Orem Flashcards

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1
Q

all patients want to care for themselves, and they are able to recover more quickly and holistically by performing their own self-care as much as they’re able.

A

Self-Care Deficit Nursing Theory

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2
Q

The self-care requisites identified by Dorothea Orem fall into one of three categories

A
  • self-care requisites
  • developmental self-care requisites
  • health deviation requisites
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3
Q

needs that all people have

A

universal self-care requisites

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4
Q

universal self-care requisites includes things like

A

air, water, food, activity and rest, and hazard prevention

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5
Q

two subcategories of developmental self-care requisites:

A

maturational and situational

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6
Q

progress the patient to a higher level of maturation

A

maturational

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6
Q

prevent against harmful effects in development

A

situational

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7
Q

needs that come up based on the patient’s condition

A

health devation requisites

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8
Q

if patient is unable to meet their self-care requisites, a _______________ occurs

A

self-care deficit

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9
Q

in this case, the patient’s nurse steps in wth a support modality which can be

A

total compensation, partial compensation, or education and support

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10
Q

Universal self-care requisites are associated with life processes, as well as the maintenance of the integrity of human structure and functioning. rem identifies these requisites also called activities of daily living, or ADLs, as:

A
  1. the maintenance of sufficient intake of air, food, and water
  2. provision of care associated with the elimination process
  3. a balance between activities and rest, as well as between solitude and social interaction
  4. the prevention of hazards to human life and well-being
  5. the promotion of human functioning
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11
Q

are associated with developmental processes. They are generally derived from a condition or associated with an event.

A

Developmental self-care requisites

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12
Q

is required in conditions of illness, injury. or disease

A

Health deviation self-care

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13
Q

Health deviation self-care is required in conditions of illness, injury. or disease.
These include:

A
  1. Seeking and securing appropriate medical assistance
  2. Being aware of and attending to the effects and results of pathologic conditions
  3. Effectively carrying out medically prescribed measures
  4. Modifying self-concepts to accept oneself as being in a particular state of health and in specific forms of health care
  5. Learning to live with the effects of pathologic conditions.
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14
Q

Sel-care deficit theory indentifies 5 methods of helping:

A
  • acting for and doing for others
  • guiding others
  • supporting another
  • providing an environment promoting personal development in relation to meet future demands
  • teaching another
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15
Q

Orem identifies 3 classfications of nursing systems to meet self-care requisites for the patient:

A
  • wholly compensatory system
  • partly compensatory system
  • supportive-educative system
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16
Q

the theory identifies two categories of technologies

A

social or interpersonal and regulatory technologies

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17
Q

communication is adjusted to age and health status

A

social or interpesonal

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18
Q

in this category, human assistance adapted to human needs, actions, abilities and limitations is given by the nurse

A

social or interpesonal

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19
Q

maintain and promote life processes

A

regulatory technologies

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20
Q

this category regulates psycho-and physiological models of functioning in health and disease

A

regulatory technologies

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21
Q

nursing process in SCDNT

A
  1. assessment
  2. diagnosis and plan
  3. implementation and evaluation
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22
Q

Orem identified 8 fields of knowledge essential for understanding nursing practice

A
  • sociology
  • profession/occupation
  • jurisprudence
  • history
  • ethics
  • economics
  • administration
  • nursing science
23
Q

Dorothea Orem was born in

A

Baltimore, Maryland in 1914

24
Q

Dorothea Orem published first formal articulation of her ideas in

A

Nursing Concepts of Practice

25
Q

there is a world that exists independent f the thoughts of the knower. the nature of the world is not determined by the thoughts of the knower, although it is possible to obtain knowledge about the world.

