Self Care Deficit Model

Overview of Self-Care Deficit Model

Nursing Theorist

Self-care Deficit model was developed by nursing theorist, Dorothea E. Orem. She was born in Baltimore, Maryland, America in year 1914. She started her nursing career at Providence Hospital School of Nursing in Washington. In 1939, she received her BS in Nursing Education from Catholic University. She also received her MS in the same university in 1946.She published her first book “Nursing: Concepts of Practice” in year 1971. She was then received Honorary degree of Doctor of Science in 1976.
The self-care deficit nursing theory composed from 4 interrelated theories, which includes theory of self care, the theory of dependent care, the theory of self-care deficit and the theory of nursing

All individuals believed to have basic self-care needs and they are capable in meeting their own needs.
Health is referred to ability of individuals in performing self-care, is a wellness condition includes physical aspect, social and psychological. According to Orem, health is a whole of structural and functional.
Environment is the external factors that affect both positively and negatively the self-care process. It consists of physical, chemical and biological and social features. Person adapts to environment and modifies it with assistance of technology to control it.
Nursing in this model is an art in which nurses help the self-care deficit persons to meet their needs by activate nursing system.
Self care is the activities that perform by individuals to maintain life, health and well-being.
Self-care agency is the ability of individuals to meet their requirement to regulate their function and development.
Self-care requisites divided into 3:
1. Universal self-care requisition
2. Development self-care requisition
3. Health Deviation Self-care

Acute pain relate to
-incision site
-psychological factor like anxious, fear.

As evidenced by pain score, patient verbalized, changes in vital signs. Patient’s pain score reduce, able to rest or sleep.

Patient able to perform pain relief measures. Partially compensatory system 1. Assess pain, the location, characteristic, severity, factor that aggravate.
Rational: to evaluate the degree of pain and facilitate nursing intervention.
2. Nurse patient gently during procedures, egg: positioning, dressing, changing colostomy bag.
Rational: avoid tension to the wound that cause more pain to him.
3. Teach patient relaxation technique like deep breathing exercise; listen to music or reading books.
Rational: to divert his concentration on pain.
4. Teach patient pain relief measures, example use pillow to support the wound when moving, ambulate, or when coughing.
Rational: to reduce the pain during movement.
5. Assist in activities daily living, encourage range of motion activities.
Rational: to prevent muscle stiffness, enhance return of function.
6. Administer analgesic as surgeon