self – care deficit theory of nursing
TRANSCRIPT
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SELF – CARE SELF – CARE DEFICIT DEFICIT
THEORY OF THEORY OF NURSINGNURSING
Dorothea OremDorothea Orem
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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
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Dorothea Orem
Nursing Experiences operating room nurse private duty nursehospital 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)
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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
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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
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Metaparadigm in Nursing
• Health- being structurally and functionally whole or sound
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Metaparadigm in Nursing
Environment- external source of influence in the internal interaction of a person’s different aspects
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Metaparadigm in Nursing
• Nursing- helping clients to establish or identify ways to perform self care activites
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Self – Care Deficit Theory of Nursing
Self Care
Agency
Self care
Therapeutic Self care
demands
Nursing AgencyNursing Agency
Deficit
R R
R
R R
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Self Care Requisites
Elements:1. Factor2. Nature of the required
action
Categories1. Universal SCR2. Developmental SCR3. Health Deviation
Requisites
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Nursing Agency
AgentDependent Care Agent Nursing Design
• Nursing Systems– 3 Types1. Wholly compensatory
systems2. Partly Compensatory
systems3. Supportive – educative
(developmental) systems
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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
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Application
• Research– Development of research instruments• Exercise of Self Care Agency• Appraisal of Self Care Agency
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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
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Nursing•A scientific structure and as
a practical science with on – going development of the
nursing knowledge.
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Example;)
• “Carl”• 40 years old• A business tycoon• Man of Faith
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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
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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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ASSESSMENT
EVAL
UAT
ION
IMPLEMENTEATION
PLANN
ING
DIAN
OSIS