Nursing Practice: Dorothea Orem Theory In Practice

Dorothea Orem theory in practice
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Dorothea Orem theory in practice Nursing theory refers to the body of knowledge which supports nursing practice by linking nursing research, knowledge and practice. The Healthy People Database estimates that in 2010 the population of aging people was 40 million, and the figure is expected to rise to about 70 million by 2030. The major health concerns regarding this aging population will be intervening, managing and treating chronic diseases. The increase in both the aging population and the necessary medical care will have significant ramifications on a healthcare system that is already distressed. This will definitely affect resource availability

Orem refined and gave a formal description of what nursing is and what it should be through the self-care theory of nursing. The theory constitutes of three articulating theories i.e. the theory of self-care which gives a description of how and why individuals care for themselves, the theory of self-care deficit which illustrates why people need nursing and the theory of nursing systems which gives a description of relationships that ought to be nurtured and maintained in order to achieve effective nursing care. Of the three, the general theory that can be applied across all nursing practice areas and situations where people need nursing care is the self-care deficit theory of nursing (Orem,

Coping with chronic illness cam have great ramifications on self-care demands and as illustrated in the theory of self-care deficit, patients enter moments of fluctuating states of health and illness which correspond to various levels of self-care deficit and agency. The APN (Advanced Practice Nurse) is specially prepared to assist patients with end stage renal disease not only recover, but also maintain self-care agency. In the setting of Mr. M, diagnosed with dementia and end stage renal disease, the advanced practice nurse can provide excellent guidance that addresses self-assessment by the patient, adhering to medication and diet regimens, imparting disease maintenance knowledge, social support and utilization of resources. The advanced practice nurse is well equipped with great communication skills, that enable building of therapeutic relationships with the patients. They can also elicit a patient’s expectations, perspectives, goals and values, all while providing patients with self-care information that enables them to participate