Dorothea Orem 's Theory Of Self Care

The purpose of this paper will be to explain the components of Dorothea Orem’s self-care deficit theory, the current significance of the theory, and the application of this particular nursing theory. A nursing theory is an explanation of a division of nursing that “describes, explains, predicts, or prescribes” that particular division. (Perry, Potter, Stockert, & Hall, 2013, p. 41). Orem developed her personal theory, the self-care deficit theory, to assess a patient’s ability to perform vital daily tasks and how it affected the patient’s. (Hartweg & Pickens, 2016). This theory is a grand theory, which means it can be used in almost all areas of nursing. There are five components or methods that compose this theory that nurses will practice when working with a patient who needs to reach the self-care deficit. (Edney, Jaime, & Young, 2016). It is used today and has been included in several studies that have proven it to be effective in shortening hospital visits when used on critically ill patients. (Hohdorf, 2010). This particular theory has helped advance nursing practice since Orem’s first publication.

I define my philosophy of nursing within the three nursing domains of person, health, and environment. My goal is to communicate the importance of nursing as a knowledge-based career, depending not only on the nurse fulfilling her role but also on the patient’s compliance. A patient must learn to provide self-care at home in the same capacity as the nurse would provide care in the clinical setting. I discuss various subjects within nursing. I explain why I want to be a nurse, what I believe a nurse’s role is, the different domains of nursing, and where I believe nursing will be in the future. My philosophy demonstrates the interdependence of the nursing domains. You cannot fully evaluate a person without evaluating their health,

I chose to do a concept analysis on ‘Self-Care.’ The nursing theory that uses this concept is Orem’s theory of nursing. This theory is a grand theory and consists of three minor interrelated theories; self-care,

Dorthea E. Orem’s self-care model emphasizes both a patient 's ability and responsibility to care for themselves. Self-care as defined by Orem as “the practice of activities that individuals initiate and perform on their own behalf to maintain life, health, and well-being” (Catalano, 2015, p. 58). Since individuals function at varying levels, Orem has identified three levels of nursing care: wholly compensated care, partially compensated care, and supportive developmental care. This theories goal is to help each individual reach his or her maximum level of function and to take responsibility for his or her health (Catalano, 2015). Self-reliance is also core value in my own personal life. I believe that a person who is capable of performing any part of their own self-care should be encouraged to do so because it will help them become independent, improve their psychosocial status, and promote self worth at a time when they rely so heavily on other people for their care. Orem’s theory matches my own belief of the importance of independence and self-reliance because the main goal is to help patients become as self-reliant as possible in their healthcare. This theory emphasizes the important role of education in nursing in order to enable them to take control of their own health. Because of health deficits, some individuals may require more assistance from care providers. However, even these patients should be encouraged and allowed to do whatever they are able to do for

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 profession of nursing requires a capacity and joy for caring and healing others both mentally and physically. Nurses spend their careers caring for patients and their families often in the worst and most frightening periods of their lives. Nursing responsibilities can be lengthy, stressful and physically and emotionally demanding. The demands of the nursing profession coupled with the nursing shortage and longer work hours put even more stress on nurses. Despite these extreme demands, many nurses do not fully appreciate the importance self-care. Yet without proper care for themselves, nurses are not able to provide the best care for their patients.

A nursing philosophy coincides with self-awareness. Nursing philosophies are developed by each individual nurse regarding the nursing practice and are important in understanding what is fundamentally important to each nurse, along with their values and beliefs. Self-awareness, in short, is knowledge of one 's self, feelings, motives, and desires. In order for nurses to develop their own nursing philosophy they must first have a good sense of self-awareness. As a future nurse it is important that I recognize my own self-awareness so I can continue to build onto my beliefs and values of the nursing profession and gain a better understanding of what is fundamentally important to me as a nurse. In this paper I will discuss why I chose the nursing profession, my beliefs and values, and what I feel is fundamentally important in the nursing profession.

