Dorothea Orem Self-Care Deficit Theory

Dorothea OremSelf-Care Deficit TheoryPresented by: Shoughlah Niaz RN

Dorothea Orem Born in Baltimore, MD in 1914

Began Nursing Career in Providence Hospital in Washington DC, received her nursing diploma

Complete BSN in 1939 and her MSN in 1946 at Catholic University of America

Held Directorship of nursing school and nursing department at Providence Hospital in Detroit from 1940-1949

Moved to Indiana and worked for the Indiana State Board of Health

(Biography of Dorothea Orem, 2013)

Moved to Washington DC in 1957 at the US Dept of Health as a curriculum consultant to upgrade nursing trainingBecame Assistant Professor at Catholic University of America in 1959Developed her concepts of nursing and self care at Catholic University of AmericaBegan consulting firm in 1970 Published first book in 1971 Nursing: Concepts of PracticeHonorary DoctoratesDied in 2007Dorothea Orem(Biography of Dorothea Orem, 2013)

Developed theory to improve quality of nursing and patient ability to meets demands of care

Three components of theory:

Self-careSelf-care deficitNursing System

Self-care deficit is core of Orems theory because determines when nursing is neededMain purpose for theory is for patients and families to maintain control of health by actively performing for self

Self-care deficit theory(Self Care Deficit of Nursing Theory-Dorothea Orem, 2012)

Activity of person to do on own in maintaining their health and well-being

When there is demand to care for oneself and that individual is capable to meet that demand, self-care is possible Concepts:

-Self care agency-Therapeutic self care demand-Self care requisites: universal, developmental and health deviation

Self-care(Self Care Deficit of Nursing Theory-Dorothea Orem, 2012)

When individual is not capable to meet the demand of care for self, self-care deficit occursThis is the key to Orems theoryNursing is required in self-care deficit to guide in meeting the demand

5 methods of helping:Acting for or doing for patientTeaching patientDirecting patientSupporting patientProviding environment for patient

Self-care deficit(Self Care Deficit of Nursing Theory-Dorothea Orem, 2012)

Addresses and plans how needs of the patient can be met by the nurse, patient and/or both

Three types:Wholly compensatory system-patients not capable to perform self-care

Partly compensatory system-limited mobility due to illness

Supportive-educative system-patient is capable of learning to perform Nursing system(Moore, 2013)

To help and promote patient to perform self-carePatient can recover faster if they are encouraged to perform self-care tasks to maintain their health and well-beingTheory can apply to all types of nursing ex: rehab, primary care settings, nursing home and eldersPurpose of theory

(Self-Care Deficit Theory, 2013)

Dorothea Orem Theory ModelRetrieved:https://sites.google.com/site/oremstheory/description-of-the-model

Geriatric patients- restortative programsPhysical, occupational and speech therapyactive ROM can facilitate building strengthWalking- to maintain physical healthADLs Staying activeNurse can meet needs of patients with setting goals and interventions

Encourage Patients to perform self-care

Retrieved from:http://www.agefotostock.com/en/Stock-Images/Low-Budget-Royalty-Free/ESY-000850465

Biography of Dorothea Orem (2013). Retrieved on October 05, 2013. http://nursingtheories.info/biography-of-dorothea-orem/

Moore, C. (2013). Dorothea Orems Self-Care Requisites. Retrieved on October 05, 2013. http://www.bellaonline.org/articles/art57906.asp

Self Care Deficit of Nursing Theory-Dorothea Orem. Retreived on October 05, 2013.http://fundamentalsnursing.com/self-care-deficit-of-nursing-theory-dorothea-orem

Self Care Deficit Theory (2013). Retrieved on October 03, 2013. http://nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php

References: