...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...
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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...
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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...
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...1. Theoretical Framework of Dorothea Orem’s Nursing Theory, BSN 2. ……….BSN NUR/513 Theoretical Framework of Dorothea Orem’s Nursing Theory The purpose of this paper is to provide an overview of Orem’s theoretical framework and analyze the critical components of the conceptual nursing model. Orem’s Self Care Deficit Theory is widely used in models of nursing. Orem chaired the Nursing Development Conference Group which examined nursing problems and research. Orem’s interest in curriculum development arise ++her interest in formulating a conceptualization of nursing. Theoretical Framework Orem presented her conceptual framework consisting of four concepts about persons and two about nursing and theories derived from this model – the self care deficit theory. The theory of self care, and the theory of nursing system. Concepts in the model are self care, self care agency, self care demand, self care deficit nursing agency, and nursing system (Fitzpatrick & Hall, 2005). Orem sees nursing as a science, technology, art, and a helping service given to a person with a legitimate need for it by nurses who have specialized knowledge and skills. Nurses help clients meet existing or anticipated demands for self care in order to sustain life and health, recover from disease or injury and cope with their effects (Fawcett, 2005). When speaking of nursing, Orem uses the terms nursing and nursing agency. Orem described the human being as an integrated whole composed of an internal physical...
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...Grand Nursing Theorist Assignment # 2 Grand Nursing Theorist Assignment # 2 Descriptive Analysis For this assignment, I chose to study grand nursing theorist Dorothy Orem and the nursing concept she introduced, the self-care deficit theory (also known as the Orem model of nursing). I chose to study Dorothy Orem because she is well known in Indiana, the state in which I reside. Orem’s grand nursing theory “was developed between 1959 and 2001…[and] is particularly used in rehabilitation and primary care settings where the patient is encouraged to be as independent as possible” (Orem & Taylor, 2011). Background of Theorist “Dorothy Orem was born in Baltimore, Maryland in 1914. She received her diploma in nursing in 1934 from Providence Hospital School of Nursing, Washington, D.C. Orem received her bachelor of science in nursing education in 1939 and a master of science in nursing education in 1945 from Catholic University of America, Washington, D.C. She had a varied background in clinical practice: OR, pediatrics, adult med-surg, private duty, and ER supervisor. She taught biological sciences, served as a director of nursing service and director of the school of nursing at Providence Hospital, Detroit, Michigan. In 1949, she went to the Indiana State Board of Health, Hospital Division, where she worked to help upgrade the nursing services in general hospitals in Indiana” (Hartweg, 1991). “As part of her master’s degree work, Orem had to formulate a definition of nursing...
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...How Theory Affects Education: A Microscope Perspective Elizabeth Wiedman Chamberlain College of Nursing NR 501: Theoretical Basis of Advanced Nursing Practice Summer Semester 2011 How Theory Affects Education: A Microscope Perspective Nursing is a topic that covers a great deal of ground. It takes years to gain experience in nursing. The study of nursing theories helps one to take advantage of the experiences of others. The best way to examine something is under a microscope because it focuses one closely on the topic at hand. It can also show smaller parts of the whole. The microscope perspective is used to describe how theory functions in the nursing profession and in nursing education. It will also explain how nursing theory describes the nursing profession using this perspective. This perspective is important because it can help one to take a closer look at smaller parts of nursing. Examples are provided of how the Self- Care Deficit Theory views education from this perspective. The Self-Care Deficit Theory was chosen because it good framework for nursing school curriculum and helps to guide the author’s present nursing practice. Theory as a Microscope of Nursing Nursing theories contain concepts that take a closer look at the features of nursing related to nurses and clients. The relationships between and among the concepts form the structure of the theory. Theories are formed after concepts are named and validation occurs. Theory takes a closer look at the...
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...Applying Orem's theory to care for patients with neurogenic bladder INTRODUCTION The core of nursing is theory guided practice. Nurses uses concepts, principles and theories of nursing to meet the health needs of the patients. Nursing practice is the art and science of caring and healing. In order to provide holistic and effective interventions, nurses use the theories to develop plan of care. Nursing is a combination of theories and it always guides practice. Theory-based nursing practice is the “application of various models, theories, and principles from nursing science and the biological, behavioral, medical and sociocultural disciplines to clinical nursing practice” (Kenney, 2013, p. 333). As one of the oncology and rehab nurse we come across many patients who suffer from neurogenic bladder problems. The importance of this paper is to educate about self-care for the patients with neurogenic bladder, with emphasis on Orem’s theory. The intent of this paper is to show how nurses use the theoretical principles in practice. Neurogenic bladder problems are seen in spinal cord injury patients. An article from the Journal of Nursing stated that each year about 11,000 people are affected by spinal cord injuries in United States. A number of cases have spinal tumors which may cause compression of the spinal nerves and cancer patients who have undergone sacrectomies, all end up with neurogenic...
