Dorothea E. Orem: The Self-Care Deficit Nursing Theory – Flashcards

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Self-Care Deficit Theory
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Competent autonomous individuals who are responsible for their own health tend to remain in good health longer and recover disease or injury more quickly than individuals who do not accept responsibility
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Course of Action
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Social Values, Social Rules, Physiological mechanisms, response to environmental stimuli
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Universal Self-Care Requisites
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Common to all human beings during all stages of the life-cycle, adjusted to age, developmental state, and environmental and other factors. Includes: Maintenance of sufficient air, water, and food, provision of care associated with elimination, maintenance of balance between activity and rest and between solitude and social, prevention of hazards to human life, functioning, and well being, and the promotion of human development and desire to be normal
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Nursing System
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a helping system, designed for each patient by the nurse who develops a nursing diagnosis, then makes decisions based upon known limitations and capabilities.
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Orem's Nursing System
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Wholly compensatory, Partially compensatory, Supportive-educational
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Partially compensatory nursing system (long version)
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"both individual and nurse perform care measures or other actions involving manipulative tasks or ambulation... [either]the patient or the nurse may have the major role in the performance of care measures."
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supportive-educative system
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the individual "is able to perform or can and should learn to perform required measures of externally or internally oriented therapeutic self-care but cannot do so without assistance."
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Wholly-compensatory nursing system (short version)
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Everything must be done for the patient, however, patient still needs to be able to make decisions about their care whenever possible.
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Partially compensatory nursing system (short version)
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Patient can do some things for themselves, but not all things (i.e. a patient may need help getting out of bed, but can maneuver themselves easily once in a wheelchair)
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Supportive-educational (short version)
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Patient's don't need hands on care, but need support and education. Essentially independent.
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