Elms College: Division of Nursing
Theory Assessment Assignment
Theorist: _____Dorothea Orem______________________________________
Theory: ______Self-Care Deficit Theory _______________________________
|Credentials |Basic degrees – Diploma from Providence Hospital School of Nursing in Washington DC in 1934; BSN Ed from | |Of author |Catholic University of America in 1939 (Hartweg & Fleck, 2010, pp. 121-145) | | |Highest degree - MSN Ed from Catholic University in 1946; (Hartweg & Fleck, 2010, pp. 121-145) | | |Contributions to nursing – Self-Care Deficit Theory; faculty at Catholic University of America and | | |Providence Hospital School of Nursing; authored The art of nursing in hospital services: An analysis; | | |authored Guides for Developing Curriculum for the Education of Practical Nurses; authored numerous | | |scholarly papers many of which are compiled into Self-Care Theory in Nursing: Selected Papers of Dorothea | | |Orem; (Hartweg & Fleck, 2010, pp. 121-145) | | |Honorifics: Dorothea Orem has received recognitions from numerous organizations, an exhaustive list would | | |be impossible, however they include but are not limited to Sigma Theta Tau International; the American | | |Academy of Nursing; National League of Nursing, honorary doctorates from multiple colleges and universities| | |including Georgetown in 1976 and Wesleyan University in 1988; her works became the basis for the creation | | |of the International Orem Society for Nursing Science and Scholarship in 1991 (Hartweg & Fleck, 2010, pp. | | |121-145) | |Foundation of theory |There are three key and interconnected theories that comprise Orem’s Grand Nursing Theory and include her | | |Self-care Theory, the Self-care Deficit Theory, and the Nursing Systems Theory. Self-care Theory consists | | |of several concepts including Self-Care, Self-Care Agency, and Therapeutic Self-Care Demands. Self-care | | |Theory is based on the idea that the act of caring for one’s self or a dependent is a complex learned | | |process where activities are performed intentionally to preserve health and wellness. When a person is able| | |successfully to integrate these learned behaviors, they become better able to sustain human functioning and | | |ultimately life. (Hartweg & Fleck, 2010, pp. 121-145) | | |Self-care agency speaks to the person’s ability to learn complex processes that allow them to deliberately | | |act in a manner that ensures their own effective self-care, including the preservation of their body as a | | |whole as well as the maintenance of its functioning systems. Within self-care agency, there is a three tier| | |hierarchical model at whose base is foundational capabilities and dispositions, which discusses the need for| | |a person to have adequate mental and cognitive abilities to purposefully perform self-care. (Hartweg & | | |Fleck, 2010, pp. 121-145) Next are the ten power components, which directly affect a person’s ability meet | | |their self-care needs, and are as follows:...