheral concept of basic conditioning factors. Theory of Self-Care| Theory of Self-Care Deficit| Theory of Nursing Systems| Self-careSelf-care agencySelf-care...
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