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,