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relevance of dorothea orem's self-care theory to advance practice nursing

relevance of dorothea orem's self-care theory to advance practice nursing

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Ans) Dorothea Orem's Self-Care Deficit Theory 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.'”

- Self-care requisites are groups of needs or requirements that Orem identified. They are classified as either:

Universal self-care requisites: those needs that all people have

Developmental self-care requisites

1. maturational: progress toward higher levels of maturation.

2. situational: prevention of deleterious effects related to development.

Health deviation requisites: those needs that arise as a result of a patient's condition

- When an individual is unable to meet their own self-care requisites, a "self-care deficit" occurs. It is the job of the Registered Nurse to determine these deficits, and define a support modality.

- Nurses are encouraged to rate their patient's dependencies or each of the self-care deficits on the following scale:

• Total Compensation

• Partial Compensation

• Educative/Supportive

The Universal Self-Care Requisites that are needed for health are:

Air

Water

Food

Elimination

Activity and Rest

Solitude and Social Interaction

Hazard Prevention

Promotion of Normality

The nurse is encouraged to assign a support modality to each of the self-care requisites

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