Critique of Orem’s Self Care Deficit Theory
Adequacy. Orem’s SCDT shows the adequacy thoroughly addresses the process of practice methodology to identify the needs of the patient. It outlines the ways in which nursing can fulfill the self-care deficit needs and to what extent and focuses on the relationship between the patient, nurse, and nursing care.
Clarity and consistency. Theory is well defined throughout and the terminology remains consistent. It can be complex with the abundance of concepts, and can cause confusion until full understanding of the concepts are reached.
Logical development. The theory is presented in a logical fashion to allow for nurses to formulate a nursing diagnosis and nursing care plan to assist the patient …show more content…
Ambulation and mobility meets the definition of self-care which is a human regulatory function that individuals must, with deliberation, perform for themselves or have performed for them to supply and maintain a supply of materials and conditions to maintain life; to keep physical and psychic functioning and development within norms compatible with conditions essential for life; and for integrity of functioning and development” (Orem, 2001). The patient’s pre-existing mobility baseline will be taken into consideration and compared to the patient’s current ability to ambulate once in the ICU. When the nurse is able to identify the gap between the pre-existing self-care and current ability, the gap is considered a self-care deficit. Once the deficit in mobility is identified and an assessment made by the nurse upon how much the patient can move on their own, the unit’s early mobility plan will be implemented. The mobility plan provides daily goals for the patient and the types of interventions that are needed. Orem’s SCDT, provides nursing with interventions to meet the self-care needs of the patient include: acting for or doing for another, guiding and directing, providing physical or psychological support, providing and maintaining an environment that supports personal development, and teaching (Masters, 2012). Along with the different types of interventions that may be used, the
Adequacy. Orem’s SCDT shows the adequacy thoroughly addresses the process of practice methodology to identify the needs of the patient. It outlines the ways in which nursing can fulfill the self-care deficit needs and to what extent and focuses on the relationship between the patient, nurse, and nursing care.
Clarity and consistency. Theory is well defined throughout and the terminology remains consistent. It can be complex with the abundance of concepts, and can cause confusion until full understanding of the concepts are reached.
Logical development. The theory is presented in a logical fashion to allow for nurses to formulate a nursing diagnosis and nursing care plan to assist the patient …show more content…
Ambulation and mobility meets the definition of self-care which is a human regulatory function that individuals must, with deliberation, perform for themselves or have performed for them to supply and maintain a supply of materials and conditions to maintain life; to keep physical and psychic functioning and development within norms compatible with conditions essential for life; and for integrity of functioning and development” (Orem, 2001). The patient’s pre-existing mobility baseline will be taken into consideration and compared to the patient’s current ability to ambulate once in the ICU. When the nurse is able to identify the gap between the pre-existing self-care and current ability, the gap is considered a self-care deficit. Once the deficit in mobility is identified and an assessment made by the nurse upon how much the patient can move on their own, the unit’s early mobility plan will be implemented. The mobility plan provides daily goals for the patient and the types of interventions that are needed. Orem’s SCDT, provides nursing with interventions to meet the self-care needs of the patient include: acting for or doing for another, guiding and directing, providing physical or psychological support, providing and maintaining an environment that supports personal development, and teaching (Masters, 2012). Along with the different types of interventions that may be used, the