Dorothea Orem Selfcare Deficit Theory

In: Social Issues

Submitted By gichagaandrew
Words 2134
Pages 9
Dorothea Orem’s Theory: Self Care Deficit Critic
Kouadio K. Koko BSN, RN
University of Virginia School of Nursing

Dorothea Orem’s Theory: Self Care Deficit Critic
Abstract
Dorothea Orem’s self-care theory of nursing is one of the major nursing theories. It pays particular attention to the role of the patient in their own rehabilitation, as it expounds the benefits of self-care. Orem’s theory is well documented and has been used by several researchers as a basis for their research. This particular theory of nursing is broad and can be applied to the primary, secondary and tertiary levels of prevention. Many nursing schools have used this theory as a benchmark or guide in their curriculum development.

Introduction

The following is a critical review of Dorothea Orem’s self-care theory of nursing; in which she advocates for a patient centered approach to nursing where the patient takes an active role in their own rehabilitation. This critical review takes a look at the purpose of the self-care theory, major concepts and definitions, its assumptions, its strengths and its weaknesses.

The information provided in this report could be of benefit to a recently enrolled nursing student or any individual who wants to have a broader concept of one of the major nursing theories.

Brief Summary of Theory
Orem’s self-care theory of nursing basically surmises that the main purpose of the nurse is to facilitate the patient’s recovery; by helping the patients get to a point where they can help themselves. The self-care theory adopts the position that a healthy person is capable of taking care of themselves, therefore to get a sick person healthy; a nurse needs to help them to get to that state where they can administer self-care. It is the nurse’s responsibility to assess the patient’s ability to provide self-care. “Orem's Self Care Theory examines how people or communities can…...

Similar Documents

Deficit Financing Theory and Practice in Bangladesh

...Assignment DEFICIT FINANCING: TEORY AND PRACTICE IN BANGLADESH Submitted By Zahirul Islam [pic] DEFICIT FINANCING: TEORY AND PRACTICE IN BANGLADESH INTRODUCTION In the past as today, the deficit budget policy is famous instrument of fiscal policy used to increase the rate of economic growth of the country. That way of financing was establish after the two world wars, oil crises and current financial and economic crises. The objective in seeking deficit financing is to finance the shortfall between government expenditures and tax receipts. Tax increases are not politically palatable. Governments often resort to deficit financing when other components of GDP such as private consumption decline during recessionary periods. Such deficits, if undertaken for a short period with an action plan to create equivalent surplus in near future, could reverse decline in real GDP and stimulate growth in real GDP for the benefit of citizens of the nation. Structural deficits are indicative of inability to reduce entrenched government expenses. The sustainable level of accumulated deficits can also be determined with reference to both the deficit servicing requirements and deficit servicing sources. This analysis will entail identification of cause and effect relationships that determine the factors influencing each of these two areas. As shown by other researchers, the explanatory variables leading to deficits include domestic budgetary......

Words: 5493 - Pages: 22

Orem Self-Care Theory

...Theorist Selected: Dorothea Orem Description of Theory: This paper will discuss about Orem’s general theory of nursing and major concepts of her theory are person, health, nursing and environment. Orem’s general theory of nursing consists of three parts. Each theory is presented as a set of assumptions and propositions. According to Current Nursing (2012) (i) Theory of self- care includes: self- care means individuals perform activities on their own to maintain life, health, and well-being. Self- care Agency is a human ability to engaging in self-care conditioned by age developmental state, life experience, sociocultural orientation health, and available resources. Therapeutic self-care demand is,” totally of self-care action to be performed for some period of time by using valid method, sets of operation and action to meet self- care demands”(para.4). Self-care requisite includes three catagories: Universal self-care, developmental self-care, and health deviation self-care requisites. (ii) Theory of self-care deficit clarifies that when nursing is in need and five helping methods: Acting for and doing for others, guiding others, supporting another, providing an environment for personal development in order to meet future demands, and teaching another.(iii)Theory of nursing system describes how patient’s self-care needs will be meet by the nurse and patient. Orem identifies three classifications of nursing system to meet the self-care necessities of the patient are wholly......

