SELF – CARE

DEFICIT
THEORY OF
NURSING
Dorothea Orem
 Dorothea Orem
 born in Baltimore,
Maryland on 1914
 Providence
Hospital School of
Nursing in
Washington, D.C.
(diploma – 1930’s)
 Catholic University
of America
 1939 – BS in
Nursing Education
 1946 – MS in
Nursing Education
 Dorothea Orem
 Nursing  1940 – 49 =
Experiences directorship on
 operating room both nursing school
nurse and department at
 private duty nurse Providence
 hospital staff nurse Hospital, Detroit
both on pediatric  1949 – 57(Indiana)
and adult medical –
surgical units. = Division of
 ER evening Hospital and
supervisor institutional
 biological science Services (Indiana
teacher State Board of
 Dorothea Orem
 1957 – moved to  CUA
Washington, D.C.;  Members of the
curriculum Nursing Models
consultant at the Committee (CUA)
Office of Education,  Improvement in
US DHEW Nursing Group
 1971 – Nursing:
 1958 – 60 =
Concepts of
project (Guides for Practice
Developing
Curricula for the
Education of
Practical Nurses)
 Metaparadigm in Nursing
• Person
- men, women,
children cared for
either singly or as
social units and are
the “material
object” of nurses
and others who
provide direct care
* Human Functioning
 Metaparadigm in Nursing
• Health
- being structurally
and functionally
whole or sound
 Metaparadigm in Nursing
 Environment
- external source of
influence in the
internal interaction
of a person’s
different aspects
 Metaparadigm in Nursing
• Nursing
- helping clients to
establish or
identify ways to
perform self care
activites
Self – Care Deficit Theory of
Nursing

Self
care
R R
Thera
Self peutic
R Self
Care
care
Agen dema
cy nds
Deficit

R R
Nursin
g
Agency
 Self Care Requisites
Elements: Categories
2. Factor 2.Universal SCR
3. Nature of the 3.Developmental
required action SCR
4.Health Deviation
Requisites
 Nursing Agency
 Agent • Nursing Systems
 Dependent Care – 3 Types
Agent 2.Wholly
compensatory
 Nursing Design
systems
3.Partly
Compensatory
systems
4.Supportive –
educative
(developmental)
systems
 Application
• Nursing Practice • Education
– Patients having – 1970’s – curriculum
heart problems, development
cancer and mental – Preventive health
illness care
– Geriatric cases
(chronic)
– CH, OH
* Used in multiple
settings
 Application
• Research
– Development of research instruments
• Exercise of Self Care Agency
• Appraisal of Self Care Agency
 Analysis
• Simplicity – Significant value
– presented in a • scope
straightforward • Complexity
manner • Clinical usefulness

• Generality
• Derivable
– Operates upon the
combination of Consequences
several – Focus
conceptualized • give direction to
properties nursing specific
outcomes
• Empirical Precision
– Generating
hypotheses
– Additional
 Nursing
• A scientific structure
and as a practical
science with on –
going development of
the nursing
knowledge.
Example;)
• “Carl”
• 40 years old
• A business tycoon
• Man of Faith
 Situation
• February 23, 2010 • Findings:
– Meets a vehicular – complete fracture
accident along the of the leg
highway going to – Severe injury to the
the chapel for his inner thigh and foot
wedding – Massive muscle
– Fortunately, he damage
was still alive when – Head injuries
rescued by the
paramedics and
was given with an
emergency
treatment for blood
loss but his right leg
was torn off.
 Situation
• Actions Taken: • After a month:
– Emergency surgery – Carl woke up but
• coma became like a
– Another operation vegetable
– “Nothing is
impossible to God,
doctor. Only to Him
I’ll surrender my
utmost faith and
trust!”
 DIANOS PLANNIN
IS G
IMPLEMENTEATI
ASSES
SMEN

ON
T

EVALUATION