comment on at least two presentations
Yanay Lara
Claudia calderin
Wendy pelegrin
Yenilin galdo
Florida national university
Dorothea Orem Self Care Theory
Content
Introduction
A brief background on theorist
Relevance of the theory in healthcare
Appropriateness of theory to the role of nurse practitioner
Key concepts of theory
Applicability of concepts to daily advanced nursing practice
Relevance to MSN Essentials
Critique [evaluation of theory's strengths/weaknesses
Discussion of future practice implications
Conclusion
Introduction
The theory suggests that patients are better able to recover when
They maintain some sort of independence over their own self care.
The theory mainly consists of three parts:
Theory of self-care
Theory of self-care deficit
Theory of nursing system.
The theory was derived from works of
Aristotle, Aquinas
Von Bertalanfy’s system theory
Harre Helson
Wallace Parson’s structure of social action
Dorothea Orem - Nursing Theorist
Her educational experiences include Seton High School in Baltimore -1931
Providence Hospital School of Nursing -1934
Catholic University of America -1939
M.S. in Nursing Education -1945.
The second edition of Nursing: Concept of Practice was published in 1980. Orem retired in 1984, but she continued to work on the third edition, published in 1985; the fourth edition of her book was completed in 1991. She continued to work on the conceptual development of Self-Care Deficit Nursing Theory.
She had several awards including
The Catholic University of America Alumni Achievement Award for Nursing Theory
The Linda Richards Award from the National League for Nursing
She has several distinctions including the following
An Honorary Fellow of the American Academy of Nursing
She was Honorary Doctorates of Science
Honorary Doctorate of Humane Letters
Doctorate Honoris Causa
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Dorothea Orem was America’s foremost nursing theorist.
Educational experiences
Distinguished career in nursing
The theory came into being during her research to improve quality of nursing.
Awards
Different editions of book and theories
Relevance of the Theory in Healthcare
The theory reviews the patient views of medical treatment.
It focuses on patient being involved in their self-care.
Types of self-care:
Universal self-care requisites
Developmental self-care requisites
Health deviant self-care requisites
It is relevant in addressing the unique capabilities of this generation.
Example: Dialysis in patients and superior techniques
This Photo by Unknown Author is licensed under CC BY-NC-ND
Peritoneal dialysis as a therapy option offers the elderly an improved quality of life with a greater sense of self-worth.
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Appropriateness Of Theory To The Role Of Nurse Practitioner
Nursing is needed when a patient is dependent and unable to take care of themselves.
But sometimes, the needs are not only met by the nurses.
There is need to take patient into account.
Theory of Nursing Systems – Care of patient by themselves and nurses.
Method to determining the self-care deficits
Meet the self-care demands
Using the technical component of the nursing process
Appropriateness Of Theory To The Role Of Nurse Practitioner
Technological components must be coordinated with interpersonal and social pressures within nursing situations.
Nurses can help the patients in self-care by educating them, training them and assisting them.
They can help patients in making informed decisions about their health.
Appropriateness Of Theory To The Role Of Nurse Practitioner
Advising patients on use of technologies
Promoting the educational material for patients
Self-management of symptoms as needed
Training the patients on certain matters
Using digitalization to help in self-care
Some of the examples are:
Key Concepts Of Theory
Key Assumptions of theory
Applicability of concepts to daily advanced nursing practice
This Photo by Unknown Author is licensed under CC BY
Applicability Of Concepts To Daily Advanced Nursing Practice
The two technologies that can be applied to the nursing practices:
Social or interpersonal (Responsibility of nurses)
Communication
Maintaining interpersonal relations
Coordinating efforts
Maintaining a therapeutic relationship
Assistance adapted to human needs and abilities
Regulatory technologies
Maintaining and promoting life processes
Regulating psycho- and physiological modes
Promoting human growth and development
Relevance To MSN Essentials
Strengths Of Theory
The theory has following strengths:
Applicable for nursing beginning practitioner and the advanced clinicians.
Utilization in nursing practice, nursing education, and administration.
Easily understood by the beginning student nursing staff as well.
Contemporary with the concepts of health promotion and health maintenance.
Weaknesses Of Theory
The theory has following limitations:
Viewed as a single whole perspective
Very simplified for a complex system of healthcare
Confinement of health definition to three static conditions
Limited acknowledgment of the individual’s emotional needs.
Future Practice Implications
Helping physicians in case management operations
Advent in the use of technology by patients for their care
Improvement in self-efficacy with application of techniques
Conclusion
The theory was presented by a renowned theorists
She was a great nurse and was a very successful theorists.
Self-care theory revolves around the care of patient by themselves and their role in their therapy.
The assistance of nurses is crucial in this matter.
It helps in creating a more sustainable way of living for people.
Nurses have role in educating and supporting patient’s decisions.
References
Ali, B. H. I. (2018). Application of Orem self care deficit theory on psychiatric patient. Annals of Nursing and Practice, 5(1), 1-3.
Bekel, G., Panfil, E. M., & Scupin, O. (2005). Self-care--the contribution of nursing sciences to health care. Zeitschrift fur arztliche Fortbildung und Qualitatssicherung, 99(10), 623-627.
Denyes, M. J., Orem, D. E., & Bekel, G. (2001). Self-care: A foundational science. Nursing science quarterly, 14(1), 48-54.
Gonzalo, A. (2021). Dorothea Orem: Self-Care Deficit Theory. NursesLab. [Online]. Retrieved19 November 2021 from https://nurseslabs.com/dorothea-orems-self-care-theory/
Olubiyi, S. K., Ibitoye, O. F., Onasoga, O., Shaibu, E. O., Ibitoye, B., & Nyamngee, A. Nurses' application of Dorothea Orem’s Self Care Theory towards Management of chronically-ill Patients at University of Ilorin Teaching Hospital, Kwara State.
O'Shaughnessy, M. (2014). Application of Dorothea Orem's theory of self-care to the elderly patient on peritoneal dialysis. Nephrology Nursing Journal, 41(5), 495.
Naz, S. (2017). Application of Dorothea Orem’ s Theory into Nursing Practice. Journal of Rehman Medical Institute, 3(3-4), 34-37.
Tasneem, S. Application of Dorothea Orem Theory of Self Care for Patients with Chronic Illnesses; A Case Study Report.
Self-care (2021). RCN. [Online]. Retrieved19 November 2021 from https://www.rcn.org.uk/clinical-topics/public-health/self-care
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