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Dorothea orem’s self care  theory
 

Dorothea orem’s self care theory

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    Dorothea orem’s self care  theory Dorothea orem’s self care theory Presentation Transcript

    • DOROTHEA OREM’s SELF-CARE THEORY
    • THREE SUB THEORIES
      Self Care Theory
      Self Care Deficit Theory
      Nursing Systems Theory
    • Self Care Theory
      Self-Care
      The practice of activities that individuals personally initiate and perform on their own behalf in maintaining health, life, and well-being.
    • When self-care is effectively performed, it helps to maintain structural integrity and human functioning, and it contributes to human development
    • Self Care Theory
      Self-care agency
      - complex acquired ability to meet one’s continuing requirements for care that regulates life processes; maintains integrity of human structure, functioning and development and promotes well being (Orem,1991)
      Basic conditioning factors that affect an individual’s ability to engage in self-care:
      age
      gender
      developmental state
      health state
      sociocultural orientation
      family system factors
      resource adequacy and availability
    • Self Care Theory
      Self-Care Requisites
      - actions or measures used to provide self care
      Three Categories:
      Universal self-care requisites
      Developmental self-care requisites
      Health-deviation self-care requisites
    • Self-Care Requisites
      Universal self-care requisites - common to all individual
      Sufficient intake of air
      Sufficient intake of water
      Sufficient intake of food
      Satisfactory eliminative functions
      Activity balanced with rest
      Balanced time spent alone and with others
      Prevention of danger to self
      Being Normal
    • Self-Care Requisites
      Developmental self-care requisites
      Two Categories:
      Conditions that support life processes and promote specific developmental stages.
      Conditions affecting human development.
    • Developmental self-care requisites
      Conditions that support life processes and promote specific developmental stages.
      Intra-uterine life and birth
      Neonatal life
      Infancy
      Childhood
      Adolescence
      Adulthood
      Pregnancy
    • Developmental self-care requisites
      CONDITIONS AFFECTING HUMAN DEVELOPMENT
      Provision of care to prevent occurrence of deleterious effects of adverse conditions.
      Example:
      Provision of adequate rest and nutrition during pregnancy.
      Provision of care to prevent or overcome existing or potential deleterious effects of particular conditions or life events.
      - Educational deprivation
      - Social adaptation problem
      - Loss of significant others
      - Loss of possessions or job
      - Sudden change in living
      condition
      - Change in status
      (social/economic)
      - Poor health / disability
      - Terminal illness or
      expected death
      - Environmental hazards
    • Health-deviation self-care requisites
      Needs resulting from an illness, injury or its treatment
    • Health-deviation self-care requisites
      Six Categories:
      1. Seeking and securing appropriate medical assistance
      2. Being aware of and attending to the effects and results of pathologic conditions and states
      3. Effectively carrying out medically prescribed diagnostic, therapeutic and rehabilitative measures
    • Health-deviation self-care requisites
      4. Being aware of and attending to or regulating the discomforting or deleterious effects of prescribed medical care measures
      5. Modifying the self – concept in accepting oneself as being in a particular state of health and in need of specific forms of health care
      6. Learning to live with the effects of pathologic conditions and states of medical diagnostic and treatment measures in a life-style that promotes continued personal development
    • REFERENCES:
      Anonuevo, C. Abaquin, C. et. al. (2000). Theoretical Foundations of Nursing. Philippines: UP Open University.
      http://www.associatedcontent.com/article/494735/selfcare_deficit_theory_pg2.html?cat=5