DOROTHEA OREM’s THEORY.

PRESENTED BY:IV GROUP.

AIMS AT THE END OF THE SEMINAR STUDENTS WILL BE ABLE TO ACQUIRE AN UNDERSTANDING OF DOROTHEA OREM’S THEORY, MODEL AND ITS APPLICATION TO NURSING.

SPECIFIC OBJECTIVES• At the end of the class, students will be able

to:1) Review the history2)Explain the development of theory.3)Briefly discuss theory of Self care, Self care

deficit and Nursing systems.4)Understand Orem’s view of metaparadigm.5)Discuss its applicability to nursing process.

6) Understand the philosophy of nursing.7) Compare with the characteristics of theory.8) Evaluate Orem’s theory.

DOROTHEA OREM.

EDUCATION

PROVIDENCE HOSPITAL, DETROIT.

Director of school of nursing and department of nursing.

ALUMNI ASSOCIATION AWARD FOR NURSING THEORY.

IMAGE OF NURSING.

DOROTHEA OREM’s THEORY …

• SELF CARE…

“Self-care is the practice of activities that individuals

initiate and perform on their own behalf in

maintaining life, health, and well-being.” (Orem)

UNIVERSAL SELF CARE.

IT INCLUDES ACTIVITIES ESSENTIAL FOR HEALTH AND VITALITY.

DEVELOPMENTAL SELF CARE

IT INCLUDES INTERVENTIONS AND TEACHINGS TO HELP A PERSON SUSTAIN LEVEL OFOPTIMAL HEALTHAND WELL BEING.

HEALTH DEVIATION SELF CARE

IT ENCOMPASSES THE VARIATIONS IN SELF CARE WHICH MAY OCCUR AS A RESULT OF DISABILITY, ILLNESS OR INJURY.

THERAPEUTIC SELF CARE DEMAND.

TSCD = USCR + DSCR + HDSCR

FACTORS AFFECTING SELF CARE REQUISITES.

AGE.

GENDER

DEVELOPMENTAL STATE

HEALTH STATE.

SOCIOCULTURAL ORIENTATION

HEALTH CARE SYSTEM FACTORS.

PRIMARY

SECONDARY

TERTIARY

FAMILY SYSTEM

•JOINT FAMILY

•NUCLEAR FAMILY

PATTERN OF LIVING ENVIRONMENTAL

FACTORS RESOURCE

AVAILABILITY

SELF CARE AGENCY

CAPABILITY TO PROVIDE FOR ONE’s OWN CARE.

SELF CARE DEFICIT

SELF CARE IS NOT ADEQUATE TO MEET THE KNOWN SELF CARE DEMANDS.

CONCEPTUAL FRAMEWORK FOR SELF CARE DEFICIT

WHOLLY COMPENSATORY

PARTLY COMPENSATORY

SUPPORTIVE SYSTEM

NURSING AGENCY

…MEANS NURSE’s ABILITY TO COMPENSATE FOR THE LIMITATIONS OF SELF HELP.

NURSING DIAGNOSIS

• EXISTING

• EMERGING

OREM’s VIEW ON METAPARADIGM

HEALTHPERSONENVIRONMENTNURSING

APPLICATION OF THEORY TO NURSING PROCESS

IT HAS BEEN VERY WELL SEEN AND PROVED …THAT OREM’s THEORY DOES HOLD IMPORTANCE IN TODAY’s NURSING.

STRENGTH OF OREM’S THEORY

WELL RESEARCHED ORGANIZED

EMPOWERING

CHARACTERISTICS OF THEORY• INTER RELATED• LOGICAL• THEORETICAL FOUNDATION• GENERATES HYPOTHESIS• NURSING IS AN HELPING ART.• USED IN VARITY OFSETTINGS• CONSISTENT WITH OTHER THEORIES.

EVALUATION OF THEORY.

LIMITATIONS

FOCUSES ON INDIVIDUALISM

ITS EFFECTIVE ONLY IF PERSON ASUMES PATIENT’s ROLE

CONCLUSION

BIBLIOGRAPHYOrem, D.E. (1991). Nursing: Concepts of practice (4th ed.). St. Louis, MO: Mosby-Year Book Inc.Taylor, S.G. (2006). Dorthea E. Orem: Self-care deficit theory of nursing. In A.M. Tomey, A. & Alligood, M. (2002). Significance of theory for nursing as a discipline and profession. Nursing Theorists and their work. Mosby, St. Louis, Missouri, United States of America. Whelan, E. G. (1984). Analysis and application of dorothea orem’s self-care practuce model. Retrieved October 31, 2006

Hartweg, D.L. (1995). Dorthea Orem: Self-care deficit theory. In C.M. Kalisch, P. A. & Kalisch, B.J. (1987). The Changing Image of the Nurse. Menlo Park, CA: Addison-Wesley Publishing Company.McQuiston & A.A. Webb (Eds.), Foundations of nursing theory: Contributions of 12 key theorists (pp. 139-202). USA:.

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