Analysis Of The Self-Care Deficit Theory Of Nursing

Great Essays
The Self-Care Deficit Theory of Nursing (SCDTN) is a grand nursing theory, in that it covers a broad scope with basic concepts that can be applied to all nursing situations. The SCDTN attempts to provide a conceptual framework for the entire body of nursing knowledge. It’s creator, Dorothea E. Orem, “pursued the development of a theoretical structure that would serve as an organizing framework for such a body of knowledge” (Alligood, 2014, p. 241). In determining the proper object or focus of nursing, Orem drew from her eclectic personal experiences in nursing as well as her extensive knowledge of contemporary nursing literature. “The question that directed Orem’s (2001) thinking was, ‘What condition exists in a person when judgments …show more content…
Throughout Orem’s works on the subject, she expresses a view which is consistent with science and the modern philosophical model of moderate realism. This position asserts that “there is a world that exists independent of the thoughts of the knower” and “although the nature of the world is not determined by the thoughts of the knower, it is possible to obtain knowledge about the world” (Alligood, 2014, p. 242). Also, in agreement with the moderate realist position, the SCDTN takes the view of human beings as, “dynamic, unitary beings who exist in their environments, who are in the process of becoming, and who possess free-will as well as other essential human qualities” (Alligood, 2014, …show more content…
It proposes that patients recover faster and more holistically by gaining total or partial control to perform their own self-care to the best of their ability. There is strong evidence that Orem’s conceptual models of nursing are currently helping to guide nursing practice to optimize patients’ outcomes. According to the case study of diabetic patients by Kumar (2007), the application of Orem’s theory enhanced communication among nurses and supports a patient’s ability to self-manage a chronic illness. Nurses evaluated the resources available to address the patient’s need for improved diabetic treatment with adherence to an overall quality of care (Kumar, 2007). “Self-care is a human regulatory function that individuals must, with deliberation, perform themselves or must have performed for them to maintain life, health, development, and well-being” (Alligood, 2004, p.

Related Documents

  • Improved Essays

    Orem’s modern day approach to nursing practice is the foundation of nursing as it transitions the patient from self-care deficit dependent to self-care capable preparing the patient to assume responsibility of self-care as they can handle it. In the absence of self-care, the nurse fulfills the role and creates an environment to improve that patient’s outcomes by regaining that self-care ability. Researchers have proven that Orem’s theory of self-care enhances daily nursing intervention, quality of care, health promotion, and ultimately active participation in self-care (CAD researcher). Orem’s nursing concept supports the desire to optimize health outcomes and patient experience as it empowers the patient to care for self through the support and encouragement of nursing practice (Pearson,…

    • 1106 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Chronic illness is a term applied to an illness that is long lasting and has persistent signs and symptoms. In Australia one in five Australians are affected by multiple chronic diseases. (Australian Government: Australian Institute of Health and Welfare, 2015) Emily suffers from two chronic diseases that affect her daily living. When caring for individuals who suffer from chronic diseases the three guiding principles should be used and health professionals should utilise the different interdisciplinary staff that may be helpful. GUIDING PRINCIPLES…

    • 614 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    For instance, Orem’s Self-Care Deficit Theory, otherwise known as Orem’s Self-Care Model, explains the extent and methods by which nurses help patients achieve their self-care needs (Schub & Kornuskly, 2016). This theory would be suitable to address the issue of burnout among healthcare professionals. Orem’s Self-Care Theory is an integration of three complementary theories: The Self-Care theory, the Self-Care Deficit theory and the Nursing Systems theory. The self-care theory views self-care as a “human regulatory function” (Schub & Kornusky, 2016, p. 1). This theory focuses on individuals’ abilities to control their health by performing deliberate activities aimed at promoting personal health and…

    • 967 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    It is the care taken by individuals towards their own health and well-being, and includes the care extended to their children, family, friends and others in neighborhoods and local communities. Self-Care includes the actions individuals and care-givers take for themselves, their children, their families and others to stay fit and maintain good physical and mental health; meet social and psychological needs; prevent illness or accidents; care for minor ailments and long-term conditions; and maintain health and wellbeing after acute illness or discharge from…

    • 878 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The model fits a patient education approach to resolving the problem with poor patient compliance. Using HPM, the nurse takes on the role of educator and performs the initial task of assessing the patient’s perception of health in order to develop individual plans of care. This allows the nurse to create a comprehensive plan tailored to the individual patient so that the patient is able to achieve optimal self-care and disease prevention. By performing a thorough assessment and constructing a highly individualized plan of care, the nurse is able to focus on the patient’s strengths and identify weaknesses that prevent the patient from achieving compliance, and to take responsibility for their role in their own health and wellness. Empowering the patients will motivate them to make the necessary changes in behavior as well as their environment in order to promote better health outcomes (Petiprin,…

    • 1252 Words
    • 6 Pages
    Improved Essays
  • Superior Essays

    There are many different approaches in developing a relationship with patients, one of which being holistic, patient-centered care. Holistic care is described as “all nursing practice that has healing the whole person as its goal” (American Holistic Nurses’ Association, 1998, Description of Holistic Nursing). A holistic approach allows the nurse to view the patient as a whole, as opposed to focusing in on one small aspect. By viewing the entire person, we are able to provide spiritual, medical, and any other type of care that may be necessary in aiding the recovery of our patients. “Holism involves studying and understanding the interrelationships of the bio-psycho-social-spiritual dimensions of the person, recognizing that the whole is greater than the sum of its parts,” (Dossey, 2010, p.14), which further emphasizes that by using a holistic nursing approach, we are able to take not only a patient’s physical well-being into consideration, but also the emotional, spiritual, and mental well-being of our…

