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OREM’S SELF CARE DEFICIT NURSING THEORY
Janet Secrest, PhD; RN University of Tennessee at Chattanooga
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Objectives At the end of this PP, you will be able to:
1. Explain the three theories in Orem’s SCDNT 2. State the self care requisites 3. State the Basic Conditioning Factors 4. Identify the Power Components 5. Explain the relationship between the BCF, PC, and SCR 6. Use an analogy to explain Nursing Systems 7. Relate Nursing Process to SCDNT
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3 THEORIES Theory of Self Care Theory of Self Care Deficit
Theory of Nursing System
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Theory 1: Theory of Self Care
Is the person able to meet health related self-care requisites? or asked another way Is there a need for nursing care?
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Self Care Requisites (3)
Universal Developmental Health deviation
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Self-Care Requisites Influenced by
Basic Conditioning Factors Power Components
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Solitude/social activity
Universal Self Care Requisites (8) Air Water Food Elimination Activity/rest Solitude/social activity Prevention hazards Promotion well being Normalcy Orem, 2001, pp
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Orem’s Developmental Stages
Intrauterine Adulthood Neonatal Infancy Childhood Adolescence Pregnancy Orem, 2001, pp
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Developmental self care requisites
1. promote and/or engage development For example . . .
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2. overcome interferences with development
educational deprivation problems of social adaptation failures of healthy individuation loss of relatives, friends, associates, possessions
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After the hurricane
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2. overcome interferences with development
abrupt change of residence status associated problems poor health or disability oppressive living conditions terminal illness/impending death
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Health deviation self care requisites (6)
1. Seeking medical assistance 2. Being aware of, attending to effects, results path condition 3. Effectively carrying out prescribed treatment measures
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Health deviation self care requisites (6)
4. Being aware of, attending to, regulating discomforting effects of medical care performed, prescribed by MD
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Health deviation self care requisites (6)
Modifying self-concept in accepting oneself as in a state of health Learning to live w/effects that promotes personal development
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From the ParaOlympics
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Basic Conditioning Factors
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Priority Basic Conditioning Factors
Age Developmental state Orem state Erikson, Piaget Health state Nursing history Physical examination Supporting laboratory data
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Power Components Motivation
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(Theory 1) Theory of Self Care
Nursing History Basic Conditioning Factors 2. Power Components 3. S-C Requisites a) Universal b) Developmental c) Health Deviation
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Assess for each self care requisite
therapeutic abilities demands What is the patient’s ability to meet, for example, USCR: air What are the therapeutic demands on air? versus
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Assess each self care requisite
USCR: Air self care therapeutic abilities demands What is the patient’s ability to meet, for example, USCR: air What are the therapeutic demands on air? versus Ability meets demand
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Self care ability compromised increased therapeutic demand
Assess for each self care requisite self care abilities USCR: Air therapeutic demands Self care ability compromised and increased therapeutic demand
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(Theory 2) Theory of Self-Care Deficit
There IS need for nursing S-c abilities < therapeutic demands therapeutic demands >s-c abilities
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(Theory 3) Theory of Nursing System
Systems formed by nurses that compensate for those in need of nursing . . . i.e., unable to meet health related S-C requisites
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Nursing System Wholly compensatory Partially compensatory
Supportive educative (developmental)
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*analogy by Hilda Horton
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Bicycle for two analogy
The nurse is in the back seat Wholly compensatory: Nurse only pedals Partially compensatory: Nurse pedals, patient pedals Supportive-educative: Patient only pedals, nurse provides guidance
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Theory of self care Traditional Orem Assessment Diagnosis
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Diagnosis Assess self care requisites, basic conditioning factors, power components 2. Analyze data 3. Formulate self care deficit statement (s) (nursing diagnosis)
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Theory of self care deficit
Traditional Orem Planning Prescription
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Prescription 1. State particularized self care requisite statement [goal statement] 2. State step by step interventions that lead patient to meet particularized self care requisite statement (goal), leading to self care agency for that self care requisite.
![Prescription 1. State particularized self care requisite statement [goal statement]](http://slideplayer.com./slide/9427200/29/images/39/Prescription+1.+State+particularized+self+care+requisite+statement+%5Bgoal+statement%5D.jpg "2. State step by step interventions that lead patient to meet particularized self care requisite statement (goal), leading to self care agency for that self care requisite.")
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Theory of nursing system
Traditional Orem Implementation Evaluation Regulation Control
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Control = evaluation Regulation, Control
Carrying out the prescription—how does the pt respond? Is this appropriate? Control--appraisal process--the progress toward the goal or outcome of self care agency Control = evaluation
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Orem’s Nursing Process
Diagnosis Prescription Regulation Control
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Objectives At the end of this PP, you will be able to:
1. Explain the three theories in Orem’s SCDNT 2. State the self care requisites 3. State the Basic Conditioning Factors 4. Identify the Power Components 5. Explain the relationship between the BCF, PC, and SCR 6. Use an analogy to explain Nursing Systems 7. Relate Nursing Process to SCDNT
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Outcome: Self care agency
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