Nursing Theory-Orem

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Self Care Deficit
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When the person is unable to provide self care.
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Self Care
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Performance or practice of activities that individuals initiate and perform on their own behalf to maintain life, health, and well being.
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Orem General theory
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The condition that validates the existence of a requirement for nursing is: in the adult: the health- associated absence of the ability to maintain continuously that amount and quality of self care that is therapeutic insustaining life and health, in recovering from disease or injury, or in coping with their effects. for the children: the inability of the parents associated with the child’s health state to maintain continuously for the child the amount and quality of care that is therapeutic.
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Primary intervention
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promotion and maintenance of health [sustaining life and health]
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Secondary intervention
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treatment of disease [injury and recovering]
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Tertiary intervention
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Coping with the effects [disease and injury]
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Theory of self care
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What needs to be effectively performed to help maintain structural integrity.
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Theory of self-care deficit
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When nursing is needed.
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Theory of nursing systems
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How patient’s needs are met by nurses.
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Self Care Agency
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Ability or power to engage in self care.
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Therapeutic self- care demand
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Totality of care measures necessary for meeting an individual’s self care requisites by using appropriate measures and related sets of operations and actions.
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Universal self care requisites
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Necessary for life [ex: air, water, food, and elimination]
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Developmental self care requisites
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Necessary for growth and development [ex: conditions and events needed for adjusting physically and socially]
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Self care deficit
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When there is a gap between self care agency and therapeutic self care demand.
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Nursing agent
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ability of people educated and trained as nurses to act, to know, and to help others meet their therapeutic self care demands.
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Nursing systems
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There are the designs for meeting the self care requisites of the patient; there are 3 classifications.
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Wholly compensatory
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The individual is unable to engage in self-care actions, and is dependent on the nurse for continued existence and well-being. Ex: Coma
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Partially compensatory
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Both the nurse and the patient perform care measures [either may have the major role] Ex: When they need help giving insulin or IVs
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Supportive-educative
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The nurse’s role is primarily that of teacher or consultant; the patient does the self care.
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Basic conditioning factors
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Age, gender, developmental state, sociocultural factors, health care system factors, family system factors, patterns of living, environmental factors, and resource adequacy and availability.
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Orem’s goals
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To accomplish the patient’s self- care demand. To involve and transfer responsibility to members of the patients family or significant other. Orem did not want to create dependency.
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Nursing Process in 3 steps
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Step 1: diagnosis and prescription: that is determining why nursing is needed: analysis and interpretation; making judgments regarding care. Step 2: Designing the nursing system and planning for delivery of care [Ex: wholly comepensatory, partially compensatory, and supportive- educative] Step 3: The production and manage of nursing systems [performs and regulates self care tasks to meet self care needs, this includes evlaution]
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Health Deviation Goal
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Measures for diagnosing for treating an illness or disease.
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Developmental self care
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Starting school, birth, puberty, starting a new job, etc.
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Conditioning factors
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Age, socioeconomic factors, and how you will be able to take care of yourself.
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Assumption of Orem
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Self care is a requirement for every person. Universal self care. Health Deviation and self care. Specific processes are required for each care.

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