Words: 2097 - Pages: 9

Theory Testing- Orem

...incomplete as the word “their” questions “who” |individual” make this sentence complete. | |Comment: You have ending quotation marks but no beginning | Ending quotation mark is in the sentence. There is no beginning|Absolutely it is a mistake. There is no need of any quotation | |marks designating the start of the quote |quotation mark. Where it starts?. Where it ends? |mark in this sentence. I will read my essay multiple times to | | | |avoid these mistakes | |Comment: Change to: a balanced theory practice chain. |Change the form of sentence from “balancing” to “a balanced”. |I will make corrections to my wordings. CWE/write point and | | | |proof reading will help me to structure my sentences | |Comment: This is confusing...what do you mean by administrative |The word “administrative field” is not clear. It does not make | | |field. |any meaning to the sentence |This word is totally inappropriate for this......

Words: 1401 - Pages: 6

Concept Comparison and Analysis Across Theories

...Comparison and Analysis Across Theories Comparison and Analysis across Theories The purpose of the nursing theories is to provide an interrelating framework focusing on the nursing practice. The defined nursing theories promote better patient care, improve the status of nursing profession, and improve the communication between the nurses, and provide guidance to the researches and education (Keefe, 2011). Not all nursing theories have the same meanings; however, they play the important role of explaining the key concepts and principles of nursing practice in understanding way. Dorothy Orem’s Self-Care Deficit Theory and Sister Callista Roy’s Adaptation Model are considered as grand nursing theories. The grand nursing theories are a conceptual model, which identifies the focal point of nursing inquiry and guide the development of mid-range theories that will become useful to nurses and also to other health professionals. According to Walker and Avant (2011), these theories contributed in “conceptually sorting the nursing from the practice of medicine by demonstrating the presence of distinct nursing perspectives.” In this essay, Orem’s Health Care Deficit Theory and Sister Callista Roy’s Adaptation Model are compared and analyzed for their importance in nursing. Orem’s Self-Care Deficit Theory Orem’s Self-Care Deficit Theory is one of three grand theories written by Dorothea E. Orem. According to Orem, nursing becomes necessary when an individual can no longer care...

Words: 1142 - Pages: 5

Dorothea Orem - Nursing Theorist

...DOROTHEA OREM - NURSING THEORIST IN SOME SITUATIONS, PATIENTS ARE ENCOURAGED TO BE MORE INDEPENDENT. THIS CAN BE ESPECIALLY TRUE IN REHABILITATION SETTINGS, IN WHICH PATIENTS ARE TRANSITIONING OUT OF BEING CARED FOR BY PHYSICIANS AND NURSES AND BACK HOME TO EXCLUSIVE SELF-CARE. IN THESE CASES, THE SELF-CARE DEFICIT NURSING THEORY CAN BE APPLIED TO HELP PATIENTS BE MORE INDEPENDENT AND PREPARE TO BE RELEASED FROM THE HEALTHCARE FACILITY WHERE THEY ARE BEING CARED FOR. BIOGRAPHY OF DOROTHEA E. OREM DOROTHEA E. OREM WAS BORN IN 1914 IN BALTIMORE, MARYLAND. IN THE EARLY 1930S, SHE EARNED HER NURSING DIPLOMA FROM THE PROVIDENCE HOSPITAL SCHOOL OF NURSING IN WASHINGTON, D.C. SHE WENT ON TO COMPLETE HER BACHELOR OF SCIENCE IN NURSING IN 1939 AND HER MASTER'S OF SCIENCE IN NURSING IN 1945, BOTH FROM THE CATHOLIC UNIVERSITY OF AMERICA IN WASHINGTON, D.C. DOROTHEA OREM DIED ON JUNE 22, 2007. CAREER OF DOROTHEA E. OREM DOROTHEA OREM HAD A DISTINGUISHED CAREER IN NURSING. SHE EARNED SEVERAL HONORARY DOCTORATE DEGREES. SHE WAS GIVEN HONORARY DOCTORATES OF SCIENCE FROM BOTH GEORGETOWN UNIVERSITY IN 1976 AND INCARNATE WORD COLLEGE IN 1980. SHE WAS GIVEN AN HONORARY DOCTORATE OF HUMANE LETTERS FROM ILLINOIS WESLEYAN UNIVERSITY IN 1988, AND A DOCTORATE HONORIS CAUSAE FROM THE UNIVERSITY OF MISSOURI IN COLUMBIA IN 1998. SHE WAS ALSO GIVEN MANY AWARDS DURING HER CAREER: THE CATHOLIC UNIVERSITY OF AMERICA ALUMNI ACHIEVEMENT AWARD FOR NURSING THEORY IN 1980, THE LINDA RICHARDS......

