Who is Dorothea E. Orem?
Posted by Laura on September 21, 2009
Find out more about Dorothea Orem at: http://www.orem-society.com/
Using the theory of Orem, I follow the idea that people want and are, uniquely responsible for taking care of their health. We all have requirements. Most are general and apply to all; some are more specific depending on our unique selves. These requirements are called ‘Requisites’. How we practice activities to meet the needs of our behalf for wellness is considered ‘Self-Care’ (the ‘agency’ is the ability part). Using the requirements to meet the needs for our wellness is called ‘Self-care Requisites’.
What makes up those requisites you ask? They are no other than:
Universal Self-Care Req. Developmental Self-Care Req.
Health Deviation Self–Care Deficits
After you have identified these requisites, you can then make them more unique by the Basic Conditioning Factors. These are the items which are general groupings (age, gender, etc). From here we would now know what was needed universally, developmentally, and our health deviations, but are also influenced by Basic Conditioning Factors.
Pulling in the Power Components (which is a lot like a focused Health Deviation Self-Care Deficits to me) help maintain our life, health and well being, and are strongly influenced by the Basic Conditioning Factors. Such as the ‘ability to control movement’ – PC. This could be influenced by ‘Age’ or ‘Available Resources’ (no wheel chair) – BCF.
USCR + DSCR + HDSCD filtered by BCF and PC= TSCD
We now know the total of actions needed to meet our original requirements. This is considered the Therapeutic Self-Care demands.
So if the Self Agency (our ability) is less than our Therapeutic Self-Care Demand (USCR/ DSCR/ HDSCD filtered by BCF/PC), which cannot provide the necessary requirements, then we have a Self-Care Deficit.
SCA < TSCD = SCD
Any Self-Care Deficit shows a need for nursing. The Nursing Agency, or our ability to provide nursing care, is utilized through a Nursing Process of our beloved ADPIE. (Assessment, Diagnosis, Planning, Implementation, Evaluation)
The Nursing System of care, be it wholly or partially compensatory, or supportive education will involve 5 points:
1. acting for the patient
5. providing a developmental environment
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