Orem’s Self-Deficit Theory was developed in 1959 in order to re-affirm the patient’s independence when it comes to the provision of healthcare (Taylor et al. 2000). It is extensively used in rehabilitation and primary care, and which is heavily inspired by the basis of…
This theory explains when nursing is needed and details how nursing can help in such a way that it appears to the patients as more supportive rather than invasive. As patients become inevitably unable to provide self-care, self-deficit takes place, and this is where the nursing support should come in.
In Mr. Tan’s case, the ability to provide self-care is rather impracticable considering the physical limitations caused by his fifth leg amputation. At least, for self-care that requires lateral mobilization, it would be unfeasible for Mr. Tan to take care of himself. According to the Self-Deficit Theory, nursing comes in as an interactional reinforcement that functions to provide healthcare assistance to Mr. Tan. Looking at the situation, Mr. Tan is clearly unable to meet his own self-care requisites such as his universal self-care needs like promotion of normality and physical activities (Bernier 2002); without his wife’s or any other person’s help, he would be unable to serve himself with food, water, or medicine because of his leg amputation. This is where nursing is needed. Orem’s self-deficit theory is most applicable for Mr. Tan’s case because he is already incapable or limited in the provision of continuous effective self care; thus, he needs the following methods that Orem identifies as important to respond to this kind of situation: (1) acting for and doing for others: Mr. Tan needs a higher level of comfort and care; (2) Mr. Tan and his wife need guidance when it comes to controlling the disease and appropriate healthcare provisions, especially concerning his medications; (3) He needs support, not just physical but also emotional and psychological; and (4) he needs to be educated about his condition and he can control the degenerative effects of the Diabetes Mellitus to his body (Laferriere 1995 ).
Mr. Tan displays a certain degree of hopelessness. His despondency over his condition has manifested in the way he deals with those that ...
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The paper looks at nursing models and theories and in particular addresses the Florence Nightingales Legacy of Caring; Orem Theory and Paplau's Theory and points out their underlying theoretical and evidence base for each of them. The strengths and weakness of each of these theories are also discussed.
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