Self

SELF – CARE DEFICIT THEORY OF NURSING Terminology  Agent – individual who is engage in meeting the needs of a person.  Dependent care agent – an individual who takes full responsibility of taking care of a person who are incapable of providing care for themselves.  Nursing agency – set of established capabilities of a nurse who can legitimately perform activities for a client.  Nursing design – functions that must be performed by the nurse in order to meet client needs.  Self care – an activity that promotes a person’s well – being. It is performed by persons who are aware of the time frames on behalf of maintaining life, continuing personal development and a healthy functional living.  Self care agency – complex set of activities required to purposively regulate the actions needed for planning a care for a client.  Therapeutic self care demand - summation of all activities needed to alleviate the existing disease or illness. 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 • 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 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)

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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 - different from other living things in terms of their capacity - can reflect, symbolize experiences * Human Functioning - an integrated system comprised of physical, psychological, interpersonal and social aspects. Individuals have the potential to be developed and learned. Health - being structurally and functionally whole or sound - supports the WHO health definition - presents health based on preventive healthcare Environment - external source of influence in the internal interaction of a person’s different aspects Nursing - helping clients to establish or identify ways to perform self care activities - as a human service - based on values Self – Care Deficit Theory of Nursing

Self Care Requisites - Requirements that a person must meet and perform in order to achieve well - being Elements: •Factor to be controlled or managed •Nature of the required action Categories •Universal SCR - Universally set goals that must be undertaken in order for an individual to function in scope of a healthy living - 8 common requisites for women, men and children o Maintenance of a sufficient intake of air o Maintenance of a sufficient intake of food o Maintenance of a sufficient intake of water o Provision of care associated wit elimination o Maintenance and balance between activity and rest o Maintenance and balance between solitude and social interaction o Prevention of hazards to human life, functioning and well – being o Promotion of human functioning and developing •Developmental SCR - Actions to be undertaken that will provide developmental growth. These are the ff: o Provision of condition that promote development o Engagement in self development o Prevention of the effects of human conditions that threatens life •Health Deviation Requisites - Requisites required for a person to be considered as sick or ill Nursing Systems 3 Types 1. Wholly compensatory systems - Required for individuals who are unable to control and monitor their environment and process information. 2. Partly Compensatory systems - Designed for individuals who are unable to perform some, but not all, self care activities. 3. Supportive – educative (developmental) systems - Designed for persons who need to learn to perform self care activities.

Application •Nursing Practice 1. Patients having heart problems, cancer and mental illness 2. Geriatric cases (chronic) 3. Community Health, Occupational Health * Used in multiple settings •Education 1970’s – curriculum development - Preventive health care •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.”

Audray Kyle Saydoven ;)