Orem s nursing process
OREM’S THEORY AND NURSING PROCESS
Nursing process presents a method to determine the self care deficits and then to define the roles of person or nurse to meet the self care demands.
The steps within the approach are considered to be the technical component of the nursing process.
Orem emphasizes that the technological component "must be coordinated with interpersonal and social processes within nursing situations.
Nursing Process
Orem’s Nursing Process
Assessment
Diagnosis and prescription; determine why nursing is needed. analyze and interpret –make judgment regarding care
Design of a nursing system and plan for delivery of care
Production and management of nursing systems
Step 1-collect data in six areas:-
The person’s health status
The physician’s perspective of the person’s health status
The person’s perspective of his or her health
The health goals within the context of life history ,life style, and health status
The person’s requirements for self care
The person’s capacity to perform self care
Nursing diagnosis
Plans with scientific rationale Step 2
Nurse designs a system that is wholly or partly compensatory or supportive-educative.
The 2 actions are:-
Bringing out a good organization of the components of patients’ therapeutic self care demands
Selection of combination of ways of helping that will be effective and efficient in compensating for/ overcoming patient’s self care deficits
Implementation
evaluation Step 3
Nurse assists the patient or family in self care matters to achieve identified and described health and health related results. collecting evidence in evaluating results achieved against results specified in the nursing system design
Actions are directed by etiology component of nursing diagnosis evaluation Application of Orem’s theory to nursing process
Therapeutic self care demand
Adequacy of self care agency
Nursing diagnosis
Methods of helping
Air
Maintain effective respiration
Water
No problem
Food maintain sufficient
Nursing process presents a method to determine the self care deficits and then to define the roles of person or nurse to meet the self care demands.
The steps within the approach are considered to be the technical component of the nursing process.
Orem emphasizes that the technological component "must be coordinated with interpersonal and social processes within nursing situations.
Nursing Process
Orem’s Nursing Process
Assessment
Diagnosis and prescription; determine why nursing is needed. analyze and interpret –make judgment regarding care
Design of a nursing system and plan for delivery of care
Production and management of nursing systems
Step 1-collect data in six areas:-
The person’s health status
The physician’s perspective of the person’s health status
The person’s perspective of his or her health
The health goals within the context of life history ,life style, and health status
The person’s requirements for self care
The person’s capacity to perform self care
Nursing diagnosis
Plans with scientific rationale Step 2
Nurse designs a system that is wholly or partly compensatory or supportive-educative.
The 2 actions are:-
Bringing out a good organization of the components of patients’ therapeutic self care demands
Selection of combination of ways of helping that will be effective and efficient in compensating for/ overcoming patient’s self care deficits
Implementation
evaluation Step 3
Nurse assists the patient or family in self care matters to achieve identified and described health and health related results. collecting evidence in evaluating results achieved against results specified in the nursing system design
Actions are directed by etiology component of nursing diagnosis evaluation Application of Orem’s theory to nursing process
Therapeutic self care demand
Adequacy of self care agency
Nursing diagnosis
Methods of helping
Air
Maintain effective respiration
Water
No problem
Food maintain sufficient
References: Orem, D.E. (1991). Nursing: Concepts of practice (4th ed.). St. Louis, MO: Mosby-Year Book Inc. Taylor, S.G. (2006). Dorthea E. Orem: Self-care deficit theory of nursing. In A.M. Tomey, A. & Alligood, M. (2002). Significance of theory for nursing as a discipline and profession. Nursing Theorists and their work. Mosby, St. Louis, Missouri, United States of America. Whelan, E. G. (1984). Analysis and application of Dorothea Orem’s Self-care Practuce Model. Retrieved October 31, 2006. George B. Julia , Nursing Theories- The base for professional Nursing Practice, 3rd ed. Norwalk, Appleton & Lange. Wills M.Evelyn, McEwen Melanie (2002). Theoretical Basis for Nursing Philadelphia. Lippincott Williams& wilkins. Meleis Ibrahim Afaf (1997) , Theoretical Nursing : Development & Progress 3rd ed. Philadelphia, Lippincott