The Self-Care Deficit Nursing Theory

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Dorothea Elizabeth Orem was born in Baltimore, Maryland in 1914. Orem attended Providence Hospital School of Nursing in Washington, D.C., where she later received her diploma in 1934. She continued her nursing education at Catholic University of America earning her B.S. in Nursing Education in 1939, and a M.S. in Nursing Education in 1945. In 1958, Orem was one of the foremost nursing theorists, and began developing her theory for improvement of quality nursing care in hospitals which became published as, The Self-Care Deficit Theory in 1971. The Self-Care Deficit Nursing Theory is comprised of three interrelated theories: (1) Theory of Self-Care, (2) The Self-Care Deficit Theory, and (3) The Theory of Nursing Systems. Orem’s approach is to …show more content…
This theory is a series of relations between patient’s self-care needs that will be met by the nurse, the patient, or by both. The nurse will implement a care plan based on assessment of patient’s needs and ability to meet or exceed self-care requisites. There are three systems used by the nursing profession aided to accommodate patient’s needs including Wholly compensatory, which the nurse accomplishes most of, or all care for patient that is unable to perform any self-care activities. Partially compensatory system involves nurse assistance with care to patient in meeting self-care requisites. Supportive-educative system expresses the independence of patient to perform own self-care, but nurse is required for support, knowledge, education, and decision-making to promote the patient as a self-care …show more content…
Her theory applicable for functionality in different areas of nursing by identifying needs of patient, thoughts and perception from the nurse to develop a plan for action of care. Orem’s theory emphasizes on interaction, communication, and education focus with patient to meet expected outcomes for health promotion and maintenance of patient. A major strength of Orem’s theory is its advocacy for the use of the Nursing Process. Limitations of Orem’s Self-Care theory in self-deficit may not apply or support all aspects of nursing care since the concept of health is dynamic and evolving. Another limitation that can be noticed is, her theory primarily focuses on physical care and illness with less emphasis to physiological

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