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Transcript of Orem
Cassandra Montgomerry Wholy Compensatory Supporting Guiding Teaching Selfcare Therapeutic Self-care
Demand Selfcare Requisites Behavior directed by individuals to initiate, promote, & maintain personal well-being
Person regulates themselves, environment, & other factors that affect development & well being
Performs independently in order to maintain life Selfcare needs
Measures and actions required to initiate and provide selfcare
Consists of three categories Actions required to meet already existing self-care requisites for health & well being for a period of time
Needed at various times in life The nurse acts in favor of the client and provides the necessary care needs for the client The nurse may guide the client during certain self-care tasks The nurse may teach the client, so the client can perform certain self-care needs The nurse supports the client during self-care needs Individuals who are unable to perform any self care actives.
They are completely dependent upon the nurse.
Example infant, final stages of terminally ill patient. Nurse role (doing, client advocate, communicator) Selfcare Selfcare Deficit Nursing Agency Acting or Doing For Environmental
Providence Universal Requisites Developmental Requisites Health Deviation Selfcare Agent Dependent Care Agent Selfcare Agency Bibliography Orems
Theory Partly Compensatory Supportive Educative Person Nursing Environment Health Any Questions? 1. Persons ability to:
To regulate their own development
Make judgements & decisions to meet self-care requisites
Age, gender, health
Patterns of living
Available resources Involved with all life process and in maintaining the virtues of the human body as whole, structure and function.
Common to all
Intake & elimination of air, water, & food
Balance between rest, activity, social interactions & solitude
Promotion of human body functionality
Prevention of bodily harm Related to different stages in human life cycle
i.e. college, marriage, retirement
Maturational, which are associated with developmental processes and derived from a condition
Situational, which are associated with an event
E.g. adjusting to a new job or adjusting to body changes
Maintaining good health and promoting human development/maturation
Preventing or treating illness and disease that affects human development/maturation Human structural & functional deviations
Deviating from health requires:
Seeking & obtaining proper medical assistance
Being conscious of & attending to effects & results of pathological conditions
Receiving or carrying out effective medical diagnostic treatment measure(s) & medical prescriptions
Learning how to cope with effects of pathological conditions An individual who can conduct and perform self-care activities independently A person, other than the selfcare agent, who provides care
Ex. infants, disabled individuals Theorist : Dorothea Orem (1914-2007)
Born 1914 in Baltimore, US
1945 – MSN Ed., Catholic University of America
Worked as a nurse, private duty nurse, educator, administrator, & nurse consultant Received honorary Doctor of Science degree in 1976.
Theory was first published in Nursing: Concepts of Practice in 1971, second in 1980, in 1995, and 2001. Individuals that are able to perform some self care needs, but are not completely independent.
Example stroke patient. Nurse role (caregiver teacher, guiding, change agent.) Individuals that need assistance to learn how to perform self-care task for their well being.
Example new diet for hypertension patient.
Nurse role (teacher, counselor, change agent)
A service geared towards helping the self and others
Is required when self-care demands exceed a patient’s self-care ability (agency)
Promotes the patient as a self-care agent
Has several components
In Orem’s theory, the nurse provides care for the patient by utilizing the five helping methods to promote individuals abilities to perform current and future care demands, and to maintain the health and well-being of the client. Orem's three nursing systems utilizes the five helping methods in each of the nursing systems. Environmental Conditions - external physical & psychosocial surroundings
Developmental Environment - promotion of personal development through motivation to establish appropriate goals & to adjust behavior to meet those goals
Can positively or negatively impact a person’s ability to provide self-care The nurse makes the necessary arrangements or adjustments in the client’s home that better suit the needs of the patient currently and for the future Explains the various degrees that nurses may have to help the client and what practices that are used to restore the health to the individual. Orem has three levels of nursing systems that use the 5 methods of helping to promote an individual's abilities to meet current and future demands. Similar to Kozier nurses role caregiver, teacher, counselor, change agent. If one is able to promote and direct their own well-being concerning their health and wellness, they are able to provide self-care. The person has the ability to make use of their self-care requisites to maintain their self-care. I.e.: the ability to perform oral care, make proper judgment for their diet and balance solitude with When a client state of well being or wellness has been injured they are unable to perform their self-care needs.
Supports health promotion and health maintenance. Explains when nursing's needed & how nurses can assist clients
Describes & explains how people can be helped through
Results when the self-agent is no longer able to perform the self-care needs and every day demands for themselves. Berman, A., & Snyder, S. (2011). Kozier & erb's fundamentals of nursing, concepts, process, and practice. (9 ed.). Prentice Hall.
Orems Self-Care. (2009). Dorthea orems self-care theory framework. F.A. Davis Company. Retrieved from http://www.tabers.com
Orems self-care. (2011, October 17). Retrieved from http://currentnursing.com/nursing_theory/application_self_care_deficit_theory.html
Young, L. (2012). Dorthea orems self-care theory [Web log message]. Retrieved from https://sites.google.com/site/oremstheory/description-of-the-model