Orem’s Self-Care Deficit Nursing Theory: Relevance and Need for Refinement

2021 ◽  
Vol 35 (1) ◽  
pp. 70-76
Author(s):  
Donna L. Hartweg ◽  
Sharie A. Metcalfe

The purpose of this article is to highlight the relevance of Orem’s Self-Care Deficit Nursing Theory (SCDNT) in contemporary and future practice, explicitly within the global self-care movement and interprofessional healthcare. The authors discuss the relevance and important strengths within Orem’s nursing theory and recommend theoretical refinement within the context of significant societal and healthcare transformation. The constructs of global people-centered care and population health, with related social determinants of health, are identified as critical areas for development if SCDNT is to have continued relevance for nursing practice. Implications for theoretical thinking and nursing education are recommended.

2011 ◽  
Vol 5 (9) ◽  
pp. 2220
Author(s):  
Joselany Áfio Caetano ◽  
Hérica Alves Vasconcelos ◽  
Marli Teresinha Gimeniz Galvão

ABSTRACT Objective: to apply nursing care systemization to a client submitted to angioplasty with placement of coronary stents in the light of King’s Theory of Goal Attainment. Method: convergent care research, carried out at the patient’s home. The following Nursing Diagnoses were elaborated and the interventions are proposed according to the connection between NANDA, NIC and NOC. The project was previously approved by the Research Ethics committee from University Federal do Ceará, under no protocol 61/08. Results: the nursing diagnoses: imbalanced nutrition: less than body requirements, impaired physical mobility, activity intolerance, chronic sadness, disturbed sleep patterns, self-care deficit control and ineffective family therapeutic regimen. the goals were: To obtain an adequate diet and fluid intake; Perform physical exercise safely and social interaction activities; Try and decrease dependence on the medication and adjust sleep times; Facilitate the accomplishment of self-care activities. The nursing plan attained a majority of the established goals, even if partially, which was expected in view of the proposed goals and implementation time. Conclusion: the use of Nursing Diagnoses is a technology needed for daily nursing care, as it permits comprehensive care and is relevant in home treatment, with an emphasis on health promotion.Descriptors: nursing process; nursing theory; coronary disease; care.RESUMO Objetivo: implementar a sistematização da assistência de enfermagem a um cliente submetido à angioplastia com colocação de stents coronarianos à luz da Teoria de Alcance de Metas de King. Método: pesquisa convergente-assistencial, realizada em um domicílio de Fortaleza, em 2010. Elaboraram-se os Diagnósticos de Enfermagem e propôs intervenções, segundo a ligação entre NANDA, NIC e NOC. O projeto foi previamente aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal do Ceará, sob nº de protocolo 61/08. Resultados: os diagnósticos de enfermagem: nutrição desequilibrada: menos do que as necessidades corporais, mobilidade física prejudicada, intolerância à atividade, tristeza crônica, padrão do sono perturbado, déficit no autocuidado e controle familiar ineficaz do regime terapêutico. As metas foram: Obter dieta e ingesta hídrica adequada; Realizar as atividades físicas e atividades de interação social; Tentar diminuir a dependência do medicamento e ajustar os horários de sono; Facilitar a realização das atividades de autocuidado. O plano de enfermagem alcançou a maioria das metas estabelecidas, mesmo que de forma parcial, fato esperado diante das metas propostas e o tempo de implementação. Conclusão: o uso dos Diagnósticos de Enfermagem é tecnologia necessária ao cotidiano de enfermagem, pois possibilita o cuidado integral e se mostra relevante no tratamento domiciliar, com ênfase na promoção da saúde. Descritores: processo de enfermagem; teoria de enfermagem; coronariopatia; cuidado.RESUMEN Objetivo: implementar la sistematización de la asistencia de enfermería a un cliente sometido a la angioplastia con la colocación de stents coronarianos a la luz de la Teoría de Alcance de Metas de King. Método: investigación convergente asistencial, realizada en un domicilio de Fortaleza, en 2010. Se elaboraron los Diagnósticos de Enfermería y se propuso intervenciones, según la conexión entre NANDA, NIC y NOC. El proyecto fue previamente aprobado por el Comité de Ética en Investigación de la Universidad Federal do Ceará, bajo protocolo 61/08. Resultados: los diagnósticos de enfermería: nutrición desequilibrada: menos que las necesidades corporales, movilidad física perjudicada, intolerancia a la actividad, tristeza crónica, trastornos del sueño, déficit en el autocuidado y control familiar ineficaz del régimen terapéutico. Las metas fueron: Obtener una dieta e ingesta hídrica adecuada; Realizar las actividades físicas y actividades de interacción social; Intentar disminuir la dependencia del medicamento y ajustar los horarios de sueño; Facilitar la realización de las actividades de autocuidado. El plan de enfermería alcanzó la mayoría de las metas establecidas, aunque de forma parcial, hecho esperado delante de las metas propuestas y el tiempo de implementación. Conclusión: el uso del Diagnóstico de Enfermería es tecnología necesaria al cotidiano de enfermería, pues posibilita el cuidado integral y se muestra relevante en el tratamiento domiciliario, con énfasis en la promoción de la salud. Descriptores: proceso de enfermería; teoría de enfermería; coronariopatía; cuidado.


2001 ◽  
Vol 14 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Elizabeth A. Geden ◽  
Sang-arun Isaramalai ◽  
Susan G. Taylor

2006 ◽  
Vol 14 (3) ◽  
pp. 336-345 ◽  
Author(s):  
Joselany Áfio Caetano ◽  
Lorita Marlena Freitag Pagliuca

This research aimed at systematizing nursing care to HIV/aids patients in view of Orem's Self-care Deficit Nursing Theory, using the convergent-care method and the Self-Care Nursing Process. Subjects were thirteen HIV/AIDS patients attended at a non-governmental organization in Fortaleza/CE, Brazil. We used interview techniques, physical examination, observation and information records, with a structured instrument, addressing requisites related to universal self-care, development and health alterations. Self-care deficits corresponded to nineteen nursing diagnoses, named according to NANDA's Taxonomy II, ten of which were based on the requisites for universal self-care, five on the requisites for self-care related to development and four on the requisites for self-care related to health deviations. In care planning, goals were established and the system and health methods were selected, prioritizing support-education actions in order to engage HIV/aids patients in self-care.


2005 ◽  
Vol 18 (3) ◽  
pp. 249-257 ◽  
Author(s):  
Karen R. Cox ◽  
Susan G. Taylor

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