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Monday, November 12, 2012

Self-Care Theory by Dorothy Orem

The formalized self-c atomic number 18 requisite is the intellect for which self- interest is undertaken, and expresses the desired results.

The universal goals to be met by self-care originate from what is cognize and validated or in the process of being validated, approximately merciful structural and functional integrity at versatile stages in the carriage cycle (Central, 2005; Taylor, 191). Universal requisites are viridity to everyone, such as food, water, elimination, promotion of piece functioning; developmental requisites are those associated with conditions that promote known developmental processes throughout the life cycle; wellness deviation requisites relate to defects and deviations from normal anatomical structure and integrity that impair an individual's ability to perform self-care. There are six self-care requisites common to everyone:

1) the alimentation of a sufficient intake of air, water and food

2) the provision of care associated with elimination processes and excrements

3) the maintenance of a balance in the midst of activity and rest

4) the maintenance of balance between solitude and genial interaction

5) the prevention of hazards to human life, human functioning, and human well-being

6) the promotion of human functioning and development within social groups in agreement with human potential, known human limitations, and the human desire to be normal. Normalcy is defined as that which is essentiall


Orem'S theory was first hired in carry-managed clinics at Johns Hopkins Hospital in 1973, and has since been used in a variety of clinical populations, from neonatal to geriatric to promote health and care for the sick (Taylor, 196-197). It has been used to teach self-care to patients with diabetes, end-stage renal disease, hemodialysis, peritoneal dialysis, and renal transplants; it has been used for pain management, and the management of pertussis. Cardiology and oncology concurs use it, and its use has been explored for mentally ill populations, and among the elderly.

y human and that which is in accordance with the genetic and constitutional characteristics and talents of individuals (Taylor, 191-192).
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Areas applicable to self-care include: nutrition, hygiene, mobility, medications and behavior (Orem's, 1997). Maintaining or enhancing health for the patient and family which can be taken care of using self-care includes: exercise, physical fitness, nutrition and weight control, stress management, maintenance of social support systems, and control of the environment. Areas in which self-care is not applicable include: obtaining equipment and supplies for patient procedures, making appointments for patients, completing patient paperwork, assisting physicians/nurse practitioners with patient procedures, module activities, co-ordinating nurse and extender work flow, breaks etc., checking module supplies, checking butt in carts, and ordering stock meds.

Taylor, S. G. Self-Care Deficit theory of nursing. (????) Conceptual Models and talkative Theories, Ch. 13. INCOMPLETE REFERENCE FROM CLIENT

Under Orem's self-care theory, the compensatory system involves the nurse monitoring vital signs, emptying the Foley, assisting the patient with ambulation, checking patient is receiving 02 at 21/min via NC, medications for BP, and seeing dietary is cooking meals as ordered. In the partial-compensatory system, the nurse and p
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