Dorothea Orem's Self-Care Deficit Theory PDF

Person Environment Health Nursing  An individual or group of individuals who have the ability to acquire the knowledge necessary to perform tasks of self-care. Intellectual ability to cognitively perform, delegate and evaluate tasks performed. 4 Realms of state are encompassed in E...

Person Environment Health Nursing  An individual or group of individuals who have the ability to acquire the knowledge necessary to perform tasks of self-care. Intellectual ability to cognitively perform, delegate and evaluate tasks performed. 4 Realms of state are encompassed in Environment: –Physical (shelter, security , amenities) –Chemical (pollutants, lead paints, mercury, asbestos) –Biological (molds, pollens, allergens, mites) –Socioeconomical (family income, education level, occupation, social status, resources)  “Promotes function and development within social groups in accordance with human potential, known human limitation, and the human desire to return to normal” (Tomey & Alligood, 2006 p. 279).  Task Performance § The skilled professional who Coordinated Self-Care evaluates and acknowledges a Promotion patient’s health deficit. Supportive Demographics § Nursing plans and implements care based on the actual and potential self-care deficits. q Self-care is the performance or practice of activities that individuals initiate and perform on their own behalf to maintain life, health and well-being. q Self-care agency is the human’s ability or power to engage in self- care and is affected by basic conditioning factors. q Basic conditioning factors are age, gender, developmental state, health state, sociocultural orientation, health care system factors, family system factors, patterns of living, environmental factors, and resource adequacy and availability. q Therapeutic Self-care Demand is the totality of “self-care actions to be performed for some duration in order to meet known self-care requisites by using valid methods and related sets of actions and operations.” q S el f-c a r e D e fi c i t d e l i n e a t e s w h e n nursing is needed. Nursing is required when an adult (or in the case of a dependent, the parent or guardian) is incapable of or limited in the provision of continuous effective self-care. q Nursing Agency is a complex property or attribute of people educated and trained as nurses that enables them to act, to know, and to help others meet their therapeutic self-care demands by exercising or developing their own self- care agency. q Nursing System is the product of a series of relations between the persons: legitimate nurse and legitimate client. Ø considered to be the unifying theory that includes all of the essential elements of self-care deficit nursing theory. Three Nursing Theories 1. The Theory of Self Care 2. The Theory of Self-Care Deficit 3. The Theory of Nursing Systems  “Self –care comprises the practice of activities that maturing and mature persons initiate and perform, within time frames, on their own behalf in the interest of maintaining life, healthful functioning, continuing personal development and well-being through meeting known requisites for functional and developmental regulations” --(Tomey & Alligood, 2018).  Continued The Theory of Self-Care has three components: A. Universal self-care requisites B. Developmental self-care requisites C. Health deviation self-care requisites qIdentifies these requisites as: ü Maintenance of sufficient intake of air ,water, food üProvision of care associated with elimination process üBalance between activity and rest, between solitude and social interaction ü Prevention of hazards to human life well being ü Promotion of human functioning qComposed of 3 needs § Promote development § Engage in self-development § Preventing or overcoming adverse human conditions and life situations qWhen a condition permanently or temporarily alters structural, physiological or psychological function. §Comatose states §Autism §Mental Retardation qA s e l f - c a r e d e f i c i t o c c u r s when an individual cannot carry out self-care requisites. qE x a m p l e s o f s e l f - c a r e requisites are: § Wound care § Activities of Daily Living § Bowel program § Glucose monitoring qWholly compensatory system- patient is unable to complete any self-care independently; nursing compensates for patient’s inability to perform self-care. qPartly compensatory system- patient is able to perform self-care tasks with partial or no assistance from nursing. qSupportive-Educative system– patient able to perform tasks independently. Nursing provides ongoing education and support.