2.0 Understanding on the identified nursing theory
The writer choose Orem’s theory.Dorothea Elizabeth Orem born in Baltimore,Maryland was one of America’s foremost nursing theorists who developed the Self-Care Nursing Theory, also known as the Orem Model of Nursing.Her theory defined nursing as the act of assisting others in the provision and management of self-care to maintain or improve human functioning at home level of effectiveness. It focuses on each individual’s ability to perform self-care, defined as the practice of activities that individuals initiate and perform on their own behalf in maintaining life, health, and well-being.Writer working at stroke rehabilitation ward .Writer using Orem’s self care deficit theory of nursing because
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Furthermore it provides communication, structure, focus, links relevant knowledge, provides clarity and specifies outcomes or goals for nursing that facilitate ways in which to demonstrate the effectiveness of nursing care and accountability for nursing actions. Rehabilitation is a crucial part of stroke recovery, and rehabilitation nursing can be one of the best services to enlist in recovering from a stroke.The goals of Orem’s theory are to help patient become as independent as possible and to attain the best possible quality of life in rehabilitation.Rehabilitation helps stroke patient relearn skills that are lost when part of the brain is damaged. For example, these skills can include coordinating leg movements in order to walk or carrying out the steps involved in any complex activity.Rehabilitation also teaches patient new ways of performing tasks to circumvent or compensate for any residual disabilities. Individuals may need to learn how to bathe and dress using only one hand, or to communicate effectively when their ability to use language has been compromised.There is a strong consensus among rehabilitation experts that the most important element in any rehabilitation program is carefully directed,well-focused, repetitive practice which means the same kind of practice used by all people when …show more content…
The first steps involve promoting independent movement because many individuals are paralyzed or seriously weakened.Patients are prompted to change positions frequently while lying in bed and to engage in passive or active range of motion exercises to strengthen their stroke-impaired limbs.Patients may progress from sitting up and being moved between the bed and a chair to standing, bearing their own weight, and walking, with or without assistance.Writer and therapists help patients who are able to perform progressively more complex and demanding tasks, such as bathing, dressing, and using a toilet, and they encourage patients to begin using their stroke-impaired limbs while engaging in those tasks. Beginning to reacquire the ability to carry out these basic activities of daily living represents the first stage in a stroke patient 's return to independence.Writer specializing in rehabilitation help patient relearn how to carry out the basic activities of daily living. They also educate patient about routine health care, such as how to follow a medication schedule, how to care for the skin, how to move out of a bed and into a wheelchair, and special needs for people with diabetes.Writer also work with patient’s to reduce risk factors that may lead to a second stroke, and provide training for caregivers .Writer are closely involved in helping stroke patient manage personal care issues, such as bathing and controlling incontinence.
Theory Evaluation of Orem’s Self-Care Deficit Nursing Theory Self-Care Deficit Nursing Theory, Part III Theory Evaluation Dorothea Orem’s Self-Care Deficit Nursing Theory (SCDNT) has been a part of nursing theory since publication in 1971 (Fawcett & Desanto-Madeya, 2012). During this time, it has been used as a framework for many research projects and nursing school curriculum and as a guide to nursing practice (Fawcett & Desanto-Madeya, 2012). Is the theory congruent with current nursing standards?
These viewpoints have importance for medicine as well as for nursing or other health professions. The complete practice of human caring theory is most fully realized in a nursing theory because nursing allows for the constant caring factor that medicine does not have;
As nurses, we continue to gain knowledge and skills within our area of practice. We use theories to help us build concepts or ideas in gathering information, explaining relationships and demonstrating experiences of development. Theories vary in their level of abstraction and scope. Nursing theories are beneficial in helping us to understand, organize our thoughts and influence practice and research. Nursing theory has three distinct types to describe the level of abstraction:
Dorothea Orem’s self-care deficit nursing theory is one such nursing theory that has been reworked to take into account the changes in our world, while still maintaining the initial framework (Taylor & Renpenning, 2011). Purpose of Self-Care Deficit Nursing Theory Dorothea Orem (as cited in Taylor & Renpenning, 2011) described her purpose in formalizing the Self-Care Deficit Nursing Theory as a way of defining the structure of nursing and explaining knowledge, rules and roles of nursing. Orem was attempting to answer the question of why, when and how a nurse is needed in the care of a patient (Smith & Parker, 2015). According to Younas (2017), self-care deficit nursing theory is also a practical effort to delineate the patient role along with that of the nurse.
