Orem’s Self-Care Theory & Watson’s Theory of Caring – Flashcards
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Dorothea Orem
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-Received a Diploma in Nursing At Providence Hospital In Washington,DC -Received 4 Honorary Doctorate Degrees -Retired and Lived In Savannah, GA in 1986
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Orem's Definition of Nursing
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Nursing is the provision of self-care which is therapeutic in sustaining life and health, in recovering from disease or injury, or coping with their effects.
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According to Orem's Definition of Nursing
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Nursing is a service to people not a derivative of medicine and promotes the goal of patient self-care.
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Orem's Theory of Self-Care
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Each person has a need for self-care in order to maintain an optimal level of health and wellness and possesses the ability and responsibility to care for themselves and their dependents.
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What are the 3 conceptual theories used in Orem's Theory of Self Care?
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-Theory of Self Care, Theory of Self-Care Deficit, Theory of Nursing Systems
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Orem's Self Care Theory is based of what concepts?
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Self Care, Self Care Agency, Self Care Requisites, Therapeutic Self Care Demand
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Self Care Agency
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The individual's ability to perform his/her self-care.
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According to Orem's Self-Care Theory, what are the two agents?
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Self Care Agent and Dependent Care Agent
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Self Care Agent
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Individual who is able to IDENTIFY his or her self-care requisites, decide what actions are need to meet the requisites, and perform those actions. (Person who provides the self-care).
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Dependent Care Agent
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ACTIONS take by a person OTHER THAN the individual who cannot perform adequate self-care (such as parent).
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Orem's Self Care Requisites are also known as what?
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Self Care Needs
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Therapeutic Self-Care Demand
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The sum of self-care actions or measures necessary for meeting an individual's self care requisites or health needs or totality of self care actions to be performed for some duration in order to meet self care requisites.
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What are the 3 categories of self-care requisites?
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Universal Self Care Requisites, Developmental Self Care Requisites, and Health Deviation Self Care Requisistes
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Universal Self-Care Requisistes
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Are associated with LIFE PROCESSES and the maintenance of the integrity of human structure and functioning
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What are some Universal Self-Care Requisites?
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Intake of air, intake of water, intake of food, elimination process
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Developmental Self-Care Requisistes
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Associated with DEVELOPMENTAL process and is derived from a condition or associated with an event.
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Example of Developmental Self-Care Requisistes
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Adjusting to a new school Adjusting to body changes after having a baby
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Health Deviation Self Care Requisistes
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Is required in conditions of illness, disease, or injury.
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What of the following are included in Health Deviation Self Care Requisistes? a.)Seeking and Securing Medical Assistance b.)Being aware of and attending effects and results of pathological conditions c.)Effectively carrying out medically prescribed measures d.) accepting oneself as being in a particular state of health and in specific forms of health care. e.) Learning to live with effects of pathological conditons f.)All of the Above
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All of the Above
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Orem's Theory of Self-Care Deficit
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Specifies when nursing is need, and nursing is required when an adult is incapable or limited in the provision of continuous effective self care.
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When does a Self Care Deficit occur?
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When an individual is unable to meet his/her own Self Care Requisites and when therapeutic self-care demands exceeds self care agency.
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Who's job is it to determine the deficits and define a support modality?
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Registered Nurse
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Orem's Grand Central Theory of Nursing
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Self-Care Deficit Theory
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What does the Self Care Theory explain?
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When nursing is needed, how people can be helped through nursing, the results when the self care agency (patient) can not meet his or her self care needs.
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What is Nursing Agency?
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the developed capabilities of the professional nurse to assist the patient in meeting his/her therapeutic self-care demands and to regulate the development or exercise of his/her self care agency.
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Nursing meets these self-care need through what five methods of help?
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Acting or doing for Guiding Teaching Supporting Providing an environment to promote the patient's ability to meet current or future demands
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Orem's Nursing System Theory Describes what?
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Nursing Responsibilities, Roles of Nurse and Patient, Rationales for nurse-patient relationship, types of actions needed to meets patients demands
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Orem's Nursing System Theory
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Refers to a series of actions a nurse takes to meet a patient's therapeutic self care demands and to protect and regulate the exercise or development of the patient's self care agency.
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What are the 3 Nursing Systems?
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Partly Compensatory Wholly Compensatory Supportive-Educative
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Partly Compensatory
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a patient can meet some self-care requisites but needs a nurse to help meet others.
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Wholly Compensatory
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a patient's self care agency is so limited that he/she depends on others for well-being
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Supportive-Educative
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a patient can meet self-care requisites but needs help in decision making, behavior control, or knowledge acquisition.
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Orem's Key Contribution to Nursing
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The continued evolution of original ideas to further delineate nursing practice, functions, self-care needs, and nursing systems based on research.
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Quote for Southern University School of Nursing.
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"Caring is the Essence of Nursing."
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What are the four components of SUSON logo?
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Caring, HealthCare, Nursing Knowledge, and Recipient of Care
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Who developed the Theory of Caring?
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Jean Watson
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Watson Theory of Caring purports what?
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Caring consists of carative factors that result in the satisfaction of certain human needs.
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What is a caring environment according to Watson's Theory of Caring?
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one that offers the development of potential while allowing the person to choose the best action for himself or herself at a given point in time.
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What is central to nursing according to Watson's Theory of Caring?
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The practice of caring.
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10 carative factors form framework for understanding nursing as what?
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"Science of Caring"
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Why did Watson use the term "carative" instead "curative"?
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To distinguish between nursing and medicine, where curative factors aim at curing the patient of disease and carative factors aim at the caring process that help the person maintain health or die a peaceful death.
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Watson's Carative Factors are?
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1. Formation of a Humanistic-altruistic system of values; 2. Instillation of faith-hope; 3. Cultivation of sensitivity to one's self and to others; 4. Development of a helping-trusting, human caring relationship; 5. Promotion and acceptance of the expression of positive and negative feelings; 6. Systematic use of a creative problem-solving caring process; 7. Promotion of trans-personal teaching-learning; 8. Provision for a supportive, protective, and/or corrective mental, physical, societal, and spiritual environment; 9. Assistance with gratification of human needs; 10.Allowance for existential-phenomenological-spiritual forces.
