Dorothea Orem's Self-Care Deficit Theory

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Dorothea Elizabeth Orem was born in Baltimore, Maryland in 1914. Orem attended Providence Hospital School of Nursing in Washington, D.C., where she later received her diploma in 1934. She continued her nursing education at Catholic University of America earning her B.S. in Nursing Education in 1939, and a M.S. in Nursing Education in 1945. In 1958, Orem was one of the foremost nursing theorists, and began developing her theory for improvement of quality nursing care in hospitals which became published as, The Self-Care Deficit Theory in 1971. The Self-Care Deficit Nursing Theory is comprised of three interrelated theories: (1) Theory of Self-Care, (2) The Self-Care Deficit Theory, and (3) The Theory of Nursing Systems. Orem’s approach is to …show more content…
Orem identified five methods of assistance used to help patients meet self-care deficits which include, acting for and doing for others, guidance, support system, teaching, and providing an environment promoting personal development. Based on needs and conditions that may arise from illness, disease, or injury allow for the nursing process to be set in motion related to patient status. Nurses can identify and react deliberately to effectively perform appropriate medical assistance to help enhance self-care abilities needed for survival, well-being, and quality of …show more content…
Her theory applicable for functionality in different areas of nursing by identifying needs of patient, thoughts and perception from the nurse to develop a plan for action of care. Orem’s theory emphasizes on interaction, communication, and education focus with patient to meet expected outcomes for health promotion and maintenance of patient. A major strength of Orem’s theory is its advocacy for the use of the Nursing Process. Limitations of Orem’s Self-Care theory in self-deficit may not apply or support all aspects of nursing care since the concept of health is dynamic and evolving. Another limitation that can be noticed is, her theory primarily focuses on physical care and illness with less emphasis to physiological

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