Dorothea Elizabeth Orem was born in Baltimore, Maryland on 1914. She received her diploma certificate at the Providence School of Nursing, Washington DC on the early 1930’s. She pursued further studies and received both her Bachelor of Science in Nursing Degree on 1939, and her Master of Science in Nursing Education degree on 1945 from the Catholic University of America, Washington DC. During her professional career, she worked as a staff nurse , private duty nurse ,nurse educator and administrator and nurse consultant. Later on, she attained her honorary doctorates as Doctor of Science from Georgetown University on 1976 and from Incarnate Word College, San Antonio Texas on 1980; Doctor of Humane Letters from the Illinois Wesleyan University at Bloomington, Illinois on 1988; and Doctor Honoris Causae from the University of Missouri-Columbia on 1998. One of foremost nursing theorists, Orem made several contributions for the development and improvement of nursing education and practice.
She began to develop foundations for the self-care deficit theory of nursing when she accepted the position as Director of Nursing Service and Director of Nursing Education at Providence Hospital in Detroit on 1945. Later on, when she was working with the Division of Hospital and Institutional Services of the Indiana State Board of Health as a nursing consultant from 1949-1957, she encountered more issues regarding the lack of a substantive and structured body of nursing knowledge. During this time, she made her definition of nursing practice with clear statements of the inherent distinction between the practice of nursing and medicine. Orem returned to Washington DC and worked with the Office of Education, Vocational Section of the Technical Division, where there was an ongoing project to upgrade practical nurse training.
Orem returned to the Catholic University of America School of Nursing in 1959. and became the acting dean of the school of Nursing and as an