Theoretical foundations of nursing

Dorothea E. Orem The Self-Care Deficit Nursing Theory

Basic Assumptions
Socio-culture Self care

independent

Knowledge

Self care OK if Universal self-care requisites OK

Theory of self care

OREMS GENERAL THEORY OF NURSING

Theory of self care deficit Theory of nursing system

Theory of Self Care

Self care

Self care agency

Therapeutic self care demand

Self care requisites

ability for engaging

totality of self care actions

Initiates

action directed

self care requisites

Universal self care requisites

Developmental self care requisites

Health deviation self care requisites

sufficient intake of air ,water, food

Elimination, balance rest & activity, solitude & social interaction, prevention of hazard, human functioning

Associated with developmental processes

Seeking and securing appropriate medical assistance, being aware for pathologic condition

Theory of self care deficit

Specifies when nursing is needed Nursing Orem identifies 5 methods of helping: Acting for and doing for others Guiding others Supporting another Providing an environment promoting personal development in relation to meet future demands Teaching another

Theory of Nursing Systems

Describes how the patients self care needs will be met by the nurse , the patient, or both Identifies 3 classifications of nursing system to meet the self care requisites of the patient: Wholly compensatory system Partly compensatory system Supportive educative system