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Orem - Essay Example

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This paper, based on a patient’s case, seeks to explore application of ‘Orem self-care deficit’ theory and its associated evidence based practice.
Mr. Frank reports his reluctance…
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He also reports a consistent cold on his feet and a sore on his foot that has refused to heel, factors that forces him to wear protective socks. He further reports occasional passing out but maintains that he is fine.
Mr. Fred’s significant problem that calls for healthcare attention is the ‘non healing sore on his foot.’ This is because even though the patient acknowledges presence of the sores, and the fact that the sores do not indicate a possibility of healing, Fred is still not willing to seek medication. The wound is not healing because of the patient’s high blood sugar level that facilitates growth of bacteria and it is enhanced by poor circulation.
The most applicable theory to the case is the ‘Orem Self Care Deficit,’ theory that integrates “theory of self care, self care deficit theory, and theory of nursing systems” and seeks to empower patients to meet their healthcare needs with little or no assistance from healthcare personnel (Zaccagnini and White, p. 19; Kumar, p. 104- 106).
The Orem theory is applicable to the case that identifies Mr. Fred’s ‘self-care’ deficiency, a factors that prolongs the wound (Nlm, p. 1). I would apply the theory by bridging the care gap to identify practices that would enhance the wound’s healing. I would use my skills as an educator to convince Fred of the need for medication and specialists advice on how to manage the wound. These would facilitate ‘self-efficiency’ and ‘self-reliance’ in his care initiatives (Nlm, p. 1).
Application of the theory to the case is supported by existing literature that identifies its ability to promote ‘self-care’ among patients. Easom’s exploration of efficiency and its associated barriers among adult’s ‘self-care’ efforts for example identifies the need to break the barriers and promote self reliance as provided for by the theory, an approach that Fred really needs. The author’s review of research findings ... Read More
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