Dorothea Orem is known as one of the foremost nursing theorists. She is credited with the development of a nursing grand theory, the self-care deficit nursing theory (SCDNT). The beginning of her career can be traced back to Washington, D.C. in the mid 1930’s. Though she was a Baltimore, Maryland native, Orem pursued her nursing education at Catholic University of America (CUA) in Washington, D.C., graduating with baccalaureate and Master’s degrees in 1939 and 1945 respectively. Following her education, Orem held many job positions across multiple nursing disciplines, including working as a private nurse, nurse educator, administrator, director, and private contractor (McEwen & Wills, 2011).

Concept Analysis is an essential part of nursing theory development. Analyzing concepts of theories assists the reader in defining the attributes of the theory as well as identifying key points developed in the theory. Concept analysis helps clarify theories and evaluate their meanings. Studying the concepts helps us define and explain relationships between nurses and patients and this produces nursing theories (Orem, Denyes & Bekel, 2001). This paper will discuss the concept of self-care as used in Dorothea Orem’s self-care theory. Definitions and a literature review will be performed as well as identification of antecedents, consequences, and empirical

However, we may want to consider more wholistic view when executing nursing care. The environment, economics, social, food, and rest all contribute to the healing process and nursing play a distinct role. This is some of my key beliefs that I adopted from Dorothea Orem’s Self-Care Deficit theory of Nursing. My goal is to provide a patient with high quality care in a comfortable environment, along with providing the patient with proper education and guiding them in a direction that provide them with the resources they may need.

Dorothea Orem’s self-care deficit theory is based upon the idea that individual’s require a set of actions to maintain self-care and independence. When an individual is unable to perform an action required for daily care then that individual has a deficit. In order for the person to regain or acquire the skills needed to overcome this deficit they must first be willing to seek help and take the steps and measure needed (Orem, 1991). Nurse’s play a key role is this process by evaluating what the deficit is, formulating the steps needed, implementing the process and evaluating the results. Some of the concepts to this theory are that of, dependency, nursing, health, person, environment,

As I researched geriatric nursing, I found that Dorothea Orem’s Self-Care Deficit Theory is the best support evidence based theory when it comes to geriatrics. The self-care deficit theory proposed by Orem in 1971 is a combination of three theories: theory of self-care, theory of self-care deficit and the theory of nursing systems. The self-care deficit nursing theory, also known as the Orem model nursing, was developed by Dorothea Orem between 1959 and 2001. It is considered a grand nursing theory, which means it covers a broad scope with general concept that can be applied to all instances of nursing. (Nursing Theory, 2011.) The self-care model states that nursing facilitates client self-care by measuring the client's deficit relative to self-care needs, the nurse implements appropriate measures to assist the client in meeting these needs by matching them to an appropriate supportive intervention. (Cherry, 2013.)

Dorothea Orem 1971. Orem identified three theories: self-care, self-care deficit, and nursing systems (George, 2011, p. 27). Her theory introduced the concept of self-care where “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 E. Orem - Nursing Theorist”, 2013).

Dorothea Orem’s Self-Care Deficit Theory discusses how in certain situations a patient may not be able to care for themselves. This causes a self-care deficit and that is when the nurse helps the patient until they are able to take care of themselves once again. Assisting patients with deficits are skills that nurses are required to possess. In my practice as a nurse my job is to coordinate services to maximize the independence of the patient and to ensure that the environment in which the patient lives in is safe and supportive for their needs. Daily I apply Orem’s theory. The purpose of this paper is to show how Orem’s Self-Care Theory is important and how it relates to my nursing practice.

The self-care deficit theory, a part of the three-part theory proposed by Dorothea Orem (Parker, 1990), identifies that the role of nurse is to fill the deficit in self-care of patients (only when the patient is unable to fulfil the needs). The theory bases on the assumption that every human is able to take care of him/herself, and a nurses requirement comes only when this ability is affected and as per Sitzman & Eichelbergerm Orem’s theory mandates "The degree of nursing care and intervention depends on the degree to which the client is able (or unable) to meet self-care needs” (Sitzman & Eichelberger, 2011) (p. 96). Similarly, it also states that nurse’s responsibility was to help the patient