NUR 513 Topic 5 Discussion 1 Essay

NUR 513 Topic 5 Discussion 1 Essay

NUR 513 Topic 5 DQ1

Self-care Theory

Nursing in the intensive care unit has evolved to adopt a medical approach, and as a consequence, the primary emphasis is solely on the patient’s physical demands and the maintenance of physiological functions. I, working in the ICU  begin to challenge the standard patient healthcare I am providing as a result of the use of nursing theories and a greater sense of the patient as an individual (Chipu & Downing, 2020). Dorothea Orem developed her self-care theory in 1959 (Chipu & Downing, 2020). According to Khatiban et al. (2018), the nursing field in the intensive care sifts from the usual picture of the nurse caring for the patient in favor of the described medical shared care in ICU patients. Self-care, according to Orem, is the practice of actions that people start and undertake on their own in preserving life, wellness,  as well as an adult’s continual effort to his or her continuing existence and health.

NUR 513 Topic 5 Discussion 1 Essay

The ICU environment is unknown to the patient and under Orem’s concept of environment, the notion of intensive care typically causes distress, thus the patient and his family may lose faith in their skills to do self-care. According to Chipu and Downing (2020) the theory’s application to the concept of environment, the nurse may aid the family in acting as dependent care providers for the patient by teaching, supporting, and leading them so that the family feels more in control of events that occur in the ICU.

In the self-care deficit concept of person, Orem focus on the importance of the patient’s ability to make choices about oneself and to care for oneself. Disabilities, impairments in human design and functionality, and the diagnosing and management of medical disorders all result in health deviation requirements. Chipu and Downing (2020), conform that a patient necessitating intensive care is frequently very sick and often entirely incapable of self-care and therefore a dependent care agent, the nurse, can meet the fundamental self-care requirements. The nurse can assist them to achieve overall development and health deviational self-care requirements by creating a developmental environment and encouraging the patient to participate in his care as much as feasible.

NUR 513 Topic 5 Discussion 1 Essay References

  • Chipu, M., & Downing, C. (2020). Professional nurses’ facilitation of self-care in intensive care units: A concept analysis. International Journal of Nursing Sciences7(4), 446–452. https://doi.org/10.1016/j.ijnss.2020.08.002
  • Khatiban, M., Shirani, F., Oshvandi, K., Soltanian, A. R., & Ebrahimian, R. (2018). Orem’s self-care model with trauma patients: A quasi-experimental study. Nursing Science Quarterly31(3), 272–278. https://doi.org/10.1177/0894318418774876