orem's theory
TRANSCRIPT
OREM’S THEORY
Self-Care Deficit Theory
By:- firoz qureshiDept. psychiatric nursing
HISTORYIn 1914 Dorothea Orem was born in
Baltimore, Maryland.She received her diploma in nursing from
providence hospital school of nursing in Washington, and her baccalaureate in nursing from Catholic university in 1939.
In 1945, she also earned her master degree from catholic university.
HISTORYDuring her professional career, she
worked as a staff nurse, private duty nurse, as a nurse educator, administrator and nurse consultant.
GOAL OF NURSINGTo provide the patient or members of
his family, capable of meeting the patient’s self- care needs.
To maintain a status of good health.To regain normal or near normal state
of health in the event of disease or injury.
OREM’S NURSING PARADIGM
Health
Environment
Client/ Person
Nursing
OREM’S NURSING PARADIGM
Client/Person:-A patient as an individual with health
related, limitation that make him incapable of continuous self-care.
Health:- A state where one is structurally and
functionally whole or sound.
OREM’S NURSING PARADIGM Environment:- IT includes condition that positively or
negatively affect a person’s ability to provide self-care.
Nursing:-Educates and provides care for all levels on
dependency. Our goal is to provide increase levels of
independence
Self-Care Deficit Theory“The inabilities of people to care for themselves
at times when they need assistance because of their state of personal health” (Orem 1959
Orem described her work as a general theory of nursing:
Theory of Self-CareTheory of Self-Care DeficitTheory of Nursing Systems
THEORY OF SELF-CARE
THEORY OF SELF-CARE Self-care:- practice of activities that individual
initiates and performs on their own behalf in maintaining life, health and well-being.
Self-care agency:- Is a human ability which is for engaging in self-care.
Therapeutic self-care demand:- totality action to be performed for some duration in order to meet self-care needs by using valid methods and related sets of operations and action.
THEORY OF SELF-CARE Self-care needs:- three categories of self-
care requisites are:-1. Universal2. Development3. Health deviation
THEORY OF SELF-CARE DEFICIT
THEORY OF SELF-CARE DEFICIT Specifies when nursing is needed. Nursing is required when an adult is
incapable or limited in provision of continuous effective self-care.
Orem identifies 5 method of helping others.
THEORY OF NURSING SYSTEM
THEORY OF NURSING SYSTEM
Describes how the patient’s self-care needs will be meet by the nurse, the patients, or both.
Indentifies 3 classifications of nursing system to meet the self-care needs of the patient.
THEORY OF NURSING SYSTEM
1. Compensatory – nurse provides total care2. Partially Compensatory – the nurse and the
client share responsibility for care.3. Educative-Development – client has primary
responsibility for personal health, with nurse acting as a consultant.
OREM’s nursing process & NURSING PROCESS
Nursing process:- Assessment Nursing diagnosis Plan with scientific rationale Implementation Evaluation
OREM’S NURSING PROCESS:-Diagnosis and prescription; determine
why nursing is needed, analyze and interpret- make judgment regarding care.
Design of nursing system and plan for delivery of care.
Production and management of nursing systems
How Orem Relates To Today’s Nurses
Orem’s theory is what we are taught to practice as nurses. It embodies the concept of maintaining holistic health. In order to have a healthy physiological and psychological self-concept: self-care is a MUST!!
STRENGTHS OF THEORY Provide a comprehensive base to nursing
practice. Specifies when nursing is needed. Also includes continuing education as part of
the professional component of nursing education.
LIMITATION Health is often viewed as dynastic and ever
changing. Orem's visual presentation of the boxed nursing systems implies three static condition.
Appears that the theory is illness oriented rather with no indication of its use in wellness setting.
OREMO-OftenR-RemindsE-EverydayM-Maintenance
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