Words: 654 - Pages: 3

Theory

...Application ORIGINAL XXX 1541-5147 ARTICLES International of Orem’s Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman With Diabetes IJNT Malden, USAJournal Inc Blackwell Publishing of Nursing Terminologies and Classifications Application of Orem’s Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman with Diabetes This paper aims to illustrate the process Coleen P. Kumar, RN, MSN, CNS, is Assistant Professor of Nursing, Kingsborough Community College, Brooklyn, New York. Introduction As the average lifespan is extended, more individuals are coping with chronic illnesses such as diabetes, which has reached epidemic proportions with more than 20 million people in the United States having this diagnosis (Gordois, Scuffham, Shearer, Oglesby, & Tobian, 2003). The American Diabetes Association (ADA) estimates that a million people will be diagnosed of diabetes every year (2004). Long-term complications of diabetes are costly to both the individual and the healthcare system. Over the past decade, diabetes research has focused on pharmacological approaches and lifestyle interventions to the illness (Odegard, Setter, & Iltz, 2006). Recent evidence in the forum of diabetes care revealed a need for healthcare professionals to assess and empower individuals in the self-management of this illness. For the purposes of this case study, health assessment by nurses was defined by Fuller and Schaller-Ayers (2000) as a......

Words: 5056 - Pages: 21

Self-Care Deficit Theory

...Self-Care Deficit Theory Concept Analysis: Self-Care ABSTRACT Dorothea Orem’s Self-Care Deficit Nursing Theory has been used as a basis for nursing care since she first proposed the theory in 1959. The focus of this paper is to define the Self-Care Theory in broad terms and to analyze the concept Self-Care Deficit Nursing Theory using the Chinn and Kramer “Integrated Theory and Knowledge development in Nursing” process. The SCDNT is an important theory in nursing and helps to guide the nursing process and improve patient care with measurable results. It is also an important theory for developing curriculum in nursing schools and has proved invaluable to care providers when performing self-care for others. 1 In 1959 Dorthea Orem, a nurse from Baltimore, Maryland, developed the theory of Self-Care defined as a condition that “in an adult is the absence of the ability to maintain continuously that amount and quality of self-care which 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) to maintain continuously for the child the amount and quality of care that is therapeutic “(Orem, 1995, p.53-54). Orem posited that to determine if people need nursing care then it is “ the inability of persons to provide continuously for themselves the amount and quality of required self-care because of situations of personal health” (Orem, 2001,......

Words: 3124 - Pages: 13

Interview with Dorothea Orem

...Do you believe your theory systems when followed enables health care providers to better meet the needs of the patient, or do you believe the strict protocol hinders and prevents care therapies that might otherwise be more effective for the patient, and why? My theory is very simple; a person must have the ability to take care of himself. I believe it enables health care providers to better meet the needs of the patient. Nurses use my theory on a daily basis for taking care of the patients such as making the patient’s transition from the hospital to their own home much smoother. An example of using my Self Care Theory is educating a patient on their diabetes so they can be independent about taking care of their diabetes and outcomes. Education to the patient is very critical. Eventually the nurse set s goals set by the patient and evaluates the results of the plan. #11. Your “Self Care Theory” is considered a grand nursing theory, which is reflective of personal insights, useful practices designed by empirical testing, therefore one may considered this biased, would you agree why and why not? What do you consider to be the differentiation of your theory over some others classified under the same “Grand Theory” Category? No I don’t feel my Self Care Theory is biased because it’s a requirement of every person, not just a certain age group. Every person can benefit from my theory. My Self Care Deficit theory is said to be one of the Grandest Theories because it is......

