Collaborative Learning Community (CLC)

DOROTHEA OREM’S SELF-CARE
DEFICIT THEORY

This is a Collaborative Learning Community (CLC) assignment.

Nursing theories are tested and systematic ways to implement nursing practice.
Select a nursing theory and its conceptual model. Prepare a 10-15 slide PowerPoint
in which you describe the nursing theory and its conceptual model and demonstrate
its application in nursing practice. Include the following:

Present an overview of the nursing theory. Provide evidence that demonstrates
support for the model’s efficacy in nursing practice. Explain how the theory proves
the conceptual model.

Explain how the nursing theory incorporates the four metaparadigm concepts.

Provide three evidence-based examples that demonstrate how the nursing theory
supports nursing practice. Provide support and rationale for each.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the
Student Success Center, for additional guidance on completing this assignment in
the appropriate style.

While APA style is not required for the body of this assignment, solid academic
writing is expected, and documentation of sources should be presented

OVERVIEW OF THE NURSING THEORY

Emanates from continuous efforts towards the
improvement in nursing practices across healthcare
facilities (Ajesh & Chandran, 2017).

The interrelationship between the various concepts
focuses on the creation of different ways of interpreting
phenomena.

It thus focuses on activities related to self care

Self-care, in the theory, entails the initiation and
accomplishment of tasks that maintain and safeguard an
individual’s health and life and welfare

SUB-THEORIES EMBEDDED IN THE DEFICIT MODEL

Comprises of nursing comprises of

Theory of Self-Care (TSC)

Theory of Self-Care Deficit

Theory of Nursing Systems

CONCEPTUAL MODEL AND RELATIONSHIP BETWEEN
THE CONSTITUENT THEORIES

THEORY OF SELF-CARE

Self-care- prioritization on carrying out activities initiated by
people in the maintaining their welfare

Agency of self care- the ability of the individuals to engage in
self-care. Conditioning factors include; social interactions, age, and
state of development, gender, living patterns, and health care
system factors (Awaliyah, Setwayoti, & Budiati, 2017).

Therapeutic self-care demand- describes the entire activities
required at a specific moment or over some duration in realizing
the requisites, and based on the use of valid methods as well as
relative actions or operations

Self-care requisites- activities carried out towards the provision
self-care. The levels under these requisites include universal,
development, and deviation of health requisites related to self care

SELF-CARE REQUISITES

Requirements under Universal Self Care

Focus on activities that guarantee
sustenance of the integrity in an
individual’s functionality and body
structures

Aspects across the activities carried out
in his/her life (ADL)

Orem definition of the requisites as:-

  • maintaining a stable consumption of
    food and water, as well as respiration

-ensuring adequate excretion and
elimination of waste

-sustenance in balance between
physical activities, rest, and interactions
with other people

-preventing harm or illnesses

-promoting functionality (Vati, 2015)

Developmental Self-Care Requisites

Optimizes growth and development process
influenced by different occurrences in the
life-cycle changes or health conditions that
lead to adjustment to bodily changes

Health Deviation Self-Care Requisites-
necessary during injuries, illnesses, or
diseases

visiting a physician or purchasing
medications

Awareness and attending to the outcomes
affecting an individual’s pathology

Effective performance of diagnosis, therapy,
and rehabilitation

Modification of perceptions and the or state
of health

Coping and living with the outcome (Vati,
2015)

THEORY OF SELF-CARE DEFICIT

Defines the various ways an individual might benefit from
the nursing services available.

According to Orem, nurses may help people through:

Carrying out activities or partaking in various services

Offering guidance and necessary direction

Providing physical and psychological support

Environmental conditions that boost personal
development

Raising awareness and educating patients and their
colleagues (Smith & Parker, 2015)

THEORY OF NURSING SYSTEMS

Describes the processes through which the patient’s health
needs are addressed based on his/her perspective, that of
nurses, or both.

However, the constituent on nursing systems used is
classified into three categories that focus on addressing
the requirements of health

Wholly compensatory system

Partly compensatory system

Supportive-educative system (Abdelkader & Bawadi,
2019)

THEORY’S PROOF AND SUPPORTS THE MODEL

ASSUMPTIONS IN THE MODEL

People are independent and responsible for their welfare and
those of others in their families

All people have distinctive aspects and attributes

Nursing actions necessitates he interaction between two or
more people

The success behind the realization of development and
universal requisites is fundamental to primary care prevention
components

An individual’s knowledge of the various risk factors suffices
the adoption of behavior that promotes

Independent care are behaviors acquired through interactions
with other people in socio-cultural contexts or through
communication and interactions with other people
(Abdelkader & Bawadi, 2019).

THE INCORPORATION OF THE 4 METAPARADIGM
CONCEPTS

Person

Identified as the patient or
nursing care services recipient

An individual with biological,
social, and symbolic
functionality and has the
potential to learn and develop

An individual who can
deliberately act through the
interpretation of experiences
and performance of beneficial
actions (Ajesh & Chandran,
2017)

Health

wholeness of the bodily functions
and structure

The opposite of illness

Encompasses activities such as the
maintenance and health
promotion, and the preventing
hazards (Awaliyah, Setwayoti, &
Budiati, 2018)

THE INCORPORATION OF THE 4 METAPARADIGM
CONCEPTS (CONT’D )

Nursing

Intellectual quality aimed
at assisting individuals and
groups

Human services that focus
on people’s inadequacies
in their maintenance of
care standards (Abdelkader
& Bawadi, 2019)

Environment

The physical and psychological
external surrounding

External factors, elements,
conditions, and developmental
surroundings

Associated with positive and
negative effects to the
administration of personalized
care (Smith & Parker, 2015)

EVIDENCE-BASED EXAMPLES DEPICTING NURSES EFFICACY

Nursing
Process

Orem’s Nursing Process

Assessment

Diagnosing and prescribing- determination of the importance of nursing, analysis,
interpretation and drawing conclusions related to care

Designing a system for nursing operations and planning for their delivery

Managing and producing different systems

Step 1- Data Collection across Six Area:-

Patient current health condition

Physician’s point of on the his/her health

Patient point of view on his welfare

Objectives outlined the patient’s of health status, life history, and lifestyle.

Nursing
diagnosis

Plans based
on scientific
rationale

Step 2:-

Highlighting the demanded factors in the care services rendered to the patient

The use of set of effective and efficient measures for helping the patient in compensating or
overcoming deficits in personalized care

Implementatio
n

Evaluation

Step 3-

Helping the patient to achieve the described or identified health or health related results

Collecting information/evidence for evaluating the results obtained against those specified in
the nursing system design

Etiological components or nursing diagnosis

Evaluation

EVIDENCE-BASED EXAMPLES AND NURSING EFFICACY

Patient has undergone abdominal surgery following a
condition such as rheumatoid arthritis

Patient with controlled hypertension and seeks diet
information

Senile persons or individual with a severe mental
impairment/ retardation

REFERENCES

Abdelkader, R. H., & Bawadi, H. (2019). Self-Care Behavior Assessment of Fragile
School-Age Children: An Application of Orem’s Self-Care Framework.

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