Embed Size (px)
Citation preview
OREMS THEORY
BYVANI SUNITHA NAGULLA
M.Sc NURSING
OREMS GENERAL THEORY
• Theory • Concept• Client• Environment• Health• Nursing
RANGES / LEVELS OF THEORY
1. Micro Theory2. Grand Theory3. Middle range Theory
INTRODUCTION TO THEORIST
EVALUATION OF THEORY
OREMS GENERAL THEORY
• Theory of self care• Theory of self care deficit• Theory of Nursing system
1.THEORY OF SELF-CARE
SELF CARE
SELF CARE AGENCEY
SELF CARE AGENT
DEPENDENT SELF CARE
AGENT
SELF CARE REQUISITION
UNIVERSAL SELF CARE
REQUISITES
DEVELOPMENTAL SELF
CARE REQUISITES
HEALTH DEVIATION SELF CARE
REQUISITES
THERAPEUTIC SELF CARE DEMAND
2.THEORY OF SELF CARE DEFICIT
• ROLE OF THE NURSEActing (or) doing for another Guiding and directingProviding physical (or) Psychological supportProviding and maintaining environment that
support personal developmentTeaching another
3.NURSING SYSTEM THEORY
• WHOLLY COMPENSATORY NURSING SYSTEM• PARTLY COMPENSATIORY NURSING SYSTEM• SUPPORTIVE – EDUCATIVE NURSING SYSTEM
WHOLLY COMPENSATORY SYSTEM
ACCOMPLISHES PATIENT’S THERAPEUTIC SELF
CARE
COMPENSATES FOR PATIENT’S INABILITY TO ENGAE IN SELF
CARE
SUPPORT AND PROCETS PATIENT’S
PATIENT ACTION LIMITED
NURSE ACTION
PARTLY COMPENSATORY SYSTEM
PERFORMS SOME SELF CARE LIMITAIONS OF
PATIENT’S
COMPENSATES FOR SELF CARE LIMITATIONS
OF PATIENT’S
ASSIST PATIENT’S AS REQUIRED
PREFORMS SOME SELF CARE MEASURES
REGULATES SELF CARE AGENCY
ACCEPTS CARE AND ASSISTANCE FROM
NURSE
NURSE ACTION
PATIENT ACTION
SUPPORTIVE EDUCATIVE SYSTEM
ACCOMPLISHES SELF CARE
REGULATES THE EXERCISE AND
DEVELOPMENT OF SELF CARE AGENCY
NURSE ACTION
PATIENT’S ACTION
METAPARADIGM OF OREMS THEORY
1. HUMAN BEING 2. HEALTH3. NURSING 4. ENVIRONMENT
THEORY APPLICATION TO NURSING PROCESS
• OREMS THREE STEPS NURSING PROCESS1. NURSING DIAGNOSIS AND PRESCRIPTION2. DESIGNING THE NURSING SYSTEM AND
PLANNING FOR DELIVERY OF CARE3. PRODUCTION AND MANAGEMENT NURSING
SYSTEM
NURSING PROCESS
ASSESSMENT NURSING DIAGNOSIS GOAL PLANNING IMPLENTATION EVALUATION
NURSING DIAGNOSIS AND PRESCRIPTION DESIGNING THE
NURSING SYSTEM
AND PLANNING
FOR DELIVERY 0FCARE
PRODUCTION AND MANAGEMENT OF NURSING
SYSTEM
EXAMPLE
• Mrs.Kalyani came to the hospital with compliant of
Pain over the all the joints, stiffness which more in the morning and reduced by the activities
She has these complaints since 5 years Malnourished Symptoms were not reducing
