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Dorothea Orem’s Self-Care Deficit Theory of Nursing

April 1, 2016 | Author: | Posted in case study, mathematics and economics

: Dorothea Orem ‘s Self-Care Deficit Theory of Nursing

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Question : provide a BRIEF of Dorothea Orem ‘s Self Care Deficit Nursing Theory

give a of Orem ‘s Universal Self-care Requisites

(Focus extra attention to air

keep this as original as possible as I need to submit to a plagiarism checker . Also limit the number of references

Self-care plays a very important responsibility in nursing and examination of the interactions between people (transaction analysis can help the nurse to increase the individual ‘s ability for self-care (thus helping in [banner_entry_middle]

rehabilitating the patient (Parissopolous , S , 2004 Nurses have to help patient ‘s understand the manner in which they can take care of themselves . They have to identify the patient ‘s capabilities and further have to motivate them to take care of themselves . Self-care can help the individual to take care of themselves during health and illness . In to achieve the goals of self-care , the patient and the nurse should have similar feelings , and should be able to communicate effectively (Parissopolous , S , 2004 Through transactional analysis , nurses are capable of improving their communication skills . Orem ‘s theory of self-care considers the patients as responsible people who share a contractual relationship with the nurse (Parissopolous , S , 2004 . During treatment care , the patient shifts from their present ego state to the child ego and along with that tend to transfer their ability to make decisions and solve their own problems to the nurse and other healthcare workers

A self-care deficit is a situation in which the individual is unable to function normally due to certain impairments . Some of these factors include intolerance to a particular activity , reduced strength , pain cognitive malfunction , neuromuscular impairment or musculoskeletal impairment . The deficits may arise in self-feeding , self-dressing self-bathing and self-toileting and varies in severity (from level 0 to 4 . Level 0 suggests completely independent , level 1 suggest requiring use of a specialized device , level 2 suggests requiring help from others , level 3 suggests requiring a combination of help from other people and equipment and level 4 suggests completely dependent (Luckmann , J , 1987

Orem ‘s self-care deficit theory of nursing is a policy of nursing care that enables people capable of taking care of themselves to do so through a self-initiative effort . Each individual is capable of performing certain actions in to take care of themselves . In certain situations , measures may be required to meet the demands of self-care . A shortage of this demand results in a self-care deficit and suggests that nursing care is required . Through communication and interpersonal interactions , needs are determined . Decisions about self-care can be made operational through motivation . Nurses can help people take up self-care behavior if they are capable of understanding the patient ‘s concept of health and making use of this belief during planning of the nursing care . Culture and social issues can help nurses recognize the health belief ‘s of the patient . Through motivation the patient can be motivated to participate more actively in rehabilitation programs . Nurses should be able to determine the factors that motivate the patient . The nurse usually controls the interactions with the patient by assuming the role of the parent (parent ego state ) and enabling the patient to undertake a child-like role (child ego state (Parissopolous , S , 2004 . A parent-to-child role may be a positional imbalance , and nurses should be able to communicate and interact through an adult-to-adult manner (Parissopolous , S , 2004 . Self-care techniques have been particularly useful in elders because it allows them to function better

Orem ‘s universal self-care requisites are necessary requirements the person has for consuming food , fluids , elimination , air , and living situations (Luckmann , J , 1987 . The individual should be able to create and preserve structural-integrity and should encourage functions that enable maintenance of a normal life . The universal requisites are equal in all individuals irrespective of their age , sex , educational levels , socio-economic status , health situation , internal environment and external environment , and efforts should be made to meet them to attain well-being and an optimum state of health

In situations where there were self-care deficits in the respiratory system , the integrity of the respiratory system had to be reviewed by the nursing professional , and age-related changes especially have to be evaluated . A complete respiratory assessment may have to be performed after the nurse determines if such an assessment is required keeping the patient ‘s condition in mind (Nanda , 2003 . A nursing profession may have to conduct a nursing diagnosis when certain respiratory signs are apparent . Several airway problems such airway infections (pharyngitis and bronchitis , long-standing diss (asthma and COPD , cardiac problems (congestive cardiac diss and rheumatic diss , pain poor breathing patterns , inadequate tissue perfusion , ineffective airway aspiration , ineffective gas exchanges , inability to maintain ventilator responses , etc , may have to be determined (Nanda , 2003 . The nurse is responsible for diagnosing and taking care of the patient ‘s problems The associated causes or factors of the patient ‘s respiratory problem should be determined , and the manner in which the symptoms are presented should be identified . Patients at risk of developing respiratory problems should be given special care . A comprehensive nursing plan should be devised keeping in mind to meet the expected outcomes (improvement in the individual ‘s health status and condition (Nanda 2003 . Each nursing plan has to be formulated keeping in mind the specific requirements of the individual . The various types of interventions include assessment of the patient ‘s condition , providing care and comfort procedures , and teaching or guiding the patient . The respiratory care measures have to be efficiently be prioritized and implemented accordingly

References

Harris , J . L Williams , L . K (1991 . Universal self-care requisites as identified by homeless elderly men ‘ J Gerontol Nurs , 17 (6 , 39-43 HYPERLINK “http /www .ncbi .nlm .nih .gov /entrez /query .fcgi ?cmd Retrieve db PubMed li st_uids 2033216 dopt Abstract http /www .ncbi .nlm .nih .gov /entrez /query .fcgi ?cmd Retrieve db PubMed lis t_uids 2033216 dopt Abstract

Luckmann , J Sorensen , K . C (1987 . Medical Surgical Nursing : A Psychophysiological Approach , Philadelphia : Saunders

Nanda (2003 . Nursing Care Plan Guide Assessment of Universal Self Care Requisites ‘ NANDA Nursing Diagnose , 2003-2004

Parissopolous , S Kotzabassaki , S (2004 . Orem ‘s Self-Care Theory Transactional Analysis and the Management of Elderly Rehabilitation Icus Nurs Web J , 17 , 1-11

HYPERLINK “http /www .nursing .gr /OREM .pdf ” www .nursing .gr /OREM .pdf

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