Metaparadigm in Nursing Orems theory addresses clients health care needs.

It is defined as goal-oriented activities that are set towards generating interest in the part of the client to maintain life and health development. The theory is aimed towards making the clients perform self-care activities in order to live independently. Person has the capacity to reflect! sym"oli#e and use sym"ols $onceptuali#ed as a total "eing with universal! developmental needs and capa"le of continuous self-care % unity that can function "iologically! sym"olically and socially The recipient of nursing care % "eing who functions "iologically! sym"olically! and socially &as the potential for learning ' development Is su"(ect to the forces of nature &as a capacity for self-knowledge $an engage in deli"erate actions! interpret e)periences! and perform "eneficial actions $an learn to meet self-care needs *re+uisites,

&ealth

health and healthy are terms used to descri"e living things It is when they are structurally and functionally whole or sound - wholeness or integrity. .includes that which makes a person human!-operating in con(unction with physiological and psychophysiological mechanisms and a material structure and in relation to and interacting with other human "eings Not only a "odily state "ut also to how one functions in everyday living and progressive development that is movement toward higher and higher level of integration and functioning.

.nvironment environment components are enthronement factors! enthronement elements! conditions! and developed environment Person and environment are a functional unit in which e)change are reciprocal and influence is mutual. Persons are viewed as e)isting in their environments and never isolated from them. .nvironmental features *physical! chemical! "iologic and social, have an impact on the health and well- "eing of the person and the family. Nursing is art! a helping service! and a technology %ctions deli"erately selected and performed "y nurses to help individuals or groups under their care to maintain or change conditions in themselves or their environments .ncompasses the patients perspective of health condition !the physicians perspective ! and the nursing perspective

/oal of nursing to render the patient or mem"ers of his family capa"le of meeting the patients self care needs To maintain a state of health To regain normal or near normal state of health in the event of disease or in(ury To sta"ili#e !control !or minimi#e the effects of chronic poor health or disa"ility

Orem viewed nursing as 0% community service! an art and a technology. Community * is a group of individuals and families who share not only a common geographic area "ut common Interest. As a health service0 in the community 0 It is an interpersonal process that re+uires the social encounter of a nurse with a patient *transaction process, "ased on the values of that community. Art 0 %s an art! it is the a"ility to assist others in the design! provision and management of systems of self-care to improve or to maintain human functioning at some level of effectiveness Technology: techni+ues of practice It is the a"ility to assist others in design! provision and management of self-care to improve or maintain human function at some level of effectiveness. Theoretical assertions0

&ow are the four concepts related1 The person *or patient, is the central focus of nursing care. %ccording to Orem! the person2s health state is mediated "y his3her environment. % person! who is healthy! is capa"le of selfcare. 4hen there is illness in the person2s health state! the person is not a"le to complete all self-care re+uisites. 4hen this occurs! nursing care is needed to assist the person in completing his3her self-care. Nurses must assess the person2s a"ility to provide his3her own self care and the environmental conte)t of the person in order to overcome health-associated limitations.