Dorothea Orem's General Nursing Theory Analysis

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Dorothea Orem’s general nursing theory encompasses three sub-theories which include the theory of self-care, the theory of self-care deficit, and the theory of nursing systems. These theories address the needs pertinent to maintain life, needs of individuals who cannot meet their own needs and specific nursing interventions based on the individuals needs (Masters, 2015). There are four metaparadigm concepts that are identified: the person, environment, health and nursing. Furthermore, these concepts help differentiate the care or skills needed to achieve optimum self-care levels. Nurses are able to create plans based on each individuals’ specific needs according to their level of care.
Newly Diagnosed Patients with Hypertension
Hypertension is a widespread disease that can lead to significant complications and contributes to increased morbidity and mortality. In developing countries treatment for hypertension is not affordable so emphasis is put on prevention (Ali & Taha, 2014). Lifestyle modifications can be utilized to prevent hypertension and improve patient outcomes. Nurses play an important role in prevention as they can create awareness and provide education. A study was performed on newly diagnosed Egyptian patients with hypertension using both Orem’s self-care and the self-care deficit
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In both research studies, there was significant improvements in the participants self-care practices leading to better health outcomes. Orem’s model allows nurses to assess and create individualized care plans so each patient can work toward meeting their own self needs as well as be supported by nurses where there are deficits. Orem’s nursing theories are used widely by nurses today as the tools from this theory are utilized in practice on a daily basis. Nurses are constantly assessing and educating patients to guide them in taking responsibility and acting as their own self-care

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