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He also reports a consistent cold on his feet and a sore on his foot that has refused to heel, factors that forces him to wear protective socks. He further reports occasional passing out but maintains that he is fine.
Mr. Fred’s significant problem that calls for healthcare attention is the ‘non healing sore on his foot.’ This is because even though the patient acknowledges presence of the sores, and the fact that the sores do not indicate a possibility of healing, Fred is still not willing to seek medication. The wound is not healing because of the patient’s high blood sugar level that facilitates growth of bacteria and it is enhanced by poor circulation.
The most applicable theory to the case is the ‘Orem Self Care Deficit,’ theory that integrates “theory of self care, self care deficit theory, and theory of nursing systems” and seeks to empower patients to meet their healthcare needs with little or no assistance from healthcare personnel (Zaccagnini and White, p. 19; Kumar, p. 104- 106).
The Orem theory is applicable to the case that identifies Mr. Fred’s ‘self-care’ deficiency, a factors that prolongs the wound (Nlm, p. 1). I would apply the theory by bridging the care gap to identify practices that would enhance the wound’s healing. I would use my skills as an educator to convince Fred of the need for medication and specialists advice on how to manage the wound. These would facilitate ‘self-efficiency’ and ‘self-reliance’ in his care initiatives (Nlm, p. 1).
Application of the theory to the case is supported by existing literature that identifies its ability to promote ‘self-care’ among patients. Easom’s exploration of efficiency and its associated barriers among adult’s ‘self-care’ efforts for example identifies the need to break the barriers and promote self reliance as provided for by the theory, an approach that Fred really needs. The author’s review of research findings
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The intent behind the theory is to organize and put forth the structure of nursing knowledge and to explain the various aspects of nursing knowledge. A number of people have emphasized upon the complexity of the nursing profession. Orem herself observed once that if nursing is scrutinized under the lens of human practical science, one can appreciate how complicated and intricate it is (Marriner-Tomey & Alligood, 2006).
The central idea in this theory is that we all have natural ability to take care of ourselves. This ability is tied to not only our right but also our responsibility to care for ourselves. This theory further builds on the concept of human development; that human development highly depends on a person’s ability to depend on themselves and their thirst to control what they do.
The self-care deficit theory is based on the philosophy that individuals and groups are able, responsible and willing to take care of their health. In relation to this, the theory recognizes that health challenges result from the fact that individuals fail to exercise self care, and this deficit leads to health challenges.
Dorothea Orem was a prominent nursing theorist who significantly contributed to the nursing profession by developing a theory of nursing known as Orem Model of Nursing. Orem got the idea to develop her theory through her work as a nursing consultant.
Payne (1983) indicates that the concept of health has been evolving over the years. Traditional health paradigms, in which the disease is the central focus, have evolved into complex model that center on a positive approach towards the healthy phenomenon.
Dorothy’s Orem paradigm is the self-care model of nursing. This is alternatively referred to as the self-care deficit theory. This theory held a number of major assumptions. The most overarching consideration was that the theory believed that people should be self-reliant and responsible for their own care.
The author of the paper explains that Orem’s General or Grand Theory of Nursing comprises three condensed theories, namely “self-care theories”, “self-deficit theory” and “nursing theory”. The theory was developed by Dorothea Orem. The theorist Orem was born in Baltimore in the year 1914.
Self-care deficit was developed from the philosophical belief that patients desire to care for themselves despite the challenges that are present. Patients recover faster and more efficiently if given the chance to self-care based on their
The theory assumes people are distinct and ought to practice self-reliance and responsibility for their care. Similarly, the theory assumes nursing is a platform for interaction, and meeting the collective and development
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