Patients who are acutely ill and requiring mechanical ventilation on bed rest are at high risk for decreased muscle weakness and prolonged hospitalizations. Patients that survive an acute illness may suffer long term muscle weakness. Early mobilization can increase functional outcomes and decrease length of hospital stay. The purpose of the paper is to examine how the application of Dorothea Orem’s Self-Care Deficit Theory can be applied to improving functional status by implementing early mobilization in ICU patients requiring mechanical ventilation. A succinct summary Orem’s Self-Care Deficit Theory is specifically applied to early mobilization and the state of sciences is provided over four scholarly articles.
Keywords: Dorothea Orem Self-Care Deficit Theory, early mobilization, mechanical ventilation, ICU, weakness
Appling Dorothea Orem’s Self-Care Deficit Theory to Early Mobilization in ICU Patients Requiring Mechanical Ventilation
Weakness acquired in the ICU, occurs in 25% of patients who are mechanically ventilated for more than 7 days (Li, Z., Peng, X., Zhu, B., Zhang, Y., & Xi, X, 2013). Early mobilization programs have been shown to have a positive effect on patient’s outcomes including decreased weakness and earlier weaning trials from the ventilator (Li et al., 2013). Early …show more content…
Orem’s general theory consists of self-care, theory of self-care deficit, and the theory of nursing systems (Denyes, M. J., Orem, D. E., & Bekel, G. 2001). Orem’s self-care deficit theory is categorized as a needs theory and can provide a foundation for intervention. Many concepts were articulated from Orem’s theories which included self- care, therapeutic self-care demand, and product of nursing. “This view is important and complex because the individual, the self, is both the agent of action (the one acting) and the object of action (the one acted upon),” (Denyes et al.,
Keywords: Dorothea Orem Self-Care Deficit Theory, early mobilization, mechanical ventilation, ICU, weakness
Appling Dorothea Orem’s Self-Care Deficit Theory to Early Mobilization in ICU Patients Requiring Mechanical Ventilation
Weakness acquired in the ICU, occurs in 25% of patients who are mechanically ventilated for more than 7 days (Li, Z., Peng, X., Zhu, B., Zhang, Y., & Xi, X, 2013). Early mobilization programs have been shown to have a positive effect on patient’s outcomes including decreased weakness and earlier weaning trials from the ventilator (Li et al., 2013). Early …show more content…
Orem’s general theory consists of self-care, theory of self-care deficit, and the theory of nursing systems (Denyes, M. J., Orem, D. E., & Bekel, G. 2001). Orem’s self-care deficit theory is categorized as a needs theory and can provide a foundation for intervention. Many concepts were articulated from Orem’s theories which included self- care, therapeutic self-care demand, and product of nursing. “This view is important and complex because the individual, the self, is both the agent of action (the one acting) and the object of action (the one acted upon),” (Denyes et al.,