Vaccination Clinic Journal

Dorothea Orem’s theory accepts and describes the premise of self-directed personal care (Alligood et al., 2010). Orem’s theory also explains and predicts when the nurse will be needed once the illness has challenged an individual's functional capacity. The purpose of the theory is to focus on individual’s being able to care for themselves on their own, identify when nurses are needed to help individuals progress to better health. Besides, self-health care is put in place to acknowledge that nurses can aid individuals to get back to their functional baseline abilities on time. (Alligood et al.,

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.

For todays clinical, I was located at the office in Pineville. To start the day, Mrs. Faranda went over the computer system and planned out her day based on her goals set for each patient. She planned out which patients she would need to call first. After that, she showed me how to look and see which patients were in the hospital and which were located in the emergency department. Lastly she me different thing in the computer system like the social determinants of health and the medication system. She also went over resources. To end the day, she made a few phone calls and tired to reach out to certain patients. Overall, I enjoyed my day and being able to learn more about Community Care of North Carolina.

My learning needs were supported this week by the nursing staff on the unit allowing me to help with assessing and treating their assigned patients .In addition, my clinical instructor discussing ways to improve out charting.

Laurie, I would like to thank you for sharing your post. I have worked with a few excellent physicians in the past that stress the importance of providing education to patients on topics such as immunizations and preventative care. Overall, I would say that nurse practitioners do spend additional time with patients to ensure education is provided and the patients’ questions/concerns are addressed. I feel this is a result of the nursing background that nurse practitioners have. You made excellent points in your post related to standing orders as well as enhanced documentation on the administration of vaccinations. Many studies that I have researched indicate standing orders for vaccinations such as influenza and pneumococcal vaccinations have increased the number of vaccinated

After nursing staff enters immunization facts, CommunityWorks tabulates the data into a daily report. The quality department promptly reviews this document to ensure staff is immunizing every patient, unless the patient refuses, or providers determine contraindication. With the current point of care technology, management and nursing have the chance to correct missed patient-care opportunities during the encounter. The final opportunity is at discharge. Therefore, when physicians place discharge orders, a prompt will encourage nursing to complete the immunization administration one last

The article “Business Models, Vaccination Services, and Public Health Relationships of Retail Clinics: A Qualitative Study” by Bayo C. Arthur, Allison Kennedy Fisher, Sarah J. Shoemaker, Alyssa Pozniak and Shannon Stokley seeks to “understand the profitability, vaccine offerings, and decision making related to the Retail Clinics’ business model” (Arthur et al., 2015, p.429). The affiliations for these authors are Bayo C. Arthur, Allison Kennedy Fisher and Shannon Stokley from Centers for Disease Control and Prevention, Sarah J. Shoemaker, PhD from Abt Associates, Inc., and Alyssa Pozniak, PhD from Arbor Research Collaborative for Health. The research problem addressed in this article is whether or not retail clinics will help increase patient access to vaccination services which we currently fall below from our goal defined in Healthy People 2020.

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).

I am writing this letter, hopefully to be printed in your paper, expressing my strong feelings about the issue of vaccinations given to prevent disease. There are many reasons to make sure that all of the population is properly vaccinated. Vaccines are very safe and effective, they can save a child’s life, and they protect future generations. These are just three reasons supporting vaccinations. I will explain why I think these reasons are so important.

Your research article was intriguing. The subject of vaccinating children has been a growing topic of conversation The point that you made regarding as a patient advocate nurses have the role of educating our patients and families of the benefits of vaccinations. The patient may not understand the role of the vaccine and what can be prevented if vaccinated. The healthcare worker may need education regarding vaccinations as well. According to the Centers for Disease Control and Prevention, the Hepatitis B, and Pneumococcal vaccinations are recommended for patients with chronic kidney disease or on dialysis (Centers for Disease Control and Prevention [CDC], 2012).

Working within the clinic and now taking part in managing Medicare subsequent visits through the role as registered nurses. Patients are benefiting through exceptional care through gaining education, immunizations up to date and disease prevention. Specifically, herpes zoster, prevar 13, pneumovax 23, tetanus and flu vaccination is commonly administered to those who meet appropriate requirements. Patients appreciate healthcare professionals keeping them informed with recommended health routine practices.

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

Throughout the clinical day the nurses let me help as much as I could, which I really appreciated. In most cases the nurses completed the wound vac care, but I got to pack all of the wounds

Dorothea Orem's self-care deficit theory was born while Dorothea Orem (1917-2007) was working in the Department of Health Education and Welfare (HEW) as a curriculum consultant. At this time in the history of the profession, nursing was just emerging as a unique academic discipline. Orem's theory was designed to answer the fundamental question: What is nursing? Orem defined nursing as a way of realizing every patient's desire to engage in self-care in a manner to "sustain life and health, recover from disease or injury and cope" with the consequences of major health events and daily life (El-Kader n.d.). Major assumptions of the theory include that "people should be self-reliant and responsible for their own care and others in their family needing care" (Dorothea Orem's self-care deficit theory, 2012, Current Nursing). Fundamentally, nursing and the nursing process is designed to enhance self-care and to address deficits in self-care.

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).