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Dorothea Orem's Self-Care Immigit Theory

Decent Essays

a) Grand theory in resolving compassion fatigue in ICUs; Self-care deficit nursing theory 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 …show more content…

a. Self-transcendence, being a mid-range theory, is applicable to inter-personal relations as well as the environment. Thus it is not too broad or abstract as in case of Dorothea Orem’s self-care deficit theory. Similarly, it still has much scope in application in varying situations whether being in ICU or hospices, unlike the borrowed theory of Kohuts self-psychology model, which has to be applied on a case-by-case basis. b. Self-transcendence is easily implementable. Since the process occurs by self, over the caregiver’s life experiences, only proper training, awareness and optimal conditions need to be created. c. Self-transcendence is a quantifiable aspect, and it is possible to measure the coping capabilities. Multiple tests such as STS, ProQOL, compassion satisfaction test, etc are available to reliably measure self-transcendence. d. Self-transcendene allows the care-giver to learn from own experiences of vulnerabilities. Hence compassion fatigue, which sets-in during long tenure, actually could be diverted to compassion satisfaction and

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