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At times patients cannot care for themselves, and nurses must remedy these self-care deficits (Dorothea Orem's Self-care theory, 2011, Nursing Theories).
Whenever possible, patients should be empowered to act as best as they can to care for themselves. The nurse is viewed as an aid to remedy the self-care deficit in Orem's view. The nurse is not seen as superseding the patient's basic right to autonomy. Although some nurses know this intuitively, when busy or rushed sometimes it can be easy to forget the value of allowing patients to do as much as possible as they can for themselves, even if this is something as simple as eating and drinking or going to the bathroom.
Given the preponderance of lifestyle-related diseases today, Orem's stress upon patient self-knowledge and awareness is essential. Patients will care for themselves when they return home from a healthcare environment in most instances, and they must be empowered to use positive coping mechanisms when dealing with their urges to smoke and overeat. Nurses can encourage patients to foster healthy habits, but the patients must have the tools and knowledge to make healthy...
Nursing is not something done to a patient; rather it is the result of an active relationship between healthcare provider and patient. Orem also provides different levels of intervention, from highly directive to relatively non-directive, to suit the patient's specific care deficit needs: acting for the patient, guiding, supporting, providing a more positive environment, and teaching (Dorothea Orem's Self-care theory, 2011, Nursing Theories)..
References
Cody, W.K. (2006). Philosophical and theoretical perspectives. Sudbury, MA: Jones and Bartlett
Publishers.
Dorothea Orem's Self-care theory. (2011, January 11). Nursing Theories.
Retrieved April 6, 2011 at http://currentnursing.com/nursing_theory/self_care_deficit_theory.html
Springer. Retrieved April 6, 2011 at http://www.springerpub.com/samples/19166_chapter.pdf
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