Occupational therapists use knowledge of sensory integration in planning and adapting activities for individuals with disabilities to achieve the desired outcomes. A routine of organized sequences of five stages reestablish the likelihood of an automatic, habitual response as well as restore environmental interaction for impaired individuals. Since the OBRA-87 requires nursing home to create individualized care plans for residents to focus on maintain and improving the ability to walk and complete ADLs, the five stages method is one of the treatment methods can be used by occupational therapy practitioners to focus on maintain and improving the ability to walk and complete ADLs, the five stages method is one of the treatment methods can be used by occupational therapy practitioners to facilitate balanced healthy routines in institutional care settings. It helps clients to achieve the greater ability in ADLs and decrease disruptive behaviors throughout the day. In addition, it helps clients to shift an attitude from “I can’t” to “I can” in order to improve quality of life, happiness, and
Philosophy of Nursing Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own.
The final patient related concept, self-care deficit, relates to the inability to provide self-care (Taylor & Renpenning, 2011). The two concepts related to nursing are described as nursing systems, which becomes necessary when the patients’ needs exceed that which can be managed by self–care making nursing required (McEwen & Wills, 2014).Nursing agency is comparable to
Caring for The Individual: An Examination of Personal Nursing Philosophy Arianna Mailloux 400164224 NURSING 2AA3 Ashley Collins Harris February 19, 2018 As a novice nurse, developing and understanding of ones’ own personal feelings about nursing is important to help shape your clinical practice. Within this paper I will examine my personal assumptions, beliefs and values of the four nursing paradigms to develop a personal philosophy of nursing. This philosophy will be aligned with a known nursing theory and the comparisons will be discussed. Section I: Personal Philosophy of Nursing Person
Orem’s Self-Care Deficit theory includes 3 constituent theories, namely; the theory of self-care, the self-care deficit theory and theory of nursing systems. The theory states that an individual as an obligation to tend to their own needs. The person has a right and responsibility to engage in continuous self-maintenance, the capability to do so is termed an ‘’agency’’ ( Denyes, Orem and Bekel , 2001). In a nursing environment promoting independence is integral to practice, as with the thinking behind Orem’s theory , ‘’Implementing interventions to maintain a sense of control over their own experience of health maintenance promotes better outcome’s ‘’ (O’Shaughnessy ,2014). In practice ,using the self-care theory , the individual efficiently attends to their own need and also maintains their
Overview The case study was about Mr. Kirby, a seventy-two year old widow male with type 2 diabetes who wife died a couple of months ago, and has been living by himself. He has become dependent, and struggles with his self-caring needs. He had a stroke and it resulted in a left-sided weakness. He fell a couple of months ago and fractured his arm bone, which was repaired and he was discharged home.
My Personal Philosophy and Values of Nursing Nursing is proving care, support, and serve people who are in need. The purpose of nursing is to improve patient 's health condition to a better life. The goal of this paper is to explain my personal philosophy and clarify some of my values of nursing. Personal Philosophy
CASE: Mrs Tan, 80 year old Chinese lady admitted to hospital post fall- was found on the bathroom floor and was unable to get up. Before falling, she attempted to get up from toilet bowl after passing motion but her knees buckles after one to two steps. There was no loss of consciousness. As she was unable to get up and did not have a pendent-alarm, she had to wait four hours before daughter come home from work. Ambulance was called and she was brought to accident and emergency unit.
Nurses intervention are there to coordinate the rhythm between human and environment and assisting the patient in the change process and toward a better health. 9. Dorothea Orem- Orem’s theory creates self care, known as the practice of activity, in which the patient performs his personal routine and needs independently to maintain health and lifestyle, according to age, developmental state, experiences in life, and cultural background. Orem identifies 5 requisites as known as; Activity of Daily Living; .The maintenance of sufficient intake of food and water.
The Purpose of The Theory The purpose of Henderson’s theory is to give the principles that help construct practice and to generate further nursing knowledge. Considering doing so, it helps nurses to understand their purpose and role in nursing in the healthcare setting. Henderson believes that the unique function of the nurse is to help the person sick or well, in the performance of those activities contributing to health or its recovery (to a peaceful death) that he would do unaided if he had the strength, will or knowledge.
Dealing with elimination care, their balance between activities and rest, how they balance solitude and social interactions, the prevention of hazards and the promotion of functioning. (Self-Care Deficit, 2016) The idea of this nursing theory can be applied to solve problems and issues within nursing practice due to nursing theories being the framework and the building blocks of nursing. For the specific theory of Orem’s Self-Care Deficit, the idea of the theory is to be able to assess the patient’s condition, identify the needs and be able to demonstrate communication and interaction with others.