Dorothea Orem Nursing Theory

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…
The family of the newly diagnosed patients should be encouraged to learn about the disease, signs and symptoms of complications, and steps to manage the disease. Family members will be provided with booklets, online communities, and support group for supplemental information after their education session. The adherence to treatment will improve greatly if family members or love ones are on board. Encourage both patient and family to start exercising together and preparing healthy meals and eating together. The patient will not feel isolated and it will go a long way to encourage them to stick with the treatment