SELF – CARE SELF – CARE DEFICIT DEFICIT

THEORY OF THEORY OF NURSINGNURSING

Dorothea OremDorothea Orem

Dorothea Orem born in Baltimore,

Maryland on 1914 Providence Hospital

School of Nursing in Washington, D.C. (diploma – 1930’s)

Catholic University of America 1939 – BS in Nursing

Education 1946 – MS in Nursing

Education

Dorothea Orem

Nursing Experiences operating room nurse private duty nursehospital staff nurse both

on pediatric and adult medical – surgical units.

ER evening supervisor biological science

teacher

1940 – 49 = directorship on both nursing school and department at Providence Hospital, Detroit

1949 – 57(Indiana) = Division of Hospital and institutional Services (Indiana State Board of Health)

Dorothea Orem

1957 – moved to Washington, D.C.; curriculum consultant at the Office of Education, US DHEW

1958 – 60 = project (Guides for Developing Curricula for the Education of Practical Nurses)

CUA Members of the

Nursing Models Committee (CUA)

Improvement in Nursing Group

1971 – Nursing: Concepts of Practice

Metaparadigm in Nursing

• Person- men, women, children cared for either singly or as social units and are the “material object” of nurses and others who provide direct care

* Human Functioning

Metaparadigm in Nursing

• Health- being structurally and functionally whole or sound

Metaparadigm in Nursing

Environment- external source of influence in the internal interaction of a person’s different aspects

Metaparadigm in Nursing

• Nursing- helping clients to establish or identify ways to perform self care activites

Self – Care Deficit Theory of Nursing

Self Care

Agency

Self care

Therapeutic Self care

demands

Nursing AgencyNursing Agency

Deficit

R R

R

R R

Self Care Requisites

Elements:1. Factor2. Nature of the required

action

Categories1. Universal SCR2. Developmental SCR3. Health Deviation

Requisites

Nursing Agency

AgentDependent Care Agent Nursing Design

• Nursing Systems– 3 Types1. Wholly compensatory

systems2. Partly Compensatory

systems3. Supportive – educative

(developmental) systems

Application

• Nursing Practice– Patients having heart

problems, cancer and mental illness

– Geriatric cases (chronic)– CH, OH* Used in multiple settings

• Education– 1970’s – curriculum

development– Preventive health care

Application

• Research– Development of research instruments• Exercise of Self Care Agency• Appraisal of Self Care Agency

Analysis

• Simplicity– presented in a

straightforward manner• Generality– Operates upon the

combination of several conceptualized properties

• Empirical Precision– Generating hypotheses– Additional knowledge

– Significant value• scope• Complexity• Clinical usefulness

• Derivable Consequences– Focus

• give direction to nursing specific outcomes

Nursing•A scientific structure and as

a practical science with on – going development of the

nursing knowledge.

Example;)

• “Carl”• 40 years old• A business tycoon• Man of Faith

Situation

• February 23, 2010– Meets a vehicular

accident along the highway going to the chapel for his wedding

– Fortunately, he was still alive when rescued by the paramedics and was given with an emergency treatment for blood loss but his right leg was torn off.

• Findings:– complete fracture of the

leg– Severe injury to the

inner thigh and foot– Massive muscle damage– Head injuries

Situation

• Actions Taken:– Emergency surgery

• coma

– Another operation

• After a month:– Carl woke up but

became like a vegetable– “Nothing is impossible to

God, doctor. Only to Him I’ll surrender my utmost faith and trust!”

ASSESSMENT

EVAL

UAT

ION

IMPLEMENTEATION

PLANN

ING

DIAN

OSIS