Dorothea Orem

• Theory of self-care deficit

  Dorothea Orem
• 3 related theories of self care deficit

  theory of self care

  theory of self care deficit

  theory of nursing systems
• why and how people care for themselves and suggests that nursing is required in case of inability to perform self-care as a result of limitations

  theory of self care
• the needs that is arising from a person who is ill

  therapeutic of self-care demand
• factors that effect the value of the therapeutic self-care demand or self care agency of an individual

  Basic conditioning factors
• Bound in all human beings and are associated with life processes

  Also known as Activities of Daily Living

  self care needs
• Related to different stages in the human life cycle and might include events such as attending college, marriage, retirement, adjusting to a new job, or adjusting to body changes

  developmental self care needs
• Required in conditions of illness or disease or may result from medical measures required to diagnose and correct the condition

  health deviation self care needs
• Explains the maturing or mature adults deliberately learn and perform actions to direct their survival, quality of life, and well-being

  "Explains why people can be helped through nursing" – the core of Orem’s theory

  theory of self care deficit
• FIVE METHODS NURSES USE TO MEET THE PATIENT’S SELF-CARE NEEDS

  Acting for or doing for another

  Guiding and Directing

  Providing Physical and Psychological Support

  Providing and maintaining an environment that supports personal development

  Teaching
• Based on the self-care needs and abilities of the patient to perform self-care activities

  theory of nursing systems
• 3 classification of nursing systems

  Wholly compensatory system

  Partially compensatory system

  Supportive-educative system
• • patient is unable to perform any self-care activities and relies on the nurse to perform self-care

  wholly compensatory system
• • both the patient and the nurse participate in self-care activities, with the responsibility for care shifting from the nurse to the patient as the self-care demand changes

  partially compensatory system
• • the patient has the ability for self-care but requires assistance from the nurse in decision- making knowledge or skill acquisition

  supportive educative system
• under the care of the nurse

  a total being with universal development

  person
• the physical, chemical, biological, and social contexts within which human being exists

  environment
• • A state characterized by soundness or wholeness of developed human structures and of bodily and mental functioning

  health
• • Therapeutic self-care designed to supplement self-care requisites 
  • Nursing actions fall into one of the three categories: wholly compensatory, partly compensatory, or supportive educative system

  nursing