The Self-Care Deficit Theory Formulated By Dorothea E. Orem Essay

Nursing theory is best described as a conceptualization of some aspect of nursing communicated for the purpose of describing, explaining, predicting, and/or prescribing nursing care (Potter & Perry, 2009). One of the most world renown-nursing theorists, Dorothea Orem, believed in the self-care theory, which directs it’s attention on the aspect the self-care needs of the client (2009).

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Orem’s Self-Care Deficit Theory Evaluation
Introduction
Dorothea E. Orem dedicated her entire adult life to her nursing profession by defining the role of the nurse in relation to improving the overall health and well-being of the individual. In doing so, she developed a very complex theory entitled the Self-Care Deficit Nursing Theory. Ideally, this theory is three sub-theories in one that are interlocking and dependent upon one another: self-care, self-care deficit and nursing systems (Parker & Smith, 2015). Without each of these three theories, a void would exist and ultimately, nursing clarity and purpose would be lost. To place in simplistic terms, Orem assumes that all humans desire to care for self. In the self-care theory, she states that individuals are meant to care for themselves and their basic needs by promoting life, health, development and well-being. When something disrupts the balance and does not allow the human to care for self, a deficit occurs. This deficit drives the need for specialized nursing care to restore the human’s health so they can resume self-care (Banfield, 2011). This paper will discuss Orem’s assumptions, key concepts, as well as her propositions, and their relationship with each other as they relate to nursing care.The Self-Care Deficit Theory Formulated By Dorothea E. Orem Essay

Theory of nursing is not the first concept people typically consider when thinking of the profession of nursing, but theory provides the basis of nursing in many different avenues. Theory provides an arrangement of information and data collection in order to utilize that information to define, clarify and predict nursing practice (McEwen & Wills, 2014). Nursing theories can be categorized in several ways; one mode of classification is by scope of practice (McEwen & Wills, 2014). The four theories included under this type of classification include: metatheory, grand theories, middle range theories, and practice theories (McEwen & Wills, 2014). This paper will further elaborate on the self-care deficit theory proposed by Orem, which falls under the grand theory scope (McEwen & Wills, 2014). This paper will also address the importance of nursing theory and how the self-care deficit theory relates to clinical practice as a nurse practitioner.The Self-Care Deficit Theory Formulated By Dorothea E. Orem Essay

The concept is the basic element of the theory and provides ideas for nursing research. This concept provides knowledge applicable to nursing practice, education, and management. (Parker & Smith 2010). Concept analysis brings clarity. The concept analysis method has the following steps. Definition of concept, choice of analysis, identification of all uses, definition of attributes, case of conceptual model, influence on concept, and definition of empirical reference to concept (Walker & Avant 1995) I decided to conduct a conceptual analysis. Care theory using this concept is Orem ‘s care theory.The Self-Care Deficit Theory Formulated By Dorothea E. Orem Essay

Conceptual analysis of Orem’s self-defense disorder Introduction Dorothea E. Orem is focused on clarifying the role of care and nurse in improving overall health of patients. Orem ‘s theory is very complex and can be determined by combining three theories: self – care theory, self – care defect theory and nursing system theory. In 1959, when Orem first developed into the theory of self-health disorder, she defined the relationship between consumers and brands. Keywords: jewelry, canned tomatoes, brands, consumers, relationships, strategies “Products and Brands (Sections 1-3): Canned Tomatoes (Hunt) and Jewelry (eBay)” brands to foster consumer self- Influence. The relationships between content and level of consumer and organization identity activities, durability, emotional quality, and relationship ratio are different. Consumers increase brand awareness through non-marketing and marketing The Self-Care Deficit Theory Formulated By Dorothea E. Orem Essay

Concept analysis is a combination of seven steps that clarify concepts in our nursing practice (McEwen & Wills, 2014). The term self-care is the concept of Orem’s self-deficit theory. The purpose of this conceptual analysis is to clarify the concepts, especially for rehabilitation patients, and to determine how they are used in nursing practice. We will further explore this concept through literature review, possible usage of this concept, its attributes, models and alternatives.

