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The self-care deficit nursing theory is a grand nursing theory that was developed between 1959 and 2001 by Dorothea Orem. The theory is also referred to as the Orem's Model of Nursing . It is particularly used in rehabilitation and primary care settings, where the patient is encouraged to be as independent as possible.
Dorothea Elizabeth Orem (June 15, 1914 – June 22, 2007), born in Baltimore, Maryland, was a nursing theorist and creator of the self-care deficit nursing theory, also known as the Orem model of nursing.
Nursing theory is defined as "a creative and conscientious structuring of ideas that project a tentative, purposeful, and systematic view of phenomena". [1] Through systematic inquiry, whether in nursing research or practice, nurses are able to develop knowledge relevant to improving the care of patients.
Self-care is seen as a partial solution to the global rise in health care costs that is placed on governments worldwide. [8] A lack of self-care in terms of personal health, hygiene and living conditions is referred to as self-neglect. Caregivers or personal care assistants may be needed. There is a growing body of knowledge related to these ...
Achievement: to control self and the environment. Affiliative: to achieve intimacy and inclusion. Aggressive/Protective: to protect self or others from objects, persons or ideas. Dependency: to obtain attention and assistance. Eliminative: to expel biological wastes. Ingestive: to take in needed resources from the environment.
In assessing a family, the nurse would ask how the family provides for the physical and survival needs of the family members. A function of the self-concept mode is the need for maintenance of psychic integrity. Perceptions of one's physical and personal self are included in this mode. Families also have concepts of themselves as a family unit.
Each behavioural change theory or model focuses on different factors in attempting to explain behaviour change. Of the many that exist, the most prevalent are learning theories, social cognitive theory, theories of reasoned action and planned behaviour, transtheoretical model of behavior change, the health action process approach, and the BJ Fogg model of behavior change.
For this reason, it is not recommended in the model that it be used as a checklist, but rather as Roper states "As a cognitive approach to the assessment and care of the patient, not on paper as a list of boxes, but in the nurse's approach to and organisation of their care" [3] and that nurses in clinical practice deepen their knowledge and ...