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Self - care deficit theory
Theorists and how they influence our practice
Orem theory of self care analysis
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The article I have chosen to write on from the selected topics list. All practitioners may be theorists, which means that you are potential theorists. Will be examining my practice and with the input of my colleagues. I have patients that are unable to speak for themselves and as nurses we have to advocate for those without voices. (Dorothea E. Orem) Known as the Self Care Theory, Orem’s vision of health is a state characterized by a wholeness of developed human structures and of bodily and mental functioning. This includes physical all psychological, interpersonal and social aspects of health. Her major assumptions included that people should be self-reliant and responsible for their own care and the care of others in their family. She …show more content…
Options are given to the family, and it important they are making an informed decision when selecting level of care. This is always reviewed prior to sending an elder to hospital as families have been known to change their mind over time. The art of nursing would implement by professional looking at the patient and family’s “as the big picture”, their relationships and needs.
For instance, in the palliative situation a spouse may want the person to live on past a quality of life, to avoid starting the grieving process. This is acknowledged and if able, addressed. There are also cultural sensitivities to be aware i.e.: The Chinese will not marry in the year of an elder’s death, so they will have repeated IV fluids given. I collaborate by listening and validating the family and patient concerns and together set up a plan of
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She states that care is the essence of nursing and the dominant, distinctive and unifying feature. (Madeleine Leininger), states that there can be no cure without caring, but that there may be caring with curing. Health care personnel should work together towards an understanding of care and the values, health beliefs, and life-styles of different cultures. These will form the basis for providing culture – specific care. It will also help strengthen one commit to nursing; based on a nurse-patient relationship, and emphasizing the whole person rather than viewing the patient as a set of
Leininger’s theory of nursing: Cultural care diversity and universality (1998). Nursing Science Quarterly. 1(152) DOI: 10.1177/089431848800100408
Nursing is the core of care. The essential is not communication via words or language, but care that is imparted by sincere interest is interdenominational and transcends culture, language, and treatments. Relational consciousness is a significant component of a compassionate nursing practice. Doane, & Varcoe, (2015) state that relational awareness encompasses recognition that individuals are situated and constituted through cultural, interpersonal, social, political and emotional processes. Operating from the center of which we are, with insight and awareness is essential to phenomenological nursing practice. I will be exploring my personal values and beliefs
This approach is based on four principles which are; to teach patients to assume their responsibility, to be well informed about their prevailing health issues, make them realize that their cooperation and willingness in treatment and prevention plan is in their own benefit and, let them take their own decisions. As narrated by Taylor (2006), Dorothea E. Orem's Self-care deficit theory of nursing emphasize that "People should be self-reliant and responsible for their
It is important that patients and family members understand the conditions under which the patient is suffering from. People have an obligation of preparing themselves for end of live. This can be done by writing a will or an Advance Directive to guide the medical personnel and family members on what the patient wants. It can also be done by assigning a medical care proxy to decide on the patients behalf (Groopman and Hartzband, 2011). Medical personnel need to consider the patients wish and act as per the law when deciding on end-life options. Most of the decisions made by terminally ill patients are biased and compromised.
Nursing is something that cannot be simplified to one word or phrase; it is more than treating the ill and more than just a profession, rather it is a standard of care and service to others, and it is constantly evolving. Nursing should revolve around commitment and a desire to help those in need. As I reflect on my nursing education, I have realized that I have inadvertently created a set of values and beliefs for myself, otherwise known as my personal nursing philosophy. A product of my knowledge obtained from classroom lectures, my interactions with an array of patients, family members, and healthcare professionals at my clinical sites and my job in a long-term care facility. I believe each patient should be treated as an individual and given the best quality of care, regardless of their gender, race, age, sexual orientation, religious preference, socioeconomic status, or choices they may have made. Every patient is worthy of respect, even when their views differ from my own. Each patient has the right to honesty, and to feel safe.
Decisions for advanced care plans have been communicated and discussed with patient and caregiver to alleviate stress of decision-making and remove pressure from the family members.
Mudd, D. K. (2014). Personal Nursing Philosophy. Unpublished manuscript. Graduate Nursing School, Indiana Wesleyan University, Marion, IN.
