Adult Obesity: Application of Orem, King, and Pender's Conceptual Models

The nursing process does not merely treat the patient as a physical body, but rather treats the patient holistically. The central philosophy of Dorothea Orem's self-care deficit nursing theory "is that all patients want to care for themselves, and they are able to recover more quickly and holistically by performing their own self-care as much as they're able" (Dorothea Orem, 2012, Nursing Theory). However, although self-care may be the core of Orem's theory, the decision to engage in self-care must be facilitated by the patient's social and physical environment, of which the family can play a critical role in shaping.

The theorist that I have chosen is Dorothea Orem. This theory describes the role of nursing in helping a patient’s who can no longer care for themselves (Mosby, 2009). The theory is divided into three parts; universal, developmental, and health deviation.

Theory has so far remained a strategic tool in advanced nursing practice. Firstly, nursing utilizes every feature of management science. Fortunately, the knowledge base of each and every management science takes theory into account. Theory includes methods, principles, and concepts. The principles are usually related, and can be observed and validated or verified when translated into the practice of management. Likewise, concepts are general notions, thoughts, and ideas that tend to form a basis of discussion or action. Therefore, theoretical principles guide clinical nurses to various

The impacts of health promotion are healthy population and healthy environments. People need to commit themselves in strengthening their learning skills and to change their necessary life styles in order to improve their health.

Many different factors can affect these abilities and must be considered by nurses when providing comprehensive care. She referred to this new thought process as the Self-care Deficit Theory of Nursing, which also is known as the Orem Model of Nursing. Orem published the basis for this theory in her book Nursing: Concepts of Practice in 1971. The Self-care Deficit Theory of Nursing earned Orem much acclaim and respect within the medical world. She became a lead theorist in nursing education and practice for the rest of her career. Her book, Nursing: Concepts of Practice, is still widely read today as it enters into its sixth edition. Wayne,

The importance of nursing theory to practice of nursing should not be overlooked or underrated. That is because, it’s understanding and application are essential in enhancing patient 's care, improving communication between nurses, providing education’ and guidance in research, (Robert T. Croyle (2005). It is equally important to know that currently, there are many theories that guide the practice of nursing. Two of the most prominent ones will be compared and will form the subject of this this discussion.

There are more than one billion overweigh adults in the world with at least three hundred of these adults being obese. In North America, obesity has increasingly become one of the most important public health problems (Flegal, Graubard, Williamson, & Gail 2005). With cases of obesity increasing, there has also been more exportation of research being done into the topic. Moreover, social, psychological and biological factors are being investigated to determine aspects that may influence the onset of obesity. This paper will focus on two specific domains of the biopsychosocial model of health with a focus on psychological and social factors that affect obesity.

Orem’s Theory has helped lay the ground work for modern nursing. In 1971 her theory was first published and includes three related concepts: self-care, self-care deficit and nursing systems. Orem’s theory has given direction to many nurses, inspiring them to seek better ways to develop and express the knowledge base of nursing. The purpose of her theory is to help patients and their families maintain control of their health during their lifetime. The theory consists of three parts the nursing system, self-care and self-care deficit. Care is the primary focus and the ultimate goal is health restoration. Patients are allowed to have primary control over their health and letting healthcare providers educate, promote and encourage healthy

Obesity has caused great dilemma in America. It was known as an adult disease. “Over two thirds of adults are over weight or obese.”(Obesity, Jerry R Ballenttne) these numbers are increasing rapidly. Obesity is not just a appearance

Orem describes how the patients self care needs will be meet by the nurse, patient, or both in her theory of nursing systems. “The design and elements of a nursing system defines the scope of nursing responsibility in health care situations, defines general and specific roles of nurses and patients, and defines reasons for nurses’ relationship with patients” (Current Nursing, 2010, para. 17). Orem recognized that members of the health profession usually develop specialized technologies. “A technology is systematized information about a process or a method for

Orem is credited with being one of the first major nursing theorists to link theory to practice in an explicit fashion. "The notion of being able to 'think' nursing to be able to move from an abstract general perspective representative of nursing in all situations as a basis for analyzing nursing cases in order to 'do' nursing in a variety of particular situations seemed essential if nursing was ever to move ahead as a separate scientific discipline of knowledge" (Allison 2008:49).

Dorothea Orem created the self-care theory in 1959 and continued to build upon her theory until 2001. The purpose of Orem’s theory was to define nursing, discuss the relationship among the nurse and the patient, and to promote a clear understanding of the scope of nursing (Taylor, Self-Care Deficit Theory of Nursing, 2006). Today, Orem’s theory is widely known and is utilized in nursing curriculum, as well as continuing education topics for healthcare providers.

Dorothea E. Orem devoted her life to defining nursing and the nurse’s role in improving the patient’s overall health, which she coined the Self-Care Deficit Theory. Orem’s theory is quite a complex one, which can be simplified by identifying that it is three theories in one: self-care theory, self-care deficit theory and nursing systems theory. In 1959, as Orem first began the evolution of the Self-Care Deficit Theory, she defined the nurse’s role as another self. This nursing theory is the foundation for nursing as it actually defines the art of nursing, the actions that drive the nurse and the nurse’s provision of care through the nursing systems theory. 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 (Banfield, 2011). When something happens that 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.

In summary, Dorothea Orem’s Self-Care Theory has greatly influenced the development of nursing research. At a close look at her theory, paradigm and contributions, one discovers the importance of research. Nursing research does and always will have a tremendous influence on nursing practice, thus indicating the importance of research being a

The health promotion model is greatly significant to nursing as it identifies and focuses on three main concepts: individual characteristics and experiences, behavior-specific cognitions and affects, and behavioral outcomes (Petiprin, 2016). Pender addresses and clearly defines each metaparadigm concept and propositions in relation to her conceptual model. Pender (2011) defines humans as biopsychosocial beings that actively seek to control their behavior that is formed by the environment which is made of social, cultural, and physical aspects where life occurs. Pender believes that the environment can be manipulated by both individuals and nursing in order to produce behaviors that optimize one’s health