concept comparison

Topics: Nursing, Nursing theory, Nursing practice Pages: 5 (1524 words) Published: September 26, 2014


Concept Comparison and Analysis Across Theories Paper

Nur/513
June 23, 2014
Colleen Lucas
Concept Comparison and Analysis Across Theories Paper
When nursing began in the Florence Nightingale days, nurses learned their nursing practices from theories. There were two theorist names Dorothea Orem and Virginia Henderson that had their own perspective on nursing practices. This paper will discuss compare and analyze the concepts based of each of these ladies theories to show how they are related. These two ladies developed their own ideas on how nursing should be practiced. Henderson

In 1955 Virginia Henderson wrote the 14 components of basic nursing care, this is known as the human need theory. The theory identified areas that the patient may lack in taking care of their selves when sick, and these are the 14 components of basic nursing care. The 14 components are: breathing good, good oral intake/good nutrition, normal functioning of bowel/bladder, sleep/rest, dressing/undressing, keeping normal body temperature, cleanness of patient promote good skin integrity, keep away from injuries/dangers, good communication of fears/emotions, meeting spiritual needs, working, playing/participating in games or recreations, and learning. The development of theory helped nurses know how to assess, plan, implement, and evaluate their patients (George, 2011). Orem

Dorothea Orem wrote a theory called the self-care deficit theory, and this theory consist of three theories the self-care, self-care deficit, and the theory of nursing systems. In this theory she explain how person can take care of their selves, when a person needs help caring for their selves, and last is when person needs medical attention. The first theory is self-care, and this is when a person is able to maintain their well-being and health. This theory can differentiate depending on what stage of life your end such as your age, developmental state, or where you live. Within the self-care theory is three self-care requisites. The requisites are universal self-care requisites, developmental self-care requisites, and health deviation self-care. Example universal of self-care requisites is common activities of daily living (ADL’s). Example of developmental self-care requisites is adjusting to new job or change with your body. The last example is of health deviation self-care, and this is when person able to take care of medical problem. The second theory is self-care deficit when person self-care demand out weights their self-care abilities, and nursing is needed. Orem list five ways of helping that nurses can use. The five ways are doing for others, guiding, meet their physical/emotional needs, providing supportive environment to assist person development, and teaching another. The last theory is the theory of nursing system. This theory is when the nurse provides care because the patient is unable to care for their self. Orem discusses three different types of nursing systems that will meet patient self-care requisite. The first system is wholly compensatory nursing system, and this system is when patient depends fully on the nurse to care for them. Example of this system is a patient who had a major stroke. The second system is the partly compensatory nursing system, and this system when patient can take care of some of their needs but still needs nursing care. Example of this system is patient who has pneumonia and can still feed their selves, but depends on nursing to provide IV antibiotic treatment. The last is the supportive-educative nursing system, and this is when patient is capable taking care of doing self-care, but needs support/education on medical conditions. Example of this when home health goes out to teach patient how to do wound care on their wound so they do not have to depend on nursing ("Dorothea Orem’s Self-Care Theory", 2012).

Comparing the Concepts
These theorist Orem and Henderson have a common concept on...


References: Dorthea Elizabeth and her Philosophy on self-care. (n.d.). Retrieved from
http://n207grpfsuccessorsoforem.blogspot.com/p/introduction.html
Dorothea Orem 's Self-Care Theory. (2012). Retrieved from
http://currentnursing.com/nursing_theory/self_care_deficit_theory.html
Dorthea Orem 's Views on Nursing Metaparadigm. (n.d.). Retrieved from
http://oremstheory.webs.com/definedconcepts.htm
George, J. B. (2011). Nursing Theories: The Base for Nursing Practice (6th ed.). Retrieved from
The University of Phoenix ebook Collection database.
Orem 's Self-Care Model. (n.d.). Retrieved from
http://www.snjourney.com/ClinicalInfo/NgTheory/OremNotes.htm
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