Self – Care Deficit Theory Of Nursing

SELF – CARE DEFICIT THEORY OF NURSING

Dorothea 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 nurse  hospital 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

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 R Self Care Agen cy

R Thera peutic Self care dema nds

R

Deficit R

R Nursin g Agency

Self Care Requisites Elements: 2. Factor 3. Nature of the required action

Categories 2.Universal SCR 3.Developmental SCR 4.Health Deviation Requisites

Nursing Agency  Agent  Dependent Care Agent  Nursing Design

• Nursing Systems – 3 Types 2.Wholly compensatory systems 3.Partly Compensatory systems 4.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

– 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!”

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EVALUATION

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