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...and a field of knowledge?”, and “What condition exists when judgments are made that people need nursing?” In a 1996 newsletter to the International Orem Society she puts it thisway, “What do nurses encounter in their worlds as they design and produce nursing for others?What meaning can and should nurses attach to persons, things, events, conditions, andcircumstances they encounter?” In 1978, Orem (cited in Fawcett 2005) commented that the task required identification of the domain and boundaries of nursing as a science and an art. After reflecting upon her own nursing experiences, Orem says the answer came to her as a “flash of insight, an understanding that the reason why individuals could benefit from nursing was theexistence of…self care limitations” (Orem, 1978, cited in Fawcett, 2005, p. 230). Oremsummarized her initial ideas about nursing in an Indiana State Board of Health report...
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...Analysis across Theories The purpose of the nursing theories is to provide an interrelating framework focusing on the nursing practice. The defined nursing theories promote better patient care, improve the status of nursing profession, and improve the communication between the nurses, and provide guidance to the researches and education (Keefe, 2011). Not all nursing theories have the same meanings; however, they play the important role of explaining the key concepts and principles of nursing practice in understanding way. Dorothy Orem’s Self-Care Deficit Theory and Sister Callista Roy’s Adaptation Model are considered as grand nursing theories. The grand nursing theories are a conceptual model, which identifies the focal point of nursing inquiry and guide the development of mid-range theories that will become useful to nurses and also to other health professionals. According to Walker and Avant (2011), these theories contributed in “conceptually sorting the nursing from the practice of medicine by demonstrating the presence of distinct nursing perspectives.” In this essay, Orem’s Health Care Deficit Theory and Sister Callista Roy’s Adaptation Model are compared and analyzed for their importance in nursing. Orem’s Self-Care Deficit Theory Orem’s Self-Care Deficit Theory is one of three grand theories written by Dorothea E. Orem. According to Orem, nursing becomes necessary when an individual can no longer care for him or herself. Nursing provides care through acting...
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...TO EXCLUSIVE SELF-CARE. IN THESE CASES, THE SELF-CARE DEFICIT NURSING THEORY CAN BE APPLIED TO HELP PATIENTS BE MORE INDEPENDENT AND PREPARE TO BE RELEASED FROM THE HEALTHCARE FACILITY WHERE THEY ARE BEING CARED FOR. BIOGRAPHY OF DOROTHEA E. OREM DOROTHEA E. OREM WAS BORN IN 1914 IN BALTIMORE, MARYLAND. IN THE EARLY 1930S, SHE EARNED HER NURSING DIPLOMA FROM THE PROVIDENCE HOSPITAL SCHOOL OF NURSING IN WASHINGTON, D.C. SHE WENT ON TO COMPLETE HER BACHELOR OF SCIENCE IN NURSING IN 1939 AND HER MASTER'S OF SCIENCE IN NURSING IN 1945, BOTH FROM THE CATHOLIC UNIVERSITY OF AMERICA IN WASHINGTON, D.C. DOROTHEA OREM DIED ON JUNE 22, 2007. CAREER OF DOROTHEA E. OREM DOROTHEA OREM HAD A DISTINGUISHED CAREER IN NURSING. SHE EARNED SEVERAL HONORARY DOCTORATE DEGREES. SHE WAS GIVEN HONORARY DOCTORATES OF SCIENCE FROM BOTH GEORGETOWN UNIVERSITY IN 1976 AND INCARNATE WORD COLLEGE IN 1980. SHE WAS GIVEN AN HONORARY DOCTORATE OF HUMANE LETTERS FROM ILLINOIS WESLEYAN UNIVERSITY IN 1988, AND A DOCTORATE HONORIS CAUSAE FROM THE UNIVERSITY OF MISSOURI IN COLUMBIA IN 1998. SHE WAS ALSO GIVEN MANY AWARDS DURING HER CAREER: THE CATHOLIC UNIVERSITY OF AMERICA ALUMNI ACHIEVEMENT AWARD FOR NURSING THEORY IN 1980, THE LINDA RICHARDS AWARD FROM THE NATIONAL LEAGUE FOR NURSING IN 1991, AND WAS NAMED AN HONORARY FELLOW OF THE AMERICAN ACADEMY OF NURSING IN 1992. ONE OF THE WORKS WRITTEN BY DOROTHEA OREM IS: NURSING: CONCEPTS OF PRACTICE DOROTHEA OREM: SELF-CARE DEFICIT THEORY (NOTES ON NURSING...
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...Dorothea Orem’s Theory: Self Care Deficit Critic Kouadio K. Koko BSN, RN University of Virginia School of Nursing Dorothea Orem’s Theory: Self Care Deficit Critic Abstract Dorothea Orem’s self-care theory of nursing is one of the major nursing theories. It pays particular attention to the role of the patient in their own rehabilitation, as it expounds the benefits of self-care. Orem’s theory is well documented and has been used by several researchers as a basis for their research. This particular theory of nursing is broad and can be applied to the primary, secondary and tertiary levels of prevention. Many nursing schools have used this theory as a benchmark or guide in their curriculum development. Introduction The following is a critical review of Dorothea Orem’s self-care theory of nursing; in which she advocates for a patient centered approach to nursing where the patient takes an active role in their own rehabilitation. This critical review takes a look at the purpose of the self-care theory, major concepts and definitions, its assumptions, its strengths and its weaknesses. The information provided in this report could be of benefit to a recently enrolled nursing student or any individual who wants to have a broader concept of one of the major nursing theories. Brief Summary of Theory Orem’s self-care theory of nursing basically surmises that the main purpose of the nurse is to facilitate the patient’s recovery; by helping the patients get to a point where they can...
