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Dorothea Orem Self-Care Deficit Theory. Presented by: Shoughlah Niaz RN. Dorothea Orem . Born in Baltimore, MD in 1914 Began Nursing Career in Providence Hospital in Washington DC, received her nursing diploma Complete BSN in 1939 and her MSN in 1946 at Catholic University of America

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Dorothea Orem Self-Care Deficit Theory


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    1. Dorothea OremSelf-Care Deficit Theory Presented by: ShoughlahNiaz RN

    2. Dorothea Orem • Born in Baltimore, MD in 1914 • Began Nursing Career in Providence Hospital • in Washington DC, received her nursing diploma • Complete BSN in 1939 and her MSN in 1946 at • Catholic University of America • Held Directorship of nursing school and nursing department at • Providence Hospital in Detroit from 1940-1949 • Moved to Indiana and worked for the Indiana State Board of Health • (Biography of Dorothea Orem, 2013)

    3. Dorothea Orem • Moved to Washington DC in 1957 at the US Dept of Health as a curriculum consultant to upgrade nursing training • Became Assistant Professor at Catholic University of America in 1959 • Developed her concepts of nursing and self care at Catholic University of America • Began consulting firm in 1970 • Published first book in 1971 “Nursing: Concepts of Practice” • Honorary Doctorates • Died in 2007 (Biography of Dorothea Orem, 2013)

    4. Self-care deficit theory • Developed theory to improve quality of nursing and patient ability to meets demands of care • Three components of theory: • Self-care • Self-care deficit • Nursing System • Self-care deficit is core of Orem’s theory because determines when nursing is needed • Main purpose for theory is for patients and families to maintain control of health by actively performing for self (Self Care Deficit of Nursing Theory-Dorothea Orem, 2012)

    5. Self-care • Activity of person to do on own in maintaining their health and well-being • When there is demand to care for oneself and that individual is capable to meet that demand, self-care is possible • Concepts: -Self care agency -Therapeutic self care demand -Self care requisites: universal, developmental and health deviation (Self Care Deficit of Nursing Theory-Dorothea Orem, 2012)

    6. Self-care deficit • When individual is not capable to meet the demand of care for self, self-care deficit occurs • This is the key to Orem’s theory • Nursing is required in self-care deficit to guide in meeting the demand • 5 methods of helping: • Acting for or doing for patient • Teaching patient • Directing patient • Supporting patient • Providing environment for patient (Self Care Deficit of Nursing Theory-Dorothea Orem, 2012)

    7. Nursing system • Addresses and plans how needs of the patient can be met by the nurse, patient and/or both • Three types: • Wholly compensatory system-patients not capable to perform self-care • Partly compensatory system-limited mobility due to illness • Supportive-educative system-patient is capable of learning to perform (Moore, 2013)

    8. Purpose of theory • To help and promote patient to perform self-care • Patient can recover faster if they are encouraged to perform self-care tasks to maintain their health and well-being • Theory can apply to all types of nursing ex: rehab, primary care settings, nursing home and elders (Self-Care Deficit Theory, 2013)

    9. Dorothea Orem Theory Model Retrieved:https://sites.google.com/site/oremstheory/description-of-the-model

    10. Encourage Patients to perform self-care • Geriatric patients- restortativeprograms • Physical, occupational and speech therapy • active ROM can facilitate building strength • Walking- to maintain physical health • ADLs • Staying active • Nurse can meet needs of patients with setting goals and interventions Retrieved from:http://www.agefotostock.com/en/Stock-Images/Low-Budget-Royalty-Free/ESY-000850465

    11. References: Biography of Dorothea Orem (2013). Retrieved on October 05, 2013. http://nursingtheories.info/biography-of-dorothea-orem/ Moore, C. (2013). Dorothea Orem’s Self-Care Requisites. Retrieved on October 05, 2013. http://www.bellaonline.org/articles/art57906.asp Self Care Deficit of Nursing Theory-Dorothea Orem. Retreived on October 05, 2013. http://fundamentalsnursing.com/self-care-deficit-of-nursing-theory-dorothea-orem Self Care Deficit Theory (2013). Retrieved on October 03, 2013. http://nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php