In general, with the advancement of medicine and medical technology, it is natural for the practice of nursing to grow and change as well. Many influential nurses and nursing theorists, including Dorothea E. Orem, despite taking different approaches, have played a role in the development of the practice of nursing. Born in 1914 in Baltimore, and an active nurse from the 1930’s until her death in 2007, Orem brought light to the role of a nurse in helping to develop and maintain the independence of the patient (Dorothea, 2016). Orem called her idea the Self-Care Theory, and she based her theory on the belief that “health care is each individual’s own responsibility” and the aim …show more content…
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Dorothea Orem received her nursing diploma from the Providence Hospital School of Nursing in Washington, D.C. in the early 1930’s and received her Bachelor of Science in Nursing from the Catholic University of America in Washington D.C. by 1939 (Dorothea Orem, 2016). She then went on to complete her Master’s of Science in Nursing from the same school in 1945. From there, she grew in success and distinguishability, receiving several Honorary Doctorate degrees and the Catholic University of America Alumni Achievement Award for Nursing Theory (Dorothea Orem, 2016). The Self-Care Theory was developed by Orem between the years of 1959 and 2001. Considered a “grand nursing theory”, Orem’s theory covered a broad span with general concepts that can be applied to all areas of nursing (Dorothea Orem, 2016). According to Orem, the patient, the main element of the model, is thought of as the biological, …show more content…
She established the goal of nursing to be assisting the patient to a level of self-care in order to reach the highest level of human functioning (Catalano, 2015). Orem described three levels of nursing care that are based on the individual’s ability to undertake self-care activities. The Wholly Compensated Care is the level of care for a patient who is able to carry out little to no self-care activities and require the nurse to provide for most or all of the patient’s self-care needs. The Partially Compensated Care is the level of care for a patient that can meet some to most of their self-care needs and require the nurse in identification and intervention of the needs until they can carry. them out on their own. Finally, the Supportive Development Care is the level of care for a patient who is able to meet all of their basic self-care needs and require few to no nursing interventions. The Supportive Development Care level is that primarily of teaching the client how to maintain or improve health (Catalano,