This paper explores the personal philosophy I have as a nursing student and what I intend to convey throughout my nursing career. A philosophy is “an analysis of the grounds and concepts expressing fundamental beliefs (Merriam-Webster’s online dictionary, n.d.). Before entering into any profession it is important to evaluate your personal philosophy about the profession, as it pertains to values and principles in which believe in to guide your practice. The field of nursing is more than treating a physiological ailment, but it involves providing quality care for the individualized needs of each patient, hence being client centered. My philosophy of nursing integrates the importance of knowledge base practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care (Scottish Intercollegiate Guidelines Network, 2010). Additionally, a vital aspect of nursing is effective interpersonal relationships with other healthcare professionals to promote quality patient care. Moreover, my philosophy includes the importance the client-nurse relationship to aid in health promotion to prevent illness and increase the level of health of clients.
My philosophy of nursing incorporates knowledge, compassion, competence, and respect for each patient. It is based on my personal and professional experiences, both of which have helped me to positively contribute to a patient’s recovery and wellness. These are the attributes that give me a sense of pride and strengthen my commitment to the nursing profession. This paper explores my values and beliefs relating to a patient’s care, as well as, the responsibilities of health professionals.
Leininger’s theory of cultural care diversity and universality is about caring, which is the essence of nursing and is recognized in the theory of basic human needs. Her theory incorporates anthropology, which focuses towards caring, culture values, and pattern rather than medical symptoms and treatments. Concepts of Leininger’s theory revolves around caring, which is essential for growth, development and survival. Leininger’s transcultural nursing is our “‘cultural knowledge that is used in our actions to promote positive health behavior among patients and foster culturally sensitive and congruent care’ (Campesino, 2008)” (Posner p.151). Providing client centered care not only enables trust, but also fulfills the patient’s potential health needs and nursing roles with the best outcome. I believe it is important to understand that America has more demands for cultural diversity; therefore, we must be able to meet these demands with the appropriate interventions. Cultural misunderstandings and applying inappropriate interventions become a cultural stress for the nurse-patient relationship; distrust could lead to nurses being unable to collect the necessary information to effectively provide the right care. To understand and respect different religious cultures are also important in the nursing process. This can help nurses to understand and improve quality of
Her theory explains how an individual can achieve or maintain a healthy state using self-care, directly or through the help of a nurse. When an individual becomes unable to provide care for themselves, the nurse would be responsible for providing the assistance needed. However, if the person is fully capable of providing their own basic self-care, the nurse’s role would then be come supporter/education of that self-care. Stated on the Nursing Theory Webpage Self Care Deficit Theory, “Orem 's theory is comprised of three related parts: (1) theory of self-care, (2) theory of self-care deficit, and (3) theory of nursing system” (Self care deficit theory,
Leininger was the first nursing theorist to focus on the fact that different cultures have different caring behaviors and thus require different treatment and coined the term “culturally congruent care.” Leininger’s was a true visionary and her work developed into a movement called Transcultural Nursing. Her revolutionary work embodies the essence of holistic caring in the nursing profession and she changed the paradigm of nursing at a time when society did not celebrate cultural differences to include care that is individualized to the patient. This has influenced my personal philosophy and assisted me to be authentically present, more able to be empathetic, and considerate of my patients in order to create a healing environment, and better outcomes for the
The American Nursing Association defines nursing as ““protection, promotion, and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (American Nurse Association, 2011, p. 7). There is so much more to nursing as a whole moreover throughout this paper I will be examining my own personal nursing philosophy, which is what I believe is the core characteristics of nursing, the approach of my nursing philosophy, along with my belief and value system of caring, compassion, advocacy, respect, honesty and integrity. I will be discussing my choice of becoming a nurse, what
Taking an example of EOL decision again, death and dying of self or immediate family is the most difficult subject to talk about. She arranges a meeting with next of kin and other health professional depending on the situation and explains the whole situation, the pros and cons of each decision in an unbiased manner (Burgess, Braunack-Mayer, Crawford & Beilby, 2014). With the previous experience and the training received on end of life care, geriatric nurse gets a well-written treatment plan by the treating physician. She communicates the decision among the multi-disciplinary team (Stewart, Goddard & Schiff, 2011) and documents all discussions and decisions for shift handover and as a legal record for later (Chan &
We as health care professionals need to work side by side with the families to provide the best care and decisions that are right by our patients. We have to be mindful of the cause and effect our course of treatment depicts for our patients. No individual wants to live in pain or misery, we all want to be healthy and happy and are willing to go great lengths to achieve this goal. Death is the final stage of life, but as we live and get older we start to prepare for death as to not fear death but accept it. Health care professionals may benefit from the opportunity to acknowledge, normalize and integrate death and dying into the continuum of life, both for themselves as well as their patients. (Sinclair, 2011) With advancements in technology and medicine we are living longer and fuller lives, and given time quality of life will only continue to improve.