Professional Documents
Culture Documents
Therapeutic self-care
demand
Self-care
Is the performance or practice of activities that
individuals initiate and perform on their own
behalf to maintain life, health, and well-being.
Self-care agency
The human’s required ability or power to engage
in self-care
THE THEORY OF SELF-CARE
Self-care requisites
“The reason for which self-care is undertaken;
they express the intended or desired results.”
Has 3 categories:
Universal self-care requisites
Developmental self-care requisites
Health deviation requisites
THE THEORY OF SELF-CARE
Self-care requisites:
UNIVERSAL REQUISITES:
Air
Water
Food
Elimination
Activity and Rest
Solitude and Social Interaction
Hazard Prevention
Promotion of Normality
THE THEORY OF SELF-CARE
Self-care requisites:
Developmental self care requisites:
Associated with human growth and developmental
processes and with conditions and events occurring
during various stages of the life-cycle and events
that can adversely affect development.
Health deviation self-care requisites:
Are related to “genetic and constitutional defects
and human and structural and functional
deviations.”
THE THEORY OF SELF-CARE
Self-care requisites:
Health deviation self-care requisites:
Ex:
Seeking and securing appropriate medical assistance
Being aware of and attending to the effects and results
of pathologic conditions and states
Effectively carrying out medically prescribed
diagnostic, therapeutic, and rehabilitative measures
THE THEORY OF SELF-CARE DEFICIT
THE THEORY OF SELF-CARE
DEFICIT
Delineates when nursing care is needed
States that nursing care may be provided if “the
care activities are less than those required for
meeting a known-self-care demand”
Nursing may be needed when individuals need
“to incorporate newly prescribed, complex self-
care measures into their self-care systems or;
When the individual needs help in recovery from
disease or injury, or in coping with their effects
THE THEORY OF SELF-CARE
DEFICIT
FIVE METHODS FOR OR DOING FOR
ANOTHER:
Acting for or doing for another
Guiding and directing
Providing physical or psychological support
Providing and maintaining an environment that
supports personal development
Teaching
THE THEORY OF NURSING SYSTEMS
THE THEORY OF NURSING
SYSTEMS
Based on the assessment of an individual’s
self-care needs and on the assessment of the
abilities of the patient to perform self-care
activities.
THE THEORY OF NURSING
SYSTEMS
Nursing agency is a complex property or
attribute of people educated and trained as
nurses that enables them to act, to know, and
to help others meet their therapeutic self-
care demands by exercising or developing
their own self-care agency.
NURSING AGENCY VS. SELF-CARE
AGENCY?
THE THEORY OF NURSING
SYSTEMS
THREE CLASSIFICATIONS OF NURSING
SYSTEMS:
1. Wholly-compensatory
2. Partly-compensatory
3. Supportive-educative system
THE THEORY OF NURSING
SYSTEMS
1. Wholly-compensatory nursing system:
Represented by a situation in which the individual
is unable to engage in self-care
Client is socially dependent
THE THEORY OF NURSING
SYSTEMS
2. Partly compensatory Nursing System
Is represented by a situation in which “both the
nurse and the patient perform care measures or
other actions involving manipulative tasks or
ambulation.”
Either the patient or the nurse may have the major
role
THE THEORY OF NURSING
SYSTEMS
3. Supportive-educative nursing system:
The person “is able to perform or can and should
learn to perform required measures of externally a
or internally oriented therapeutic self-care but
cannot do so without assistance.”
The patient is doing all of the self-care
The nurse’s role is to promote the patient as a self-
care agent.
OREM’S THEORY AND NURSING’S
METAPARADIGM
OREM’S THEORY AND NURSING’S
METAPARADIGM
Orem has four major concepts in her work:
Human beings
Health
Society
Nursing
OREM’S THEORY AND NURSING’S
METAPARADIGM
1. Human beings:
Are distinguished from other living things by their
capacity:
To reflect
To symbolize what they experience
To use symbolic creations
Have the potential for learning and developing
OREM’S THEORY AND NURSING’S
METAPARADIGM
2. Health:
Orem supports the WHO’s definition of health
Orem also presents health based on the concept
of preventive health care
OREM’S THEORY AND NURSING’S
METAPARADIGM
3. Nursing:
Orem speaks to several factors related to the
concept of nursing:
Nursing as service
Role theory related to nursing
Technologies in nursing
Human service
OREM’S THEORY AND THE NURSING
PROCESS
OREM’S THEORY AND THE
NURSING PROCESS
According to Orem, “Nursing process is a term
used to refer to nurses’ performance of the
professional-technologic operations of nursing
practice.”
Orem discusses a three-step nursing process:
Nursing diagnosis and prescription
Designing the nursing system and planning for the
delivery of care
The production and management of nursing
systems