Orem Nursing Theory

Questions:

1. What nursing theory can you apply in planning for the care of Mr. FD? Support why you choose this nursing theory.

I will utilized Orem’s theory which involves 3 central theories: Self-care theory, Self-care deficit theory and theory of Nursing System in planning care for Mr. FD. I chose this theory because of its suitability and practicality in the scenario provided. It is evident that self-care is not maintained by Mr. FD that leads to self-care deficit that requires nursing agency. Orem viewed man as an integrated whole with the capacity of self-knowledge and engagement. Knowledge of self- care requires the fulfilment of self-care requisites which is vital to life and human function.

In the case of Mr. FD, self-care deficit

A concerned neighbour brought Mr. FD to the hospital. Society and its member need to take part in the maintenance of health.

Environment Environment in Orem’s theory pertains to anything that surrounds the person that might affect his achievement of therapeutic self-care and its behaviour. Orem viewed man and environment as an integrated system. Mr. FD inadequate self-care agency are affected by the environment. Orem’s development of environmental conditions aid in maintaining self-care.

Nursing Nursing in Orem’s theory is a service, an art and a technology.

Nursing is a service of deliberate performed actions by the nurse in helping the client maintain self-care, structural integrity, functionality and development. Maintaining self-care of the client requires nurse-patient interaction so health plan can be made. The service of the nurse is vital in the current situation of Mr. FD. He need assistance in maintaining sufficient oxygenation for him to function and perform his activities of daily

In Orem’s theory, three variations of nursing system are presented. Wholly compensatory, Partly compensatory and Supportive-educative.

In Mr FD’s case, nursing system approach is partly compensatory. With the difficulty of breathing, pain, persistent cough and weakness Mr. FD need assistance from the nurse in the performance of activities of daily living. The nurse can assist him in ambulation and in basic self-care. He can plan his care with his nurse in order to regain his strength and health. Supportive-educative nursing system will follow. Example: after relieving the difficulty of breathing and pain by providing adequate oxygenation and infections subsided, Mr. FD able to perform task by himself and be educated by his nurse about the use of pain medication, antibiotic therapy, ways to improve oxygenation, proper sanitation, importance of support system and other techniques or methods to maintain his health and meet the therapeutic self-care