Dothea Orem Self-Care Theory

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Dorothea Orem's Self-Care Theory
This page was last updated on February 4, 2012

INTRODUCTION
Theorist : Dorothea Orem (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
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. MAJOR ASSUMPTIONS
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 DEFINITIONS OF DOMAIN CONCEPTS

Nursing – 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 •Goal of nursing – 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 Health – health and healthy are terms used to describe living things … •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 Environment

environment components are enthronement factors, enthronement elements, conditions, and developed environment Human being – has the capacity to reflect, symbolize and use symbols •Conceptualized as a total being with universal, developmental needs and capable of continuous self care •A unity that can function biologically, symbolically and socially Nursing client

A human being who has "health related /health derived limitations that render him incapable of continuous self care or dependent care or limitations that result in ineffective / incomplete care. •A human being is the focus of nursing only when a self –care requisites exceeds self care capabilities Nursing problem

deficits in universal, developmental, and health derived or health related conditions Nursing process
a system to determine (1)why a person is under care (2)a plan for care ,(3)the implementation of care Nursing therapeutics
deliberate, systematic and purposeful action,
OREM’S GENERAL THEORY OF NURSING
Orem’s general theory of nursing in three related parts:-
Theory of self care
Theory of self care deficit
Theory of nursing system
A. Theory of Self Care
This theory Includes:
Self care – practice of activities that individual initiates and perform on their own behalf in maintaining life ,health and well being •Self care agency – 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 •Therapeutic self care demand – "totality of self care actions to be performed for some duration in order to meet self care requisites by using valid methods and related sets of operations and actions" •Self care...
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