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Orem's Theory And Critical Care
Background- The 21st century nursing profession has a greater exposure to new technologies, methods, and techniques than any other in the past. In fact, "the use of clinical judgment in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life, whatever their disease or disability, until death" is one of the definitions of modern nursing (Royal College of Nursing, 2003). While this is certainly the case, it is also important not to lose touch of the holistic approach -- that of advocating and caring for the patient based on their individual needs. One approach that can help the nurse manage patient care and advocacy is the theory of "Self-Care Deficit," based on the book Nursing: Concepts of Practice (Orem, 2001).
Orem found the medical care system Post-World War II more attuned to disease than cure. She not only believed that quality of care and advocacy in hospitals should be improved and upgraded, but that patients should take some of the overall responsibility for their care and management of their own ability to deal with illness. . Orem's model has three major templates: 1) Nursing...
Instead, it is self-advocacy in helping the patient understand their issues, their care needs, learn to perform self-care, and remaining independent as long as possible. Educating clients and families then gives a greater level of empowerment and less need for complete dependence on the system (Alligood and Tomey, 2005, pp. 255-9)
In some ways, this is problematic in the ICU paradigm. For the ICU nurse, there are two major concerns: 1) Advanced technology is not conducive to the use or a holistic care model and tends to quantify body functions, and 2) Technology cannot care for the whole being in a health crisis. Instead, holistic caring, empathy, interconnection of experiences…
REFERENCES
Dorothea Orem's Self-Care Theory. (2010). Current Nursing. Retrieved from:
http://currentnursing.com/nursing_theory/self_care_deficit_theory.html
Alligood, M. And A. Tomey. (2005). Nursing Theory: Utilization & Application. Maryland Heights, MO: Mosby.
Beretta, R. (2011). Assessment: The Foundations of Good Practice. Retrieved from: http://asheehan.brinkster.net/nursing/downloads/articles/Nursing%20Practice%20and%20Health%20care%20 -- %20Assessment.pdf
Nursing Theory Application of Orem's Self-Care Deficit Theory to Awakenings There are several grand theories of nursing, and among them is Dorothea Orem's Self-Care Deficit Theory (SCDT). This theory has established a set of assumptions, including that people are distinct individuals, that they should be self-reliant, that a person's knowledge of potential health problem is necessary for promoting self-care behaviors, and that nursing is a form of action (CurrentNursing.com, 2012). The movie
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Dorothea Orem Hildegard Peplau Myra Levine Jean Watson Educational Background Nursing diploma, Providence Hospital School of Nursing. Bachelor of Science- Catholic University of America-1939, Master of Science in Nursing Education-1945. Graduated Pottstown, Pennsylvania Hospital School of Nursing-1931. B.A. in interpersonal psychology- Bennington College, Vermont-1943, M.A. in psychiatric nursing- Teachers College, Columbia-1947, Ed.D in curriculum development-Columbia University-1953. Diploma in Nursing, Cook County School of Nursing- 1944. Bachelor of Science in Nursing -University of Chicago-1949, Master of Science in
Vulnerable Populations Social groups that have increased susceptibility and are at risk for health problems are referred to as "vulnerable populations." This paper seeks to briefly define the meaning of the term "vulnerable population,' describe its characteristics, identify some of the barriers to health care service, and look at cultural attitudes relating to these populations. In addition, a cursory look at nursing theories, and models, concerning vulnerable populations will be presented. Vulnerability