The Nursing Theory Of Dorothea Orem's Self-Care Theory

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The nursing theory that best fit the intended nursing intervention is the Self-Care Theory. Dorothea Orem developed this theory. According to Orem, “health is a state characterized by wholeness of developed human structures and of bodily and mental functioning” (Olin, 2011). It also “includes physical, psychological, interpersonal and social aspects” (Olin, 2011). Orem’s major assumptions were that people should take responsibility and have a lifestyle that promotes self-care behaviors. “She said that a person 's knowledge of potential health problems is necessary for promoting self-care behaviors” (Olin, 2011). Therefore, engaging patients in their own care is vital because it promotes a sense of entitlement, making them realize they are part …show more content…
According Schmidt & Brown (2012), “for many people change represents excitement and challenge, while for others change is feared and avoided” (pg. 397). With that said, the researcher (nurse) should bring everyone on board during the implementation of the intervention using a change theory. The Kotter’s eight-change phases model fits the proposed change. The first phase is to create urgency; with the plight of newly diagnosed patients in mind, the nurse will indicate the need for this change intervention. The second phase is establishing a coalition; since the coalition share the same vision for the change process, it makes the transition smooth. The coalition should include most of the health care team that would collaborate the care of the T2DM patient. Step three would be developing the vision; the vision of the intervention is to ensure diet and exercise is the primary treatment of T2DM. The fourth step is communicating the vision; effectively communicating the importance of enrolling in a diet and exercise program at an early stage of the disease to all stakeholders could facilitate the change …show more content…
Caring for T2DM patients is a collaborative effort. There should be a common vision and purpose across the board with the support of all the stakeholders; newly diagnosed T2DM patients are more likely to stick with the treatment plan when the environment is conducive. In addition, with the collaboration in the training of health care professionals, patients would consistently hear the same message across board “diet and exercise to control their serum glucose levels.” There will also be structured patient profiles in place for shared information and communicate findings with other members of the health care team, thereby improving patient

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