Theory Critique

Orem focuses on nursing as a deliberate human action and notes that all individuals can benefit from nursing when they have health-derived or health-related limitations for engaging in self-care or the care of dependent others (Gunther, 2016). The nurse chooses deliberate actions from nursing systems to bring about desirable conditions in persons. The goal of nursing is to move a patient toward responsible self care or to meet existing healthcare needs of those who have health care deficits (Gunther, 2016). Orem expects people to be responsible for themselves and to seek help when they cannot maintain therapeutic self-care or dependent-care (Fawcett, 2003).

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.

Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of

The core concept of ‘The role of nursing’ was used in both Dorothea Orem’s self care model and in Virginia Henderson’s nursing care model. Dorothea

Therefore, my persuasive presentation began with couple compelling stories emphasizing the need for diabetes self-management program to be initiated by Primary Care Provider. Just for clarification, those two case are not to insult practice of medical professionals but to underscore the imperativeness of education in the population affected by this chronic illness. The first individual whom I encountered along my career as a Diabetes Educator was a female in early twenties who was full of anguish over her new diagnosis of diabetes. Consequently, after couple meetings, she revealed that a few years ago she exhibited symptoms of what she thought was diabetes and after reaching out to her medical doctor her concerns were blatantly dismissed. Subsequently,

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.

Dorothea Orem’s self-care deficit theory’s nursing goal is to assist individuals to meet all their self-care needs by teaching them with skillful healthy habits (Hood, 2014, p. 137). In order for nurses to provide the support needed by an individual, they must assess all their patients’ self-care requisites. As explained by Moore (2015), “Orem uses the self-care requisites as a basis for assessment [in] the nursing process.” These self-requisites are universal needs that arise due to illness and/or changes in developmental stages (Hood, 2014). Dennis (1997) described in detail Orem’s basic conditioning factors that must be assessed to gather sufficient information about the individual and about their ongoing and emerging self-care requisites. Orem’s basic conditioning factors include: age, gender, developmental state, health state, health care system, sociocultural/spiritual orientation, family systems, patterns of living, environment, and available resources (Dennis, 1997).

The foundation for the nursing profession that provides principles to generate knowledge defines nursing theory. Successful nurses must be rooted in theory and understand the philosophy that drives their actions. Dorothea Orem is a nurse with a vision that studied human behavior, with the core concept of self-care in the patient/nurse relationship. This paper seeks to explain Dorothea Orem’s Theory including the contribution of her research as it relates to nursing development and paradigms of nursing.

Dorthea Orem based her nursing theory on a holistic approach. She believed that emotional, mental and physical balance were three parts of a whole in which individuals and healthcare providers needed to focus on in order to provide the best quality of life possible. Orem described much of her theory by defining self-care, self-care deficit, self-care requisites, and agency. Self-care is the care taken by an individual in order to meet his or her self-care demands. Agency refers to a person’s ability to care for their self (Hood, 2014). In Orem’s theory, there is a deficit when the agency cannot perform the necessary actions to sustain their self-care demands, which are, “all self-care activities required to meet existing self-care requisites” (Berman & Snyder, 2014, p. 44).

Dorothea Orem’s self-care nursing philosophy encourages patient autonomy and gives patients a voice. Consequently, it increases patient responsibility and participation in their care. It provides nurses with a solid foundation to give patients’ self-sufficiency and control in caring for themselves. The self-care model is achieved when patients transform from dependent, unreceptive patients to active, engaged

The art of nursing has been around many years. Like professional medicine, nursing is an ever-changing field in health care. What we?who learn in school is just a basic foundation of this exciting field in health care. Yet, where did the basic theories of nursing come from? What is nursing theory? I will discuss what nursing theory is, along with its importance to and influence on the nursing field today. I will discuss briefly Dorothea Orem’s self-care deficit nursing theory and its importance to nursing today.

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 Orem’s Self Care theory of nursing is made up of three specific ideas. The three ideas are the theory of self-care, the self-care deficit theory, and the theory of nursing systems (Peterson, Bredow 2013). Several of the major ideas within the theory include that people distinct individuals are responsible for their own care. The person’s own base of knowledge is very important when it comes to maintaining health and preventing illness. The role of the advanced practice nurse is one of action, which allows and encourages patients to feel empowered to develop self care health skills in order to be autonomous. A major strength of Orem’s theory is that it is applicable for nursing by the beginning practitioner as well as the advanced clinicians (Peterson, Bredow 2013).

Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.

Based on statistics from the Centers for Disease Control website, 17.0 million people in the United States, approximately 6.2% of the population, have diabetes (CDC, 2015). Diabetes is a chronic disease that can cause severe complications resulting in kidney failure, blindness, amputation, loss of sensation, and cardiovascular disease when not controlled. Studies published have demonstrated that many of the debilitating effects of diabetes are avoidable through consistent glucose control, regular medical care, and self-management practices. These studies have shown that people with diabetes that attend diabetes self-management education (DSME) outpatient classes have better clinical outcomes compared to those that have not participated in these classes (Walton, Snead,