SELF-CARE DEFICIT THEORY OF NURSING 3.

Pattern of living
Dorothea Elizabeth Orem 4. Health State
 Born July 15, 1914 - Baltimore, Maryland, 5. Socio-Cultural Orientations
USA SELF CARE REQUISITES
 Died June 22, 2007 - Skidway, island  Actions directed towards provision of self-care.
Georgina 92 yrs old
3 CATEGORIES OF SELF CARE REQUISITES
METAPARADIGMS
1. UNIVERSAL SELF CARE REQUISITES
PERSON – same as Benner’s
 Pangkalahatan; universally acceptable; req.
 Psychological, Interpersonal, Social aspects of every human being about self-care
 Symbolize what they experience  Associated with life process and
 Individuals have the potential to be maintenance of the integrity of human
developed and learned structure.
NURSING  Air • Food •Water
 Consults of those actions to overcome or  Provision of care associated with elimination
prevent self-care deficit process and excrements
 Helping patients to perform self-care • Balance between activity and rest.
activities/human service • Social interaction
ENVIRONMENT – like Rogers’ • Prevention of hazards
 Anything outside/external to the person 2. DEVELOPMENTAL
 Adjusting to a new job and body changes.
 Can positively affect a person's ability to
function. 3. HEALTH DEVIATION
 Internal and external  Adherence to medical regimen
 Inseparable  Awareness of potential problem associated with
 Surroundings, environment as external regimen
source of influence  Modification of self-image to incorporate
HEALTH changes in health status.
 The internal and external conditions that THERAPEUTIC SELF CARE
permit self-care needs to be met  demands to be performed for some totality
 Promotion and maintenance of health, of self-care actions duration in order to
treatment of illness and prevention of meet self-care requisites using valid
complication methods and related sets of operations and
actions.
SELF-CARE THEORY
 Nagtuturo paano magself-care; naachieve
 Performance/practice of activities that
lahat
individuals initiate and perform on their
own behalf to maintain life, health and well- NURSING SYSTEM
being. 1. Wholly Compensatory System
 The nurse acts for the patient
OREM'S GENERAL THEORY OF NURSING
 Sa ICU nakadepende ang self-care sa nurses
1. THEORY OF SELF CARE 2. Partly/Partial Compensatory System
2. THEORY OF SELF CARE DEFICIT – di kaya ng sarili  Both nurses and patient work together to
3. THEORY OF NURSING SYSTEM perform activities to achieve desired self-
SELF CARE AGENCY – ikaw mismo ung agency care goals.
 The human's acquired powers and capabilities  Assist lang ang nurses, ikaw maghahanda ng
to engage in self-care. pampaligo/bathtub pero sila magpapaligo
sa sarili nila.
BASIC CONDITIONING FACTORS
 Compensatory – pupunan pagkukulang
1. Age
2. Gender
 3. Supportive-Educative System
 Requires uses of resources and educational
tools to teach the person and family to
perform their own self-care.
 Pilay, good goes to heaven bad goes to hell
ASSOCIATED WITH LIFE PROCESSES AND THE
MAINTENANCE OF THE INTEGRITY OF HUMAN
STRUCTURE AND FUNCTIONING. (Universality)
• COMMON TERM FOR THERE IS ACTIVITIES IF
DAILY LIVING.
• The maintenance of a sufficient intake
of air, water, and food
The provision of care associated w/
elimination processes
MAJOR ASSUMPTIONS
ALL PATIENTS WISH TO CARE FOR THEMSELVES.
 Humans are capable and willing to engage in self-
care and care for dependent members of the
family.
 Self-care and dependent care are learned
behaviors through human communication and
interaction w/ each other.
 Nursing is a helping actions performed by nurses
for the benefits of others over a certain period of
time.
 Humans are supposed to be self-relevant and
responsible for their self-care needs and care
needs for dependent members of the family. –
Acc. to F.N. THINK LIKE A NURSE
 Humans are unique individuals that are
separated from each other and from their
environment.
APPLICATION OF THEORY
PRACTICE
• Orem`s self-care deficit theory how been used in
the context of the nursing process to teach
patients to increase their self-care agency to
evaluate nursing practice and to differentiate
nursing from medical practice.
EDUCATION
• Orem`s self-care deficit theory has been the
focus of the curriculum in nursing education at
many schools of nursing.
• Habang lumalaki, nag-iimprove at develop ang
knowldge
RESEARCH
• The self-care theory provided conceptual
framework for many researchers
DEPENDENT SELF-CARE DEMAND ‘pag di na-meet ang
therapeutic
LOGICAL FORM
DEDUCTIVE yung self-care lang
INDUCTIVE pinalawak yung self-care into therapeutic,
agency, requisites, etc..
NURSES – client advocate; tuturuan patient kung san
mas mapapadali
QUALITATIVE research because self-care is based on
phenomenology or experiences
THEORY OF GOAL ATTAINMENT
IMOGENE KING
 Born January 30, 1923 West Point, Iowa
 Died December 24, 2007 due to stroke
GOAL OF ATTAINMENT THEORY
It proposed a conceptual frame of reference intended to
be utilized by nursing students, professors and
researchers to identify and analyze events in nursing.
• It suggests that the essential characteristics of
nursing are those properties that have persisted
inspite of environmental changes.
• It is an approach for selecting concepts
perceived to be fundamental for the practice
of professional nursing
• Most importantly it shows a process for
developing concepts that symbolize experience
within the physical, psychological and social
environment of nursing.
↑ ↓ - relationship
First part of the cycle is the most critical it should be
congruent.
REACTION – bakit tumaas ang sugar (diabetes); saan
nakuha
INTERACTION – baka nasa family history; communication
TRANSACTION – uminom ng gamot; need mapababa
sugar
FEEDBACK – indication bat bumaba sugar; inom gamot &
exercise
FACTORS THAT AFFECT THE ATTAINMENT OF  Transaction represents a life situation in which
GOALS those who are involve are active participant and
1. Roles each is changed in the process of experience
2. Stress  Individuals have the ability through their
language and other symbols to record their
3. Space
history and preserve their culture (King, 1986).
4. Time
MAJOR CONCEPTS METAPARADIGMS
Personal System Nursing
• Perception • Growth and Development  Act wherein the nurse interacts and
• Self • Body Image communicates with the patient.
• Space • Time  The nurse helps the patient identify the existing
Interpersonal System health condition, exploring and agreeing on
• Interaction • Communication activities to promote health.
• Transaction • Role Human Being
• Stress  social beings that are rational and sentient
Social System  role authority; unique individual well-being
• Organization • Authority  has culture (sensitive) & history (must
• Power • Status respect; tinatanggi ang tunay na
• Decision Making nararamdaman; tayo mag-aadjust); open-
ended
Environment
 Is consistently changing; dynamic process
 Is the background for human interaction
 Humihina habang tumatanda
Health
 Implies continuous adjustment to stressors in
the internal and external environment
 Through optimum use of one's resource to
achieve maximum potential for daily living.

PERSONAL SYSTEMS (Individuals) – kung anong nakuha

mo, mashe-share mo sa iba
INTERPERSONAL SYSTEM (Groups) – dyads & triads;
patient, nurse, and doctor
MAJOR ASSUMPTIONS
 Nurse and Client share information, attain and
set goals mutually as same as nursing process
 Nursing Focus is the care for Human Being