dorothea orem’s theory
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DOROTHEA OREM’s THEORY.
PRESENTED BY:IV GROUP.
AIMS AT THE END OF THE SEMINAR STUDENTS WILL BE ABLE TO ACQUIRE AN UNDERSTANDING OF DOROTHEA OREM’S THEORY, MODEL AND ITS APPLICATION TO NURSING.
SPECIFIC OBJECTIVES• At the end of the class, students will be able
to:1) Review the history2)Explain the development of theory.3)Briefly discuss theory of Self care, Self care
deficit and Nursing systems.4)Understand Orem’s view of metaparadigm.5)Discuss its applicability to nursing process.
6) Understand the philosophy of nursing.7) Compare with the characteristics of theory.8) Evaluate Orem’s theory.
DOROTHEA OREM.
EDUCATION
PROVIDENCE HOSPITAL, DETROIT.
Director of school of nursing and department of nursing.
ALUMNI ASSOCIATION AWARD FOR NURSING THEORY.
IMAGE OF NURSING.
DOROTHEA OREM’s THEORY …
• SELF CARE…
“Self-care is the practice of activities that individuals
initiate and perform on their own behalf in
maintaining life, health, and well-being.” (Orem)
UNIVERSAL SELF CARE.
IT INCLUDES ACTIVITIES ESSENTIAL FOR HEALTH AND VITALITY.
DEVELOPMENTAL SELF CARE
IT INCLUDES INTERVENTIONS AND TEACHINGS TO HELP A PERSON SUSTAIN LEVEL OFOPTIMAL HEALTHAND WELL BEING.
HEALTH DEVIATION SELF CARE
IT ENCOMPASSES THE VARIATIONS IN SELF CARE WHICH MAY OCCUR AS A RESULT OF DISABILITY, ILLNESS OR INJURY.
THERAPEUTIC SELF CARE DEMAND.
TSCD = USCR + DSCR + HDSCR
FACTORS AFFECTING SELF CARE REQUISITES.
AGE.
GENDER
DEVELOPMENTAL STATE
HEALTH STATE.
SOCIOCULTURAL ORIENTATION
HEALTH CARE SYSTEM FACTORS.
PRIMARY
SECONDARY
TERTIARY
FAMILY SYSTEM
•JOINT FAMILY
•NUCLEAR FAMILY
PATTERN OF LIVING ENVIRONMENTAL
FACTORS RESOURCE
AVAILABILITY
SELF CARE AGENCY
CAPABILITY TO PROVIDE FOR ONE’s OWN CARE.
SELF CARE DEFICIT
SELF CARE IS NOT ADEQUATE TO MEET THE KNOWN SELF CARE DEMANDS.
CONCEPTUAL FRAMEWORK FOR SELF CARE DEFICIT
WHOLLY COMPENSATORY
PARTLY COMPENSATORY
SUPPORTIVE SYSTEM
NURSING AGENCY
…MEANS NURSE’s ABILITY TO COMPENSATE FOR THE LIMITATIONS OF SELF HELP.
NURSING DIAGNOSIS
• EXISTING
• EMERGING
OREM’s VIEW ON METAPARADIGM
HEALTHPERSONENVIRONMENTNURSING
APPLICATION OF THEORY TO NURSING PROCESS
IT HAS BEEN VERY WELL SEEN AND PROVED …THAT OREM’s THEORY DOES HOLD IMPORTANCE IN TODAY’s NURSING.
STRENGTH OF OREM’S THEORY
WELL RESEARCHED ORGANIZED
EMPOWERING
CHARACTERISTICS OF THEORY• INTER RELATED• LOGICAL• THEORETICAL FOUNDATION• GENERATES HYPOTHESIS• NURSING IS AN HELPING ART.• USED IN VARITY OFSETTINGS• CONSISTENT WITH OTHER THEORIES.
EVALUATION OF THEORY.
LIMITATIONS
FOCUSES ON INDIVIDUALISM
ITS EFFECTIVE ONLY IF PERSON ASUMES PATIENT’s ROLE
CONCLUSION
BIBLIOGRAPHYOrem, D.E. (1991). Nursing: Concepts of practice (4th ed.). St. Louis, MO: Mosby-Year Book Inc.Taylor, S.G. (2006). Dorthea E. Orem: Self-care deficit theory of nursing. In A.M. Tomey, A. & Alligood, M. (2002). Significance of theory for nursing as a discipline and profession. Nursing Theorists and their work. Mosby, St. Louis, Missouri, United States of America. Whelan, E. G. (1984). Analysis and application of dorothea orem’s self-care practuce model. Retrieved October 31, 2006
Hartweg, D.L. (1995). Dorthea Orem: Self-care deficit theory. In C.M. Kalisch, P. A. & Kalisch, B.J. (1987). The Changing Image of the Nurse. Menlo Park, CA: Addison-Wesley Publishing Company.McQuiston & A.A. Webb (Eds.), Foundations of nursing theory: Contributions of 12 key theorists (pp. 139-202). USA:.
THANK YOU
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