Share
Explore BrainMass

Orem's Self Care Theory

How would you introduce Orem's Self Care Theory into the ambulatory setting and what external forces would impact the introduction of Orem's theory into this practice area? This specific patient example is a young woman who denies the cause of her pregnancy, not accepting the diagnosis and then ultimate termination of the pregnancy.

I need help generating ideas and resources. Thank you.

Solution Preview

Hi,

Interesting scenario!

RESPONSE:

1. How would you introduce Orem's Self Care Theory into the ambulatory setting and what external forces would impact the introduction of Orem's theory into this practice area? This specific patient example is a young woman who denies the cause of her pregnancy, not accepting the diagnosis and then ultimate termination of the pregnancy.

My understanding is that this question is asking how you would use Orem's self care model with the care of the young women in the scenario. However, I also provided extra information on how to implement the theory in an ambulatory setting.

The delivery of patient care based on theoretical principles can promote successful practice. Orem's Self-Care Nursing Theory direct practice and offers direction to the practitioner in the ambulatory setting. Barriers include such things as the need for the practitioners to be trained in the model, the belief in the model and utility of the model and financial resources necessary to include the external community in self-care and prevention efforts.

Application of Model to Ambulatory Care

Orem (2001) defines, "Nursing process is a term nurses use to refer to nurses' performance of the professional-technologic operations of nursing practice". The first step is to investigate and collect data about the patients' self-care agency and their self-care demand and the existent or projected relationships between them as described below.

Practice Guided by Theory

Self-Care Nursing Model (Orem) - 3 systems within professional nursing practice:

(1) Compensatory system-nurse provides total care
(2) Partially compensatory system-nurse & patient share responsibility for care
(3) Educative-development system-client has primary responsibility for personal health, with nurse acting as a consultant (http://members.aol.com/annmrn/nursing_portfolio_I_index.html).

Major areas for "self-care" patient education include:
(1) Maintaining health
(2) Enhancing health
(3) Includes: exercise & physical fitness
(4) nutrition and weight control
(5) stress management
(6) maintenance of social support systems
(7) environmental control ...

Solution Summary

Applied to the scenario, this solution introduces Orem's Self Care Theory into the ambulatory setting and discusses the external forces that would impact the introduction of Orem's theory into this practice area. Supplemented will a detailed overview of Orem's model.

$2.19