A

Moderate realism

26
Q

Orem’s statements and phrase reflect a moderate realist position such as

A
  1. persons in space-time localizations
  2. attribute or properties of these persons
  3. motion or change
  4. products brought into being
27
Q

The self-care deficit nursing theory is a general theory composed of the following four related theories

A
  • the theory of self-care
  • theory of dependent-care
  • theory of self-care deficit
  • theory of nursing systems
28
Q

describes why and how people care for themselves

A

theory of self-care

29
Q

explains how family members and/or friends provide dependent-care for a person who si socially dependent

A

theory of dependent-care

30
Q

describes and explains why people can be helped through nursing

A

theory of self-care deficit

31
Q

describes and explains relationships that must be brought about and maintained for nursing to be produced

A

theory of nursing systems

32
Q

comprises the practice of activities that maturing and mature persons initiate and perform, within time frames, on their own behalf on the interest of maintaining life

A

self-care

33
Q

theory of self-care includes

A
  • self-care
  • self care agency
  • therapeutic self-care demand
  • self-care requisites
34
Q

ability for engaging in self-care activities —– conditioned by age, developmental state, life experience, sociocultural orientation, health and available resources

A

sel care agency

35
Q

totality of self care actions to be performed for some duration in order to meet self-care requisites by using valid methods and related sets of operations and actions

A

therapeutic self-care demand

36
Q

condition or affect the value of the therapeutic self-care demand and/or the self-care agency of an individual at particular times and under specific circumstances

A

basic conditioning factors

37
Q

ten basic conditioning factors

A
  • age
  • gender
  • developmental state
  • health state
  • pattern of living
  • health care system factors
  • family system factors
  • sociocultural factors
  • availability of resources
  • external environmental factors
38
Q

actions directed towards provision of self care

A

self-care requisites

39
Q

three categories of self-care requisites

A
  • universal
  • developmental
  • health deviation
40
Q

are associated with life processes, as well as the maintenance of the integrity of human structure and functioning

A

universal self-care requisites

41
Q

adl meaning

A

activities of daily living

42
Q

8 self-care requisites

A
  1. maintenance of sufficient intake of air
  2. maintenance of a sufficient intake of food
  3. maintenance of a suffcient intake of water
  4. provision of care associated with the elimination process
  5. a balance between activities and rest
  6. balance between solitude and social interaction
  7. the prevention of hazards to human life and well-being
  8. the promotion of human functioning
43
Q

theory of dependent care includes

A
  • dependent care agency
  • dependent-care deficit
  • dependent care-demand
44
Q

refers to the care that is provided to a person who, because of age or related factors, is unable to perform the self-care needed to maintain life

A

dependent-care

45
Q

the acquired ability of a person to know and meet the therapeutic self-care demand of the dependent person and/or regulate the development and exercise of the dependent’s self-care agency

A

dependent-care agency

46
Q

relationship that exists when the dependent-care provider’s agency is not adequate o me the therapeutic self-care demand of th person receiving dependent-care

A

dependent care-deficit

47
Q

summation of care measures at a specific point in time or over a duration of time for meeting the dependent’s therapeutic, self-care demand when his or her self-care afency us nit adequate or operational

A

dependent-care demand

48
Q

s the relationship between an individual’s therapeutic self-care demand and his or her powers of self-care agency in which the constituent-developed self-care capabilities within self-care agency are inoperable or inadequate for knowing and meeting some or all components of the existent or projected therapeutic self-care demand

A

self-care deficit

49
Q

are series and sequences of deliberate practical actions f nurses performed at times in coordination with the actions of their patients to know and meet components of patient’s therapeutic self-care demands

A

nursing systems

50
Q

the patient is dependent

the nurse is expected to accomplish all the patient’s therapeutic self-care or to compensate for the patient’s inability to engage in self-care or when the patients needs continuous guidance in self-care

A

wholly compensatory system

51
Q

he patient can meet some needs.

needs nursing assistance

both the nurse and the aptient engage in meeting self-care needs

A

partially compensatory system

52
Q

the patient can meet self-care requisites, but needs assistance with decision making or knowledge and skills to learn self-care

A

supportive-educative system

53
Q

role of client:

A
  • participate in evaluation
  • express needs
  • participate in goal setting and planning
  • follow plan at home
  • return for further assessment and planning
54
Q

role of the nurse:

A
  • model acceptance
  • nurture
  • empower
55
Q
A
56
Q

foundational to Orem’s Self Care Deficit Nursing Theory is the philosophical system of

A

moderate realism