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Nursing Concepts: Dorothea Orem’s Self-Care Deficit Nursing Theory Name Name of Instructor Name of Institution Dorothea Orem’s Self-Care Deficit Nursing Theory There are various nursing theories, which apply specific concepts in practice…
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The central idea in this theory is that we all have natural ability to take care of ourselves. This ability is tied to not only our right but also our responsibility to care for ourselves. This theory further builds on the concept of human development; that human development highly depends on a person’s ability to depend on themselves and their thirst to control what they do. This thirst extends to helping others to be self-reliant too. As natural as it is, we attain self-care is just like any other habit-forming behavior. We it early in life and carry it along to adulthood. This theory revolves around those activities we do on a daily basis for our well-being (Clark, 1986). The theory critically addresses not only what our nurses do but also what they should do to be more effective in this field. It also looks at the product in nursing practice, that is, what nurses achieve because of what they do. This theory develops from three concepts, otherwise known as sub-theories. The concepts are the theory of self-care, theory of self-care deficit, and theory of nursing system (Mayo, 1997). According to Kozier et al. (1998), self-care theory states that our self-care and that of our dependants are both processes perfected by learning to help us do things on our own and remain healthy and physically fit. This ability to initiate self-care is what Orem calls self-care agency, the ability for adults to care for themselves, as they take care of not only the seriously ill and the aged but also the physically challenged who may need help through self-care activities. Another concept in this theory is the self-care deficit. This concept builds on the assumption that we seek nursing services because of our own limitations as human beings, with possibilities of having ill health or injuries. The two guiding variables seen as hindrances to these deficits are self-care agency and therapeutic self-care. Self-care deficit emerges when self-care agency (our ability) fails to meet our self-care demands. Therapeutic self-care, on the other hand, seeks to achieve those measures we need in order to fulfill the available requisites (Clark, 1986). The last concept is the nursing system theory. This explains how nursing systems emerge and how they are put into practice. The systems come to life when during the nursing process which ranges from prescription, design, and eventual provision of services that are appropriate to a particular client’s self-care conditions. The systems also work towards providing services that fulfill a patient’s requirements concerning therapeutic self-care (Clark, 1986). Ryce (2006), concurring with Orem’s theory of self-care, admits that our home care nurses are able to provide a broad-scope support to patients. They may also provide education as well as other resources. However, important as these may be, the patient’s own efforts are critical to recovery. Nothing significant can be achieved if the patient leaves the whole process of managing their health to the nurse. Orem chose the name ‘self-care deficit theory’ because it gives more insight into that relationship, which exists between our ability to take care of ourselves, on one hand, and not only our self-care requirements but of those, we take care of, like our children and unable adults around us. Most of Orem’ ... Read More
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