Words: 357 - Pages: 2

Orem Theory

...How Theory Affects Education: A Microscope Perspective Elizabeth Wiedman Chamberlain College of Nursing NR 501: Theoretical Basis of Advanced Nursing Practice Summer Semester 2011 How Theory Affects Education: A Microscope Perspective Nursing is a topic that covers a great deal of ground. It takes years to gain experience in nursing. The study of nursing theories helps one to take advantage of the experiences of others. The best way to examine something is under a microscope because it focuses one closely on the topic at hand. It can also show smaller parts of the whole. The microscope perspective is used to describe how theory functions in the nursing profession and in nursing education. It will also explain how nursing theory describes the nursing profession using this perspective. This perspective is important because it can help one to take a closer look at smaller parts of nursing. Examples are provided of how the Self- Care Deficit Theory views education from this perspective. The Self-Care Deficit Theory was chosen because it good framework for nursing school curriculum and helps to guide the author’s present nursing practice. Theory as a Microscope of Nursing Nursing theories contain concepts that take a closer look at the features of nursing related to nurses and clients. The relationships between and among the concepts form the structure of the theory. Theories are formed after concepts are named and validation occurs. Theory takes a closer look at......

Words: 2933 - Pages: 12

Dorothy Orem

...DOROTHEA OREM Dorothea Orem Jennifer VandenEykel University of Phoenix NUR 403 Theories and Models of Nursing Practice January 8, 2012 Mary McGill, RN, MSN DOROTHEA OREM Nursing Theorist Grid Theorist Selected: Dorothea Orem Description of Theory: “ The central philosophy of the self-care deficit Nursing theory is that all patients want to care for themselves, and they are able to recover more quickly and holistically by performing their own self-care as much as they are able. “ ( Nursing-theory.org, 2011) There are three requirements to the self-care theory. The first requirement is the patient to be able to obtain basic human needs: air, food, rest and water. The second area that is a necessity is the maturity level the ability of that person to know when there is a chance of compromise in their growth and development. The final are is when it is necessary for the nurse to step in to provide care, support and education for the patient to maintain health. To summarize the beliefs of Dorothea Orem she strongly believes that a person should strive to provide care for themselves and members of their family. When a person is able to meet the standard self care needs and maintain the proper state of well-being according to their developmental stage they are at an optimal state of health. A person must take opportunities presented to them for receiving education about preventing health problems. Ultimately a person is either......

Words: 1542 - Pages: 7

Dorothea Orem

...Historical Perspective Essay: Dorothea Orem Historical Perspective Essay: Dorothea Orem Introduction The foundation for the nursing profession that provides principles to generate knowledge defines nursing theory. Successful nurses must be rooted in theory and understand the philosophy that drives their actions. Dorothea Orem is a nurse with a vision that studied human behavior, with the core concept of self-care in the patient/nurse relationship. This paper seeks to explain Dorothea Orem’s Theory including the contribution of her research as it relates to nursing development and paradigms of nursing. Dorothea Orem Caring for one’s self, as Dorothea Orem believes, is the responsibility of each person. “Self care is a deliberate, learned action performed by a person who has the powers and developed capacities to regulate their own functions in order to contribute and maintain their personal well-being” (Seed & Torkelson, 2012, p. 394-395). Orem believes that the responsibility of care is the patient’s, although at times, nursing care will be necessary. “The goal of nursing practice is to assist patients to become adequately prepared to engage in their own care, and thus, have improved patient outcomes and a better quality of life” (Simmons, 2009, p. 419). Orem’s theory contains three different systems, or stages; wholly compensatory, partially compensatory, and educative stage. A person requiring complete assistance, such as......

Words: 626 - Pages: 3

Orem

...Early in her career, Orem gained experienced as a staff nurse in a variety of hospitalclinical settings. While serving as director of nursing service at a Detroit hospital, she recallsthat she was asked a substantive question and didn’t have an answer because she “had noconceptualization of nursing” (McLaughlin-Renpenning & Taylor, 2002, p. xii).Orem goes on to say while working at Indiana University where her goal was to upgradethe quality of nursing in general hospitals throughout the state, she noted that nurses haddifficulty articulating needs to hospital administrators in the face of demands made upon themregarding such issues as length of stay, scheduling admissions and discharges, etc.(McLaughlin-Renpenning and Taylor, 2002). As a result, Orem recognized a need to look for the uniqueness of nursing. Specifically she was looking for an answer to questions such as“What is nursing?”, ‘What is the domain and what are the boundaries of nursing as a field of practice and a field of knowledge?”, and “What condition exists when judgments are made that people need nursing?” In a 1996 newsletter to the International Orem Society she puts it thisway, “What do nurses encounter in their worlds as they design and produce nursing for others?What meaning can and should nurses attach to persons, things, events, conditions, andcircumstances they encounter?” In 1978, Orem (cited in Fawcett 2005) commented that the task required identification of the domain and boundaries of nursing......

