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    TFN Dorothea Orem

    Uploaded by

    Raphael Sevilla
    Dorothea Orem developed the Self-Care Theory of nursing. She was one of the foremost nursing theorists and published her ideas in 1971 and further developed them in 1980 and 1995. Her theory focuses on an individual's ability to perform self-care and defines nursing as assisting others with self-care. The theory includes the self-care agency, self-care requisites, and nursing systems. Orem identified three types of self-care requisites and three nursing systems used to meet patient's self-care needs based on their abilities. Orem's theory emphasizes the importance of understanding patient's capacity for self-care and the nurse's role in supporting and educating patients to perform self-care.

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    TFN Dorothea Orem

    Uploaded by

    Raphael Sevilla
    78 views22 pages
    Dorothea Orem developed the Self-Care Theory of nursing. She was one of the foremost nursing theorists and published her ideas in 1971 and further developed them in 1980 and 1995. Her theory focuses on an individual's ability to perform self-care and defines nursing as assisting others with self-care. The theory includes the self-care agency, self-care requisites, and nursing systems. Orem identified three types of self-care requisites and three nursing systems used to meet patient's self-care needs based on their abilities. Orem's theory emphasizes the importance of understanding patient's capacity for self-care and the nurse's role in supporting and educating patients to perform self-care.

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    Dorothea Orem developed the Self-Care Theory of nursing. She was one of the foremost nursing theorists and published her ideas in 1971 and further developed them in 1980 and 1995. Her theory focuses on an individual's ability to perform self-care and defines nursing as assisting others with self-care. The theory includes the self-care agency, self-care requisites, and nursing systems. Orem identified three types of self-care requisites and three nursing systems used to meet patient's self-care needs based on their abilities. Orem's theory emphasizes the importance of understanding patient's capacity for self-care and the nurse's role in supporting and educating patients to perform self-care.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    78 views22 pages

    TFN Dorothea Orem

    Uploaded by

    Raphael Sevilla
    Dorothea Orem developed the Self-Care Theory of nursing. She was one of the foremost nursing theorists and published her ideas in 1971 and further developed them in 1980 and 1995. Her theory focuses on an individual's ability to perform self-care and defines nursing as assisting others with self-care. The theory includes the self-care agency, self-care requisites, and nursing systems. Orem identified three types of self-care requisites and three nursing systems used to meet patient's self-care needs based on their abilities. Orem's theory emphasizes the importance of understanding patient's capacity for self-care and the nurse's role in supporting and educating patients to perform self-care.

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    © All Rights Reserved
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    Download as pptx, pdf, or txt
    of 22

    THE LIFE AND WORKS OF

    DOROTHEA
    OREM
    AUTHOR OF THE SELF-CARE NURSING THEORY

    Presented by: Raphael Sevilla &


    Jelaine bulaclac
    Dorothea
    Orem's
    Self-Care
    Theory
    Dorothea Elizabeth Orem (1914-2007)
    • ONE OF FOREMOST NURSING THEORISTS
    • Born 1914 in Baltimore, Maryland
    •1939 - BSN, Catholic University of America
    •1945 - MSN, Catholic University of America
    • During her professional career, she worked as a staff
    nurse, private duty nurse, nurse educator and administrator
    and nurse consultant
    • RECEIVED HONORARY DOCTOR OF SCIENCE
    DEGREE IN 1976
    • PUBLISHED FIRST FORMAL ARTICULATION OF
    HER IDEAS IN NURSING: CONCEPTS OF PRACTICE
    IN 1971, SECOND IN 1980, AND IN 1995.
    • OREM DIED ON JUNE 22, 2007 AT 92
    • "There are instances wherein patients are encouraged to bring
    out the best in them despite being ill for a period of time. This
    is very particular in rehabilitation settings, in which patients are
    entitled to be more independent after being cared for by
    physicians and nurses."
    •It is considered a grand nursing theory, which means the
    theory covers a broad scope with general concepts that can be
    applied to all instances of nursing.
    • Orem's theory defined NURSING as "The act of assisting others
    in the provision and management of self-care to maintain or
    improve human functioning at home level of effectiveness." It
    focuses on each individual's ability to perform SELF- CARE,
    defined as "the practice of activities that individuals initiate and
    perform on their own behalf in maintaining life, health, and well-
    being."
    •Theory of self care
    •Theory of self care deficit
    •Theory of nursing system
    •SELF CARE - practice of activities that individual initiates and perform on
    their own behalf in maintaining life,health and well being
    •SELF CARE AGENCY- is a human ability which is "the ability for
    engaging in self care" -conditioned by age developmental state, life
    experience sociocultural orientation health and available resources
    •THERAPEUTIC SELF CARE DEMAND - "totality of self care actions to
    be performed for some duration in order to meet self care requisites
    • SELF CARE REQUISITES-action directed towards provision of self care
    3 CATEGORIES OF SELF CARE THEORY