    • 1108 Words
    • 5 Pages
    • 2 Works Cited
    Superior Essays
  • Improved Essays

    Chronic Care Model Of Care

    • 1102 Words
    • 4 Pages

    It is not easy to define chronicity. Chronicity refers to the term that is consistent and continuous, in regards to the onset of an illness. Chronic diseases are long-lasting with persistent effect on individuals (Larsen 2013). A significant number of health risk factors such as lifestyle and other complex issues can cause chronic illness. They are not only the leading cause of disability, with its impact on health and welfare but also the leading cause of illness and deaths in Australia, accountable for 90% of deaths that occurred in 2011 (Australian Institute of Health and Welfare 2015).…

    • 1102 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The goal would be to establish communication to express needs and to decrease frustration. Self-Care Deficit r/t to pain and discomfort. I chose this diagnosis because Mildred had to experience discomfort and pain since she was unable to meet her individual needs. Also, because the nurse never asked Mildred if she needs anything or is she was in pain. The goal would be to access Mildred’s abilities and deficits on a scale from 1-10 to aid in planning for meeting self-care…

    • 1122 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Dorothea Orem’s Self-Care Nursing Philosophy encourages patient autonomy and gives patients a voice. It provides nurses with a solid foundation to give patients’ self-sufficiency and control in caring for themselves. Developing a personal nursing philosophy increases self-confidence, enhances critical thinking and provides a solid foundation for professional nursing practice. Following a personal nursing philosophy is not only a reminder why we chose this profession, but also provides direction and…

    • 767 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Theory is central to effective nursing practice and research. Nursing theory offers a framework for thought in which nurses examine situations. This framework supplies structure and organization to nursing knowledge and provides a methodical means of collecting data to interpret, explain, and predict nursing practice (McEwen & Willis, 2014, p. 36). Nursing theory is crucial for the evolution of the nursing discipline. The knowledge that is developed through nursing research is used to test existing theories and to generate new theories and ideas.…

    • 840 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Self Actualization Essay

    • 757 Words
    • 4 Pages

    The self-determination theory describes three types of behaviors of he self and they are " (1) intrinsically motivated behaviors, which are engaged in out of interest and enjoyment; (2) extrinsically motivated behaviors that are motivated by values that are fully internalized and integrated; and (3) emotion-motivated behaviors for which the regulatory processes have been well integrated. The theory further proposes that all human beings have three basic psychological needs-the needs for competence, autonomy, and relatedness (Self-determination, page 111). These needs are considered basic and universal in the sense that all humans require these in order to develop the self. Autonomy is extremely important and is described as the ability of an individual to make independent or free choices. The article further discusses research that has shown that even if people are not consciously seeking to meet these needs, those that act in ways that meet these needs are better off in seeking their full human…

    • 757 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    After reviewing many nursing theorist before writing this paper, I have concluded that my practice of nursing encompasses all fourteen points of her theory. The patient must be seen as a whole and not as a sum of the parts. If one is to view the patient as parts, part of the clinical picture may be missed. I view my care as assisting the patient in activities that they would normally do for themselves if they were able. I foster my patients to gain their independence as quickly and safely as possible.…

    • 2852 Words
    • 12 Pages
    Great Essays
  • Improved Essays

    Dorothea Orem’s theory of self-care deficit model is something that all nurses do without even realizing it. In Dorothea Orem’s model, she states that when a patient renders an insult, there is a self-care deficit, which makes nursing interventions necessary (Cherry & Jacob, 2011, p. 98). When a patient comes into the ER with a newly diagnosed illness, they are often unsure of what to do, or how to proceed from there. Without even thinking about doing it, nurses automatically help patients overcome these new obstacles in life. For example, a patient that has had a recent hip replacement must learn how to care for their new hip.…

    • 1687 Words
    • 7 Pages
    Improved Essays
  • Decent Essays

    Virginia Henderson 's Need Theory Critique’s Need Theory Critique Virginia Henderson developed her Need Theory from her definition of nursing. She believed that humans had fourteen basic needs. These needs are sub-categorized into physiological, psychological, social and moral, environmental and sociological. The nurse is expected to help the patient meet their needs whenever required (Sitzman & Eichelberger, 2011).…

    • 1311 Words
    • 6 Pages
    Decent Essays
  • Great Essays

    Self-care is defined as the human regulatory function that individuals must, with deliberation, perform for themselves or for their dependents to supply and maintain a supply of materials and conditions to maintain life (Orem, 2001). Self-care agency is the capability that enables people to discern factors that must be controlled or managed to regulate their own function and development (Orem, 2001). Therapeutic self-care demand is the summation of care measures necessary to meet all the individual’s known self-care requisites. Self-care requisites are expressed insight about actions to be performed that are known to be necessary in the regulation of human functioning and development continuously if under specified conditions and circumstances (Orem, 2001). Failure for a person to be able to maintain their therapeutic self-care requisites through the power of their self-care agency results in a person’s self-care deficit.…

    • 1561 Words
    • 7 Pages
    Great Essays