Dorothea Orem Self-Care Deficit PDF

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Northern Christian College

Marnie U. Dela Cruz, Man, RN, Cedric James A. Calantes, RN

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nursing theory self-care dorothea orem nursing education

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This document provides a detailed overview of Dorothea Orem's Self-Care Deficit Nursing Theory (SCDNT). It covers learning outcomes, pretest questions, learning activities related to the theory, and references. The theory focuses on the principles of self-care and how nurses can support patients in meeting their self-care needs. Ideal for nursing students.

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NCM 100: THEORETICAL FOUNDATIONS IN NURSING CJCALANTES TABLE OF CONTENTS DOROTHEE OREM: SELF-CARE DEFICIT THEORY 1 Table of Contents 2 Learn...

NCM 100: THEORETICAL FOUNDATIONS IN NURSING CJCALANTES TABLE OF CONTENTS DOROTHEE OREM: SELF-CARE DEFICIT THEORY 1 Table of Contents 2 Learning Outcomes 2 Pretest 3 Learning Activities 4 Post-test 5 References 6 Learning Outcomes At the end of this module, the student will be able to: 1. Describe the key concepts of Dorothea Orem’s Self-care Deficit Theory 2. Explain and analyze the three nursing systems in the theory and how they relate to nursing assessment and interventions. 3. Apply Orem’s Theory to assess patient in clinical scenarios. NCM 100: THEORETICAL FOUNDATIONS IN NURSING CJCALANTES Pretest: Dorothea Orem’s Self-Care Deficit Nursing Theory 1. What is the main purpose of Dorothea Orem’s Self-Care Deficit Nursing Theory? A. To explain the relationship between nurses and doctors B. To identify ways for nurses to assist patients with self-care needs C. To create a new model of hospital management D. To develop medical treatments for chronic conditions 2. According to Orem’s theory, a self-care deficit occurs when: A. Patients can meet all of their self-care needs independently B. Nurses take full responsibility for a patient’s care C. An individual is unable to perform self-care activities D. Patients refuse to cooperate with healthcare providers 3. Which of the following is NOT one of the three nursing systems in Orem’s theory? A. Wholly Compensatory System B. Partially Compensatory System C. Independent System D. Supportive-Educative System 4. In the Partially Compensatory System, the nurse’s role is to: A. Perform all self-care activities for the patient B. Provide guidance and support to patients who can perform most self-care tasks C. Share responsibility for self-care with the patient D. Leave the patient to manage all self-care independently 5. What is “self-care agency” in Orem’s theory? A. The nurse’s ability to provide self-care B. The healthcare system’s ability to provide care C. An individual’s ability to perform self-care activities D. A type of government agency focused on health NCM 100: THEORETICAL FOUNDATIONS IN NURSING CJCALANTES LEARNING ACTIVITIES 1. Introduction to Dorothea Orem Biography: Dorothea Elizabeth Orem was born in Baltimore, Maryland, on July 15, 1914, and passed away on June 22, 2007. She was a dedicated nurse, theorist, and educator who aimed to professionalize nursing by promoting the idea of self-care as a foundational concept. Orem earned her nursing diploma from Providence Hospital School of Nursing in Washington, D.C. She completed further studies, including a Bachelor of Science in Nursing Education and a Master of Science in Nursing Education from The Catholic University of America. Her theory, developed in the 1950s and refined over subsequent decades, emerged from her desire to answer the fundamental question: What makes nursing necessary? Orem’s work has been widely accepted and is taught globally due to its practical approach to nursing care. 2. Overview of the Self-Care Deficit Nursing Theory (SCDNT) Orem’s theory is centered on the belief that nursing is required when individuals are unable to meet their self-care needs. The SCDNT provides a systematic framework to understand the patient’s self-care needs, the nurse’s role, and the process of intervention. Key Components of SCDNT: Self-Care: Refers to the activities individuals perform independently to maintain life, health, and well-being. Self-Care Agency: The individual’s capability to perform self-care, which depends on age, developmental state, life experience, and health status. Therapeutic Self-Care Demand: The totality of actions required for meeting self-care needs, determined by factors such as health condition and developmental needs. Self-Care Deficit: Occurs when an individual’s self-care agency is insufficient to meet the therapeutic self-care demands. Nursing Systems: o Wholly Compensatory System: The nurse provides all care because the patient cannot perform any self-care. o Partially Compensatory System: Both the nurse and patient share self-care responsibilities. o Supportive-Educative System: The patient can perform self-care but requires guidance, teaching, or support. NCM 100: THEORETICAL FOUNDATIONS IN NURSING CJCALANTES 3. Application of SCDNT in Nursing Practice Orem’s theory has widespread applications, particularly in acute and chronic care settings where self-care abilities vary. The theory is applied in assessing self-care needs, planning interventions, implementing support, and evaluating outcomes in collaboration with patients. This approach enhances patients’ independence and autonomy, encouraging their participation in their own care. Steps in Applying SCDNT: Assessment: Evaluate the patient’s self-care needs, self-care deficits, and capabilities. Diagnosis: Identify areas where self-care deficits exist. Planning: Develop a plan to address self-care needs through appropriate nursing systems. Implementation: Provide care directly, or assist and support the patient to meet self-care needs. Evaluation: Review if the self-care goals have been met or if adjustments are needed. Conclusion The Self-Care Deficit Nursing Theory provides a robust foundation for delivering patient- centered care that emphasizes patient autonomy. This module allows students to understand and practice Orem's theory by identifying patients’ self-care deficits and addressing them through evidence-based, theory-guided interventions. Pretest: 1. B, 2. C, 3. C, 4. C, 5. C POST TEST A post-test assessment will be administered at the next school meeting. Wait for further announcement. NCM 100: THEORETICAL FOUNDATIONS IN NURSING CJCALANTES References: Taylor, S. G., & Renpenning, K. M. (2022). Self-Care Science, Nursing Theory, and Evidence-Based Practice. Springer Publishing. Mendes, F. R., & Oliveira, R. C. (2022). Using Orem’s theory to guide nursing care for patients with chronic illnesses. International Journal of Nursing Practice, 28(4), e12879. Udan, J. Q. (2020). Theoretical Foundations in Nursing: Adaptation Model (2nd Edition). APD Educational Publishing House. NCM 100: THEORETICAL FOUNDATIONS IN NURSING CJCALANTES

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