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Nursing Practice Guided by Orem’s Self- Care Deficit Nursing Theory

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Nursing practice guided by Orem’s Self- Care Deficit Nursing Theory is a combination of both nursing experience and science to produce quality nursing care (Alligood, 2010). Orem’s theory is based on when and how nursing care is needed when the patient is unable to care for themselves (Seed & Torkelson, 2012). Patient care using Orem’s theory can be utilized by using four cognitive operations as follows: diagnostic, prescriptive, regulatory and control (Alligood, 2010). These operations represent the different phases in nursing care used when applying Orem’s theory.
Orem’s Theory in Action: Geraldo is a 45-year-old man who came in the Emergency Department with high fever, fatigue and shortness of breath. Patient was then diagnosed with infective endocarditis and is a candidate for a valve replacement. Patient has no prior medical history but states he has the occasional “cough and cold” episodes. He has a history of illegal IV drug use since he was about 20 years old, but states he quit using illegal drugs 3 months ago. Patient smokes a pack a day and states he occasionally drinks alcohol with his cousin and friends. Patient is currently unemployed, has no health insurance and is currently staying with his cousin in a small 1-bedroom apartment. Patient is not married and states that his immediate family members live out of state. He finished high school and stated spent a semester in college but decided to drop out for he could not handle the stress of school. Patient does not believe in seeing a doctor for preventive health stating, “I am young and doesn’t need to see a doctor for anything!” Patient was then counseled about his plan of care including the possible use of long-term antibiotics, Coumadin therapy and the valve replacement with a mechanical valve. Geraldo then had concerns about the constant clicking noise he will be able to hear with his new valves

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