Words: 5145 - Pages: 21

Concept Comparisons and Analysis Theories

...Analysis across Theories UOP Theoretical Foundations of Nursing NUR/513 Concept Comparison and Analysis across Theories Nursing theory is relatively new and as such, it continues to evolve as new knowledge is gained. There are numerous theories of nursing, each of which took years to develop and most of which continue to evolve and adapt. There are commonalities between and among the existing theories although each may focus more heavily on different aspects of responsibilities. It has to do with the philosophical foundations for each theory. Moore, (Moore, 2008) reported a nursing metaparadigm of four basic concepts: "person, health, environment, and nursing." Another author suggested the core concepts of nursing theory and practice are caring, assessment, teaching and learning, collaboration, managing care, communication and professional behaviors, (Opperman Med Law Consulting, 2008). These core concepts as identified by these authors can be found in some fashion in all nursing theories. Orem commented that nurses could do nursing but they could not explain what nursing is (Hartweg, 1991). She was also interested in what conditions had to exist for a person to seek help from nurses (Hartweg, 1991). The first answer she determined was that people sought help when they could not care for themselves (Hartweg, 1991). Orem's work was inspired by those she considered big thinkers, like experts in philosophy, metaphysics and action theories as well as......

Words: 1673 - Pages: 7

Comparison and Analysis Across Theories

...Comparison and Analysis across Theories The purpose of the nursing theories is to provide an interrelating framework focusing on the nursing practice. The defined nursing theories promote better patient care, improve the status of nursing profession, and improve the communication between the nurses, and provide guidance to the researches and education (Keefe, 2011). Not all nursing theories have the same meanings; however, they play the important role of explaining the key concepts and principles of nursing practice in understanding way. Dorothy Orem’s Self-Care Deficit Theory and Sister Callista Roy’s Adaptation Model are considered as grand nursing theories. The grand nursing theories are a conceptual model, which identifies the focal point of nursing inquiry and guide the development of mid-range theories that will become useful to nurses and also to other health professionals. According to Walker and Avant (2011), these theories contributed in “conceptually sorting the nursing from the practice of medicine by demonstrating the presence of distinct nursing perspectives.” In this essay, Orem’s Health Care Deficit Theory and Sister Callista Roy’s Adaptation Model are compared and analyzed for their importance in nursing. Orem’s Self-Care Deficit Theory Orem’s Self-Care Deficit Theory is one of three grand theories written by Dorothea E. Orem. According to Orem, nursing becomes necessary when an individual can no longer care for him or herself. Nursing......

Words: 1137 - Pages: 5

Concept Comparison and Analysis Across Theories

...Concept Comparison and Analysis across Theories “Nursing theory is the term given to the body of knowledge applied to support nursing practice. Nursing theory is a framework designed to organize knowledge and explain phenomena in nursing, at a more concrete and specific level. A nursing theory is a set of concepts, definitions, relationships, and assumptions or propositions derived from nursing models or from other disciplines and project a purposive, systematic view of phenomena by designing specific interrelationships among concepts for the purposes of describing, explaining, predicting, and prescribing” (“Currentnursing.com”, 2010). Core concepts embody a theory creating the basis for the theory or model. In nursing, concepts help in the development of theories. Theorists have developed different models or theories but have common core concepts. Dorothea Orem’s self-care deficit nursing theory “The central philosophy of the Orem’s self-care deficit nursing theory is that patients want to care for themselves and can recover more quickly and holistically by performing their own self-care as much as they're able. The self-care requisites identified by Dorothea Orem fall into one of three categories” (“Currentnursing.com”, 2010): 1. Universal self-care requisites. a. Air b. Water c. Food d. Activity e. Rest f. Hazard prevention. 2. Developmental self-care requisites. a. Maturational: progresses the patient to a higher level of......

Words: 1782 - Pages: 8

Phim bộ | Policier | Dead on Campus (2014) Watch English Full Movie Online Hollywood Film Dead on Campus (2014) Watch English Full Movie Online Hollywood Film A freshman on campus discovers that the only way to be admitted into the sorority of her dreams is to seduce a nerdy introverted guy and film it. When the sorority "prank" goes viral, the boy is discovered dead from apparent suicide, but his sister does not buy it. She ...