Dorothea Oreem's Self-Care Deficit Theory Case Study

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Dorothea Orem’s self-care deficit theory (SCDT) provides the framework for nurses when implementing an early mobility program within the intensive care unit (ICU) to decrease fall rates. The theory is composed of three sub-theories, self-care theory, self-deficit theory, and nursing system theory that when combined provides the ICU nurse with the ability to assess, develop goals, and implement nursing interventions to assist the patient in overcoming muscle deterioration while on bedrest and ultimately retain and gain strength to transfer self safely. A literature search was conducted to discover how SCDT was developed and transformed over the years and how it’s framework can provide the structure for an early mobility program.
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The following databases were searched: EMBASE, CINAHL, Google Scholar, Cochrane, and PubMed. The general search utilized keyword phrase “Orem’s self-care” and “Orem’s self-care deficit” resulted in 345 articles with publication dates ranging from 1980 – 2017. The search was further refined to full text academic journals which resulted in 137 articles. Including keywords “mobility” or “fall” to the search criteria did not result in any articles. Therefore, articles were further reviewed for relevance of research topic, duplication, and English language which resulted in eight articles that will be referred throughout which range in publication of …show more content…
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. During this time, additional resources must be sought out which can include nursing. The theory of the nursing system developed guidelines for nurses to know how much to intervene. Within the nursing system there are three levels: wholly compensatory system, partially compensatory system, and supportive-education systems. Wholly compensatory system is used when the patient is unable to perform any

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