Orem defined nursing as the art in which nurses assist individuals to achieve their self-care necessities in order to maintain health and wellbeing. She focused on the promotion of three categories of self-care requisites. These include developmental self-care, universal self-care, and Health deviation self-care (" Dorothea Orem's Self-Care Theory", 2012). In this case study, we focused on Orem’s Universal self-care requisites to create Mr I’s nursing care plan. Self-care is critical in the management of chronic illnesses like congestive heart failure. This is achieved by engaging in behaviors in which the patient monitors, manages, and maintains their physical and emotional stability. In the case of Mr. I it is important that he manages his congestive heart failure to ensure that he has a sufficient balance between air and water. The low hemoglobin and oxygen saturation levels have impacted his ability to breathe adequately which also affects his ability to complete ADLs. Orem’s self-care theory can be met through a collaborative effort between the nurse and the patient by teaching him how to use pursed lip breathing and to conserve his energy. The patient should also be taught how to monitor his condition by weighing himself daily and adhering to a low sodium diet to avoid any fluid volume imbalances.
Dorothea Orem's Self-Care Theory. (2012). Retrieved from http://www.currentnursing.com
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