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Dorothea Orem
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Education
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Providence Hospital, Detroit
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Image of Nursing
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Nurse’s Role
The nurse’s role in helping the client to achieve or maintain a level of optimal health and wellness is to act as an advocate, redirector, support person and teacher, and to provide an environment conducive to therapeutic development.
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Philosophy
It is believed that Orem’s theory portrays the idea that nursing is the ability to care for another, especially when they are unable to care for themselves. This corresponds to our philosophy as nurses of caring for person with the goal of achieving optimal level of health and wellness.
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SELF CARE…
“Self-care is the practice of activities that individuals initiate and perform on their own behalf in maintaining life, health, and well-being.” (Orem)
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THEORY OF SELF CARE THEORY OF SELF-CARE DEFICIT
THEORY OF NURSING SYSTEMS
Self-care When therapeutic self-care demand exceeds self-care agency, a self-deficit exists and nursing is needed
Nursing agency
Self-care agency Nursing systems• Wholly compensatory• Partly compensatory• Supportive-educative
Self-care requisites• Universal• Developmental• Health deviation
Therapeutic self-care demand
------------------------------Basic Conditioning Factors------------------------------
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FACTORS AFFECTING SELF
CARE REQUISITES.
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Health care system factors
PRIMARY
SECONDARY
TERTIARY
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PATTERN OF LIVING ENVIRONMENTAL FACTORS RESOURCE AVAILABILITY FAMILY SYSTEM
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SELF CARE DEFICIT
SELF CARE IS NOT ADEQUATE TO MEET THE KNOWN SELF CARE DEMANDS.
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SELF CARE AGENCY
Definition: the individual’s ability to perform self-care activitiesConsists of TWO agents:
Self-care Agent - person who provides the self-careDependent Care Agent - person other than the individual who provides the care (such as a parent, aupair, PSW, nurse)
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Nursing System
Supportive-educativePartly Compensatory Wholly Compensatory
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Orem, D.E. (1991). Nursing: Concepts of practice (4th ed.). St. Louis, MO: Mosby-Year Book Inc.
Potter, Perry () Fundamentals in Nursing, Seventh Edition,
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