Application of Nursing Orems Selfcare Deficit
Application of Nursing Orems Selfcare Deficit
Application of Nursing Orems Selfcare Deficit
Application of Orem’s Care Deficit Theory and Standardized Nursing Languages in a Case
A Case Study Application of Orem’s Care Deficit Theory and Standardized Nursing
Nursing Theory
Orem’s Self Care Deficit Theory contributed much in the development of nursing
knowledge; by shaping holistic approach among healthcare institution in dealing with long term
medical care, allow patients to apply their autonomy to identify self-care demands, and enhanced
family core support. Systematically, Orem’s Self Care Deficit Theory build a strong supportive
perfection both diagnosis and treatment. Furthermore, addresses the importance of knowledge
providing critical information especially in educating patient about the course of its medical care
to promote independency in participating patients’ health care and aimed the best quality of life.
Family support system displayed important role in this theory by creating positive feedbacks
loop of patient’s long term medical care in order to adapt and improve coping.
Concept Selection
Let’s clear up one common misconception from the get go: Self-care is not being
selfish; it is by means taking care of one’s self to be healthier. In this context, we will further
know that Orem’s Theory of self-care is focuses on each individual’s ability to perform self-care,
defined as the practice of activities that individuals initiate and perform on their own behalf in
maintaining life, health and well-being. Orem’s self-care deficit theory provides a framework to
guide assistance to meet the self-care requirement and management. Without further do, Orem’s
self-care Theory utilized the four integrated client-nurse concept, self-care, self-care agency,
therapeutic self-care demands, and self-care deficit. In addition, linking concepts of self-care
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theory defines its attribute in the promotion of health and protection of patient for further
complications with collaborative efforts among medical allied team in a strong well-integrated
health care system. Patient as the sole model of care, can or cannot perform the required
measures without assistance, inspite of that, Orem’s Theory projected nursing care system to
assist and managed patients needs. Helped to meet component of the client therapeutic self-care
demands and protects and regulates the development of client’s self-care. Three types of nursing
system are the wholly compensatory, partly compensatory and supportive educative. Thus;
provides information about long-term medical management and family support to enhanced
psychological growth.
Concept Analysis
The role of the environment in following individual’s life sustaining needs adherence to
In this framework the course of analysis is mainly in identifying the strength and
limitation of our subject. Sociocultural influences project the main problem of this context.
Factors involve family and individual’s lifestyle, religious norms and disease susceptibility due
to genetic factors. In such, guided by this context patient represent insufficiency of knowledge
about self-management of the existing illness. With the use of nursing standardized program,
patients were able to integrate nursing care to project a better health outcome. Due to
collaborative support with the patient, family and medical practitioners, patient was able to self-
Concept Application
As a middle-age women in 5’6inches height with 250lbs, with type2 diabetic mellitus
with complication, with limited knowledge about her present disease condition. Concept guides
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in this theory are more in implementation of self-care. Diagnosing patient with self-care deficit
due to uncapabilities of her self-care demands, care plans would develop some tools that could
be beneficial to patient as a sole model of care. With the integrated nursing care plan, nurse
would apply wholly or partially compensatory and supportive-educative type of care. It includes
education of patient about the nature her illness, recommend patient to healthy lifestyle and
encouraged adherence to owns care and emphasized its importance. Involved family in her long-
term medical care by means of supporting patient in managing proper nutrition management.
Provide necessary information to patient and family about diet regimen to control blood sugar
level. In addition to that family’s involvement in the process of patient’s adherences to care will
not be affected.
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References
Nursing Care Plans and Documentation: Nursing Diagnosis and Collaborative Problems
Exenatide
Use of Case Studies to Teach Diabetes and Other Chronic Illnesses to Nursing Students
Journal of Nursing Education; Thorofare Vol. 45, Iss. 6, (Jun 2006): 229-32.Cited
Culture Care Diversity and Universality: a Worldwide Nursing Theory: A Worldwide Nursing
Theory
Culture Care Diversity and Universality: a Worldwide Nursing Theory. Sudbury: Jones
Social Support, Self-efficacy, and Outcome Expectations Impact on Self-care Behaviors and
Glycemic Control in Caucasian and African American Adults With Type 2 Diabetes
Performer: Boston Coll., Chestnut Hill, MA. School of Nursing. 1978. 663p (1978)
Gordois, Adam; Scuffham, Paul; Shearer, Arran; Oglesby, Alan; Janet Ash Tobian.
American Diabetes Association guide to medical nutrition therapy for diabetes(clinical education
series)