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SELF-CARE DEFICIT THEORY

DOROTHEA
OREM
Prepared by

Bosede Adedire, BSN,
RN

Coppin State University
January 22, 2013

Outlines
 Explanation of theory
 Origin of the theory
 Concepts of theory with
definitions of concepts
 Use of theory in practice
 Use of theory in research
 Use of theory in education
 Relevant articles

Explanation Of Theory
 Self –Care deficit Nursing Theory (SCDNT) represents a general theory of
nursing expressed in three theories: self-care theory, self-care deficit theory
and nursing theory
 Person Centered Care
 Explains that an individual as an independent being is capable of achieving
maximal health with or without physical or health limitations
 Describes concepts that have wide adaptability in health practice situations

Origin
 The quest for knowledge to address the subject matter in nursing
 For nursing to advance as a field of knowledge and practice,
a structured organized body of nursing knowledge was
needed.
 Application of different concepts and influence from other disciplines to
build SCDNT theory
 collaborative efforts of other members of Orem’s team, with
Orem providing direction for the theory through leadership

Dorothea Orem Originates SCDNT.

Major Theories in the Model

Self-Care
Theory
Self-Care
Deficit
Theory
Nursing
Systems
Theory

Main Concepts in the Model
Dependent Care

Universal Self-Care Requisite
Nursing Agency
Nursing Design
Nursing
Systems

Use of Theory in Practice
 To assess the patient condition by the various
methods explained by the nursing theory
 To identify the needs of the patient
 To demonstrate an effective communication and
interaction with the patient.
 To select a theory for the application according to
the need of the patient
 To apply the theory to solve the identified problems
of the patient
 To evaluate the extent to which the process was
fruitful.

Use of Theory In Research
 To help design a research question
 To guide the selection of relevant data
 To interpret the data
 To propose explanations of causes or influences

Use In Education
 For curriculum improvement and design
 To transfer learned concepts to hands on
in clinical rotations
 To reinforce critical thinking
 To prepare prospective nurses for
leadership role in practice setting

Simmons. L. (2009). Dorothea Orem's self-care theory as related to nursing
practice in hemodialysis.
The study explores the adaptation of Orem’s Self Care theory in hemodialysis
patients to help promote quality of life in this population by using the strategy
provided by Orem’s SCDNT to maximize care.
Findings: Increase compliance

Teixeria. C., Zanetti. M., Pereira. M. (2009) Nursing diagnoses
in people with diabetes mellitus according to Orem’s theory of
self-care. Researched common findings in diabetic population.
 
Findings:
Common diagnosis in diabetic patients can guide in fostering
the development of independent self-care and promote
diabetic care management.

References
Alligood, M., R. & Tomey, A. (2010). Nursing theorists and their work. 7th ed.
Mosby Elsevier.
Simmons. L. (2009). Dorothea Orem's self-care theory as related to nursing
practice in
 
hemodialysis. American Journal of Nursing 36(4):419-21.
doi: 10.1097/01.NAJ.8800422170.06154.cb
Teixeria. C., Zanetti. M., Pereira. M. (2009) Nursing diagnoses in people with
diabetes mellitus
 
according to Orem’s theory of self-care. American Journal of Nursing
 
22 (4): 385-91