    •Universal

    •Developmental

    •Health deviation
    A. UNIVERSAL SELF CARE
    REQUISITES
    • Common to all, ADL (needs that all people have)
    • Identifies these requisites as:
    a) Maintenance of sufficient intake of air ,water, food
    b) Provision of care assoc with elimination process
    c) Balance between activity and rest, between solitude and social interaction
    d) Prevention of hazards to human life well being and
    e) Promotion of human functioning
    B. DEVELOPMENTAL SELF CARE
    REQUISITES
    •Needs associated with developmental processes/ derived from a
    condition.... Or associated with an event
    •E.g. adjusting to a new job
    • adjusting to body changes
    C. HEALTH DEVIATION SELF CARE
    REQUISITES
    • Required in conditions of illness, injury, or disease. these include:
    • Seeking and securing appropriate medical assistance
    • Being aware of and attending to the effects and results of pathologic
    conditions
    • Effectively carrying out medically prescribed measures
    • Learning to live with effects of pathologic conditions
    A.Nursing agency
    is a complex property or attribute of people educated and trained as nurses that
    enables them to act, to know, and to help others meet their therapeutic self-care
    demands by exercising or developing their own self- care agency.

    B. Theory of self care deficit


    • Specific when nursing is needed because the person cannot carry out self-care
    activities
    • Nursing is required when an adult (or in the case of a dependent, the parent)
    is incapable or limited in the provision of continuous effective self care
    Orem identifies 5 methods of helping:

    1 Acting for and doing for others

    Guiding others 2

    3 Supporting another

    Providing an environment promoting personal


    development in relation to meet future 4
    demands

    5 Teaching another
    C. Theory of Nursing Systems
    • Describes how the patient's self care needs will be met by the nurse, the
    patient, or both
    • Identifies 3 classifications of nursing system to meet the self care requisite of
    the patient:
    a) Wholly compensatory system
    b) Partly compensatory system
    c) Supportive educative system
    A. Wholly Compensatory System
    •Patient is DEPENDENTY
    • Nurses accomplish ALL the patient's therapeutic self-care
    • Nurses compensate for the patient's inability to engage in self-care
    • Example: care of a new born, care of client recovering from surgery in a post-
    anesthesia care unit

    Example: Wholly Compensatory


    • The patient is unconscious because he had stroke (CVA). The nurse provides
    total care for the patient- feeding, hygiene, turning, elimination, suctioning of
    secretions to maintain effective respiration, promoting safety, providing
    exercises of joints and body parts.
    B. Partially Compensatory
    • Patient can meet SOME needs
    • Patient NEEDS NURSING assistance
    • Both the nurse and the patient engage in meeting self-care needs.
    • Example: Nurse can assist postoperative client to ambulate, Nurse can bring a
    meal tray for client who can feed himself
    Example: Partially Compensatory
    •The patient had undergone appendectomy a day ago. He has a slight fever
    (37.9C), still in pain & needs analgesic to relieve pain. He is advised to remain
    in bed but may be out of bed this afternoon. He is still on NPO. The patient can
    do self-care activities like changing position in bed, but needs nursing care for
    relief of pain & fever, assistance for ambulation & hygienic measures.
    C. Supportive Educative System
    • Patient CAN MEET self-care requisites, but needs assistance with decision
    making or knowledge and skills to learn self-care
    • Example: Nurse guides a mother how to breastfeed her baby, Counseling a
    psychiatric client on more adaptive coping strategies.

    Example: Supportive-Educative
    • The patient had been newly diagnosed to have diabetes mellitus. The patient
    is capable of self-care but she needs self-care knowledge on how to live well
    with diabetes- nutrition, activity/exercise, self- monitoring of blood glucose,
    foot care, prevention of complications, medications.
    Application of Orem's Theory
    • It emphasizes the need to understand the importance of self- care in
    promotion of health
    • Focus on the patient's capacity to perform self-care activities
    • It also becomes clear that nurses today should not move away education and
    supportive measures HEALTH TEACHINGS.
    Studio Shodwe

    Thank's For listening

    Connect with us.


    09351642162

    •raphaelsevilla801@gmail.com
    •jelainebulaclac12@gmail.com

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