Dorothea Orem theory in practice Student’s Name Course/Number Due Date Faculty Name Dorothea Orem theory in practice Nursing theory refers to the body of knowledge which supports nursing practice by linking nursing research, knowledge and practice. The Healthy People Database estimates that in 2010 the population of aging people was 40 million, and the figure is expected to rise to about 70 million by 2030. The major health concerns regarding this aging population will be intervening, managing and treating chronic diseases. The increase in both the aging population and the necessary medical care will have significant ramifications on a healthcare system that is already distressed. This will definitely affect resource availability …show more content…
Orem refined and gave a formal description of what nursing is and what it should be through the self-care theory of nursing. The theory constitutes of three articulating theories i.e. the theory of self-care which gives a description of how and why individuals care for themselves, the theory of self-care deficit which illustrates why people need nursing and the theory of nursing systems which gives a description of relationships that ought to be nurtured and maintained in order to achieve effective nursing care. Of the three, the general theory that can be applied across all nursing practice areas and situations where people need nursing care is the self-care deficit theory of nursing (Orem, …show more content…
Coping with chronic illness cam have great ramifications on self-care demands and as illustrated in the theory of self-care deficit, patients enter moments of fluctuating states of health and illness which correspond to various levels of self-care deficit and agency. The APN (Advanced Practice Nurse) is specially prepared to assist patients with end stage renal disease not only recover, but also maintain self-care agency. In the setting of Mr. M, diagnosed with dementia and end stage renal disease, the advanced practice nurse can provide excellent guidance that addresses self-assessment by the patient, adhering to medication and diet regimens, imparting disease maintenance knowledge, social support and utilization of resources. The advanced practice nurse is well equipped with great communication skills, that enable building of therapeutic relationships with the patients. They can also elicit a patient’s expectations, perspectives, goals and values, all while providing patients with self-care information that enables them to participate
Individualised approach to care planning essay The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care.
More specifically, the person is under nursing care with potential certain limitations and a variable degree of self-care. Additionally, Orem and Taylor (2011) mention four concepts directly related to the major concept of person, consisting of self-care agent, self-care agency, self-care limitations, and the self as self-care agent (p. 39). According to Masters (2015), self-care agency is a learned behavior with the goal to control one’s own development and daily activities necessary to meet personal needs. Self-care agency contains three parts.
Theory Evaluation of Orem’s Self-Care Deficit Nursing Theory Self-Care Deficit Nursing Theory, Part III Theory Evaluation Dorothea Orem’s Self-Care Deficit Nursing Theory (SCDNT) has been a part of nursing theory since publication in 1971 (Fawcett & Desanto-Madeya, 2012). During this time, it has been used as a framework for many research projects and nursing school curriculum and as a guide to nursing practice (Fawcett & Desanto-Madeya, 2012). Is the theory congruent with current nursing standards?
These viewpoints have importance for medicine as well as for nursing or other health professions. The complete practice of human caring theory is most fully realized in a nursing theory because nursing allows for the constant caring factor that medicine does not have;
Dorothea Orem’s self-care deficit nursing theory is one such nursing theory that has been reworked to take into account the changes in our world, while still maintaining the initial framework (Taylor & Renpenning, 2011). Purpose of Self-Care Deficit Nursing Theory Dorothea Orem (as cited in Taylor & Renpenning, 2011) described her purpose in formalizing the Self-Care Deficit Nursing Theory as a way of defining the structure of nursing and explaining knowledge, rules and roles of nursing. Orem was attempting to answer the question of why, when and how a nurse is needed in the care of a patient (Smith & Parker, 2015). According to Younas (2017), self-care deficit nursing theory is also a practical effort to delineate the patient role along with that of the nurse.
Philosophy of Nursing Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own.
The final patient related concept, self-care deficit, relates to the inability to provide self-care (Taylor & Renpenning, 2011). The two concepts related to nursing are described as nursing systems, which becomes necessary when the patients’ needs exceed that which can be managed by self–care making nursing required (McEwen & Wills, 2014).Nursing agency is comparable to
Caring for The Individual: An Examination of Personal Nursing Philosophy Arianna Mailloux 400164224 NURSING 2AA3 Ashley Collins Harris February 19, 2018 As a novice nurse, developing and understanding of ones’ own personal feelings about nursing is important to help shape your clinical practice. Within this paper I will examine my personal assumptions, beliefs and values of the four nursing paradigms to develop a personal philosophy of nursing. This philosophy will be aligned with a known nursing theory and the comparisons will be discussed. Section I: Personal Philosophy of Nursing Person
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices.
Societal Influences on Professional Nursing The nursing profession is an evolving field of work that shows no signs of stopping. With advancements in technology and education, the nursing profession must change in order to keep up with the rest of society. There are many changing societal factors that are influencing nursing as the year progress.
This essay will be focusing on Margret who has required nursing interventions for her Type 2 Diabetes Mellitus (T2DM). There will be a discussion of what the condition is and its effect on the patient holistically; how it has impaired and impacted Margret’s normal health and how the condition has affected her family. There will be a demonstration awareness of how public health policies has impacted the health of Margret. What nursing models are will be briefly explained and how it can be used to support nursing care planning. Using the Assess, Plan, Implement and Evaluate process there will be a structured care plan which demonstrates awareness of the roles and responsibilities of nurses within an inter-professional care delivery.
Nurses intervention are there to coordinate the rhythm between human and environment and assisting the patient in the change process and toward a better health. 9. Dorothea Orem- Orem’s theory creates self care, known as the practice of activity, in which the patient performs his personal routine and needs independently to maintain health and lifestyle, according to age, developmental state, experiences in life, and cultural background. Orem identifies 5 requisites as known as; Activity of Daily Living; .The maintenance of sufficient intake of food and water.
Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.