Wholly compensatory- a situation in which the individual is unable to carry out needed self care actions Partly compensatory- situation in which nurse and person are both physically active in meeting the patient’s self care needs. Supportive/educative- the person is fully capable of performing self care activities but may need to be taught how to complete.
Step 3- Production and Management of Nursing Systems ▪ In this step the nurse: ▪ Performs and regulates the patients self care tasks, or assists the patient in doing so ▪ Coordinates the performance of self care with other components of health care ▪ Helps patients, families, and others create and use systems of daily living that meet self care needs in a satisfying way. ▪ Guides, directs, and supports in exercising or not exercising self care agency ▪ Stimulates the patient’s interest in care problems
Step 3- Production and Management of Nursing Systems ▪ Supports learning activities ▪ Supports and guides the patient in adapting to the needs arising from medical measures ▪ Monitors and assists in self monitoring the performance and effects of self care measures ▪ Judges the sufficiency and efficiency of self care, self care agency, and nursing agency ▪ Adjusts the nursing care system as needed
Orem’s Theory and Current Nursing Practice ▪ Orem’s three step process parallels the nursing process of assessment, diagnosis, outcomes, planning, implementation, and evaluation. ▪ Orem’s theory has been applied by nursing clinicians in a variety of settings. The theory has been used as a basis for nursing school curriculum and the base for a nursing information system.
Orem’s Theory and Current Nursing Practice ▪ Orem’s theory continues to evolve, and its impact is international. ▪ Orem’s work contributes significantly to the development of nursing theories for this generation and the next.
References Alligood, M.R. (2014). Nursing theorists and their work (8 th ed.). St. Louis, MO: Elsevier. Andan, A. (2010, July 17). Orem’s nursing paradigm. Retrieved from Davidson, S. (2012). Challenging RN-BSN students to apply Orem's theory to practice. Self-Care, Dependent-Care & Nursing , 19(1), 15-19. George, J. (2011). Nursing theories: The base for professional nursing practice. (6 th ed.). Upper Saddle River, New Jersey: Pearson Educations, Inc. Renpenning, K.M. , Taylor, S.G, & Pickens, J.M. (2016). Foundations of professional nursing: Care of self and others. New York, NY: Springer Publishing Company. Wayne, G. (2014). Dorthea E. Orem. Retrieved from
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