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...Analysis Across Theories Comparison and Analysis across Theories The purpose of the nursing theories is to provide an interrelating framework focusing on the nursing practice. The defined nursing theories promote better patient care, improve the status of nursing profession, and improve the communication between the nurses, and provide guidance to the researches and education (Keefe, 2011). Not all nursing theories have the same meanings; however, they play the important role of explaining the key concepts and principles of nursing practice in understanding way. Dorothy Orem’s Self-Care Deficit Theory and Sister Callista Roy’s Adaptation Model are considered as grand nursing theories. The grand nursing theories are a conceptual model, which identifies the focal point of nursing inquiry and guide the development of mid-range theories that will become useful to nurses and also to other health professionals. According to Walker and Avant (2011), these theories contributed in “conceptually sorting the nursing from the practice of medicine by demonstrating the presence of distinct nursing perspectives.” In this essay, Orem’s Health Care Deficit Theory and Sister Callista Roy’s Adaptation Model are compared and analyzed for their importance in nursing. Orem’s Self-Care Deficit Theory Orem’s Self-Care Deficit Theory is one of three grand theories written by Dorothea E. Orem. According to Orem, nursing becomes necessary when an individual can no longer care for him or herself...
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...APPLICATION OF NURSING THEORY TO CLINICAL PRACTICE: THE SELF-CARE MODEL OF DOROTHEA OREM Introduction The purpose of this paper is to discuss the application of Dorothea Orem’s Self-Care Model of Nursing to clinical nurse practice. The central thesis of the paper is that Orem’s theory has strong utility for application to modern day clinical practice and can be applied to most any case in order to attain the desired medical and caring outcomes. The presented discussion will support this perspective of Orem’s theory. The paper begins with a brief overview of the theory which is then followed by a delineation of a non-nursing theory that supports one or more of Orem’s self-care notions. The next section of the paper presents a historical overview of the evolution of Orem’s theory, a delineation of the concepts central to the metaparadigm, and an exploration of the theory’s usefulness in education and research. The final section of the paper applies the theory to a particular case. A model of the theory is presented in Appendix A. Orem’s Self-Care Theory Alligood and Marriner-Tomey (2001) state that conceptual or theoretical models of nurse practice are pivotal to the field, providing the profession with a guide to patient care and with a general frame of reference that connects the structural environment to the patters of behavior and relationships within the organization. The Orem Self-Care Model of Nursing (Orem, Taylor & McLaughlin, 2003) is one such model. According...
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...the health care field. Limited health literacy affects a patient's entire health care experience. Patients with low health literacy are more likely to miss preventive measures, which will most likely require rehospitalization. It is imperative for nurses to avoid jargons and use simple language to get the message across. While Henderson’s theory supports nursing as a profession in assisting patients who are well or sick and ensuring 14 basic needs, Orem’s theory is more contemporary where a nurse engages patient in plan of care and guides the patient to be self-dependent in the acquisition of knowledge and skills. Orem’s theory supports that client has the primary responsibility of personal health, with the nurse acting as a guide. Furthermore as long as self-care abilities equal or exceed self-care demands, such patients have no need for nursing ( Hohdorf,2010). However, if self –care deficit is recognized ,nurses should individualize care based on patient situation and must clearly communicate in order to improve and coordinate patient care. In order to improve and coordinate patient care, decisions made by nurses must be individualized to the patient situation, information collected by nurses must be clearly communicated to other health care providers and nurses must actively intervene and suppor Hohdorf, M. (2010). Self-Care Deficit Nursing Theory in Ingolstadt -- an approach to practice development in nursing care. Self-Care, Dependent-Care...
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...Analysis across Theories UOP Theoretical Foundations of Nursing NUR/513 Concept Comparison and Analysis across Theories Nursing theory is relatively new and as such, it continues to evolve as new knowledge is gained. There are numerous theories of nursing, each of which took years to develop and most of which continue to evolve and adapt. There are commonalities between and among the existing theories although each may focus more heavily on different aspects of responsibilities. It has to do with the philosophical foundations for each theory. Moore, (Moore, 2008) reported a nursing metaparadigm of four basic concepts: "person, health, environment, and nursing." Another author suggested the core concepts of nursing theory and practice are caring, assessment, teaching and learning, collaboration, managing care, communication and professional behaviors, (Opperman Med Law Consulting, 2008). These core concepts as identified by these authors can be found in some fashion in all nursing theories. Orem commented that nurses could do nursing but they could not explain what nursing is (Hartweg, 1991). She was also interested in what conditions had to exist for a person to seek help from nurses (Hartweg, 1991). The first answer she determined was that people sought help when they could not care for themselves (Hartweg, 1991). Orem's work was inspired by those she considered big thinkers, like experts in philosophy, metaphysics and action theories as well as the...
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