Dorothea Orem Theory Overview
Dorothea Orem Theory Overview, Scenario, and Utilization

1. In Dorothea Orem’s Self-Care theory, person, environment, health, and nursing play key roles. Person, according to Orem (1985), is “an integrated whole, a unity functioning biologically, symbolically and socially;” Orem describes persons as being capable of self-knowledge and engaging in “deliberate action” (Hanucharumkul, 1989, p. 367).The Self-Care Deficit Theory Formulated By Dorothea E. Orem Essay  Environment is “a set of conditions that motivate a person to establish appropriate goals and adjust behaviour to achieve the results specified by the goals” (Orem, 1985, as cited in Hanucharumkul, 1989, p. 367). It refers not only to the person’s surroundings but also of any physical and psychosocial factors that affect recovery (Hanucharumkul, 1989, p. 367). Health for Orem (1985) is “a state of wholeness or integrity of human beings” that is characterized by structural and functional wholeness (Hanucharumkul, 1989, p. 368). Orem (1985) views nursing as “a profession which provides services to its society,” and she felt that nursing’s objectives were what distinguished it from other disciplines (Hanucharumkul, 1989, pp. 368-369). She described the goal of nursing as being “to help people meet their own demands for self-care on a therapeutic and a continuous basis” (Hanucharumkul, 1989, p. 369). Achieving this goal demands doing for patients in a “wholly compensatory system,” doing with them in a “partly compensatory system,” or developing a system that supports and educates them as they do for themselves (Kelompok, Sardi, Ridwan, & Abdillah, 2008).The Self-Care Deficit Theory Formulated By Dorothea E. Orem Essay

2. A patient scenario that will be used for the application of the model is that of Alan, a 43-year-old construction worker who sustained a broken right femur on his job’s construction site. Alan is single and lives alone, and he describes himself as a “man’s man” who likes to do things for himself. He states that he feels uncomfortable relying on others to meet his needs

Dorothea Orem Theory Overview
Dorothea Orem Theory Overview, Scenario, and Utilization

1. In Dorothea Orem’s Self-Care theory, person, environment, health, and nursing play key roles. Person, according to Orem (1985), is “an integrated whole, a unity functioning biologically, symbolically and socially;” Orem describes persons as being capable of self-knowledge and engaging in “deliberate action” (Hanucharumkul, 1989, p. 367).The Self-Care Deficit Theory Formulated By Dorothea E. Orem Essay Environment is “a set of conditions that motivate a person to establish appropriate goals and adjust behaviour to achieve the results specified by the goals” (Orem, 1985, as cited in Hanucharumkul, 1989, p. 367). It refers not only to the person’s surroundings but also of any physical and psychosocial factors that affect recovery (Hanucharumkul, 1989, p. 367). Health for Orem (1985) is “a state of wholeness or integrity of human beings” that is characterized by structural and functional wholeness (Hanucharumkul, 1989, p. 368). Orem (1985) views nursing as “a profession which provides services to its society,” and she felt that nursing’s objectives were what distinguished it from other disciplines (Hanucharumkul, 1989, pp. 368-369). She described the goal of nursing as being “to help people meet their own demands for self-care on a therapeutic and a continuous basis” (Hanucharumkul, 1989, p. 369). Achieving this goal demands doing for patients in a “wholly compensatory system,” doing with them in a “partly compensatory system,” or developing a system that supports and educates them as they do for themselves (Kelompok, Sardi, Ridwan, & Abdillah, 2008).The Self-Care Deficit Theory Formulated By Dorothea E. Orem Essay

2. A patient scenario that will be used for the application of the model is that of Alan, a 43-year-old construction worker who sustained a broken right femur on his job’s construction site. Alan is single and lives alone, and he describes himself as a “man’s man” who likes to do things for himself. He states that he feels uncomfortable relying on others to meet his needs

Dorothea Elizabeth Orem was born in 1914 in Baltimore, Maryland. Dorothea Orem died on June 22, 2007. Her father was a construction worker and her mother was a home maker. She had a sister and was the youngest.
Dorothea Orem went to Providence High School of Nursing in Washington D.C. where she received her diploma of nursing in the 1930’s. Dorothea later completed her Bachelor of Science in Nursing at the Catholic University of America in 1939, and in 1946 she received her Master of Science degree in Nursing Education from the same university. Dorothea Orem is well known in America for nursing theory. But at the beginning of her nursing career she worked as an operating room nurse, private duty nurse as well as doing hospital staff nursing on pediatric and adult medical surgical units, evening supervisor in the emergency room, and biological science teaching. Orem held directorship of both the nursing school and the department of nursing at Providence Hospital in Detroit, from 1940-1949.The Self-Care Deficit Theory Formulated By Dorothea E. Orem Essay   After leaving Detroit she lived in Indiana and worked in the Division of Hospital and Institutional Services of the Indiana State Board of Health her objective was to improve the quality of nursing in general hospitals and she was able to develop the definition of nursing by this time. Dorothea had a goal to upgrade the quality of nursing in general hospitals throughout the state. It was during this time that Orem developed her definition of nursing practice. In 1957, Orem moved to Washington D.C. to take a position at the Office of Education, U.S. Department of Health Education and Welfare as a curriculum consultant. Orem worked on project to upgrade practical nurse training that stimulated a need to address the question. What is the subject matter of nursing? The Self-Care Deficit Theory Formulated By Dorothea E. Orem Essay

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