strategy comparison and analysis around theories

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When nursing started out in the Florence Nightingale days, nurses learned their nursing practices via theories. There was two theorist names Dorothea Orem and Virginia Henderson that got their own perspective on nursing practices. This kind of paper can discuss compare and analyze the ideas based of every of these women theories to show how they are related. Both of these ladies produced their own tips on how nursing jobs should be applied. Henderson

In 1955 Va Henderson had written the 16 components of standard nursing proper care, this is known as the human require theory.

The theory identified areas that the individual may shortage in caring for their selves when sick and tired, and they are the 13 components of basic nursing treatment. The 18 components will be: breathing very good, good oral intake/good diet, normal performing of bowel/bladder, sleep/rest, dressing/undressing, keeping regular body temperature, cleanness of affected person promote very good skin ethics, keep away from injuries/dangers, good connection of fears/emotions, meeting psychic needs, functioning, playing/participating in games or perhaps recreations, and learning.

The development of theory helped nurses know how to evaluate, plan, put into action, and assess their patients (George, 2011). Orem

Dorothea Orem composed a theory called the self-care shortfall theory, which theory include three hypotheses the self-care, self-care shortfall, and the theory of nursing jobs systems. In this theory she explain how person will take care of their particular selves, when a person requirements help tending to their selves, and previous is when person requires medical attention. The first theory is self-care, and this is definitely when a person is able to keep their health and wellness and wellness. This theory can differentiate depending on what stage of life the end suchas your age, developmental state, or perhaps where you live. Within the self-care theory is three self-care requirements. The requirements are common self-care requirements, developmental self-care requisites, and health change self-care.

Example universal of self-care requisites is common activities of everyday living (ADL’s). Example of developmental self-care requisites can be adjusting to new job or perhaps change together with your body. The final example features health deviation self-care, which is once person capable of take care of medical problem. The other theory can be self-care deficit when person self-care require out weights their self-care abilities, and nursing should be used. Orem list five ways of helping that nurses can use. The five ways are doing for others, guiding, meet their very own physical/emotional requirements, providing supporting environment to support person advancement, and teaching another. The final theory is definitely the theory of nursing system. This theory is if the nurse supplies care since the patient is unable to care for their particular self. Orem discusses three different types of breastfeeding systems which will meet affected person self-care requisite.

The initially system is wholly compensatory nursing jobs system, and this system is when patient will depend fully for the nurse to care for all of them. Example of this system is a sufferer who had a major stroke. The 2nd system is the partly compensatory nursing program, and this program when individual can take proper care of some of their demands but still requirements nursing treatment. Example of this method is affected person who has pneumonia and can continue to feed their very own selves, nevertheless depends on nursing jobs to provide IV antibiotic treatment. The last is a supportive-educative medical system, which is the moment patient has the ability to taking care of doing self-care, although needs support/education on health conditions. Example of this when residence health is out to teach individual how to perform wound treatment on their twisted so they cannot have to be based upon nursing (“Dorothea Orem’s Self-Care Theory, 2012).

Comparing the Concepts

These theorist Orem and Henderson have got a common strategy on how a nurse will need to practice nursing jobs. Theses theorist have established inside their theories the role of nursing. They have differ strategies when it comes to the how healthcare professionals should practice their proper care. Henderson theory identifies 14 component of individual needs that patient may not take care of when they are sick. Henderson theory is for nursing to assess the 13 component in general, andintervene in the areas necessary. In comparison Orem’s theory of self-care shortfall identifies once patient lacks self-care skills to take care of all their self it is responsibility of the doctor to meet the patients self-care demand.

Those two theorist fluctuate in the factor that Henderson focuses even more on taking care of the patient towards a more acute establishing. Orem recieve more of a concentrate in her theory of nursing program on teaching the patient on their health conditions or perhaps self-deficit for them to take care of their self (George, 2011). Orem’s Self-care Theory Implication on Nursing Practice

Orem standard theory is “Nursing has its particular concern mans need for self-care and the dotacion and the repair of it on continuous basis in order to support life and health, recover from disease and injury, and cope with their very own effects, “(George, 2011). Nurse’s everyday happen to be practicing the self-care theory of Orem in a variety of healthcare settings. If a nurse gets a new patient the initially they do is definitely identify their particular self-care loss and self-care abilities. This enables nurses to focus on the person’s self-care shortfall, and start attending to the patient needs.

When the nurse identifies the self-care deficit then which allows them to begin assessing the situation, create treatment plan for the patient, and start treating/teaching on the self-care deficits. Example is each time a new affected person is admitted to the hospital the health professional assesses the patient’s trouble, starts taking good care of the problem, determines where educating is needed, and creates treatment plan and so patient are certain to get better (“Dorothea Orem’s Self-Care Theory, 2012). Metaparadigm

Orem’s metaparadigm incorporate four factors: Human being, well being, nursing, and environment. The factor is definitely human your woman describes human as self-care, and self-care is practice of our actions of daily living that helps bring about life and well-being. The 2nd factor is definitely health, Orem describes health as being complete and sound physical, emotionally, and socially for anyone well-being. The 3rd factor can be nursing, your woman describes medical as a needed service to fulfill the self-care of humans. The most important reason is environment, and she describe the environment as nearly anything around the human that can prevent their capacity to perform their very own self-care ( Dorothea Orem’s Views on Nursing jobs Metaparadigm, d. d. ). Philosophy

In accordance to “Dorothea Elizabeth and her philosophy on self-care (n. d. ), “are patients wish to care for themselves.  Essentially what Orem is saying in the event the nurse allows the patient look after themselves to best of the their ability they will get over their sickness quicker. This kind of relates to nursing jobs today as the more we all enable patients to learn and take care their health condition they will function more independently. Sort of Orem viewpoint in breastfeeding is the moment patient is usually home well being, and the health professional is simply there to teach these people about congestive heart inability, and how to be careful the disease we are enabling the individual to take proper care to themselves. Conceptual Model

Orem’s conceptual model is related to her theory of self-care. The style defines her three theories of self-care, self-care shortage, and theory of nursing system. When the person self-care demand exceed their self-care abilities, in that case nursing is needed. Nurses can assist patients satisfy their self-care needs utilizing the conceptual style. The conceptual model determines how healthcare professionals can assist the person under self-care deficit utilizing the 5 areas identified before in this paper. Under the theory of medical the doctor should identify the patient learning needs, and address all of them so the individual is conference his/her self-care needs in the end, and is healthy (“Orem’S Self-Care Model, and. d. ). Conclusion

Orem and Henderson agenda for theories is usually to establish medical practice guidelines for nurses. They two theorist support define the role of nursing, plus the profession. In the nursing world nurses practice these two theories in their every day practices. Nurses have learned the right way to identify challenges of affected person when they arrive, and how to address them for them to get on the road to recovery. Nurses as well learned how to identify a self-care shortage in sufferers so it may be addressed, then your nurse trains patient upon self-care debt where they will care for themselves. These two ideas basically quantity down to examining, implementing, care planning, and educating the patients.


Dorthea Elizabeth and her Idea on self-care. (n. d. ). Recovered from Dorothea Orem’s Self-Care Theory. (2012). Recovered from Dorthea Orem’s Views on Nursing Metaparadigm. (n. d. ). Retrieved coming from

George, J. B. (2011). Nursing Hypotheses: The Base for Nursing Practice (6th impotence. ). Retrieved from The School of Phoenix az ebook Collection database.

Orem’s Self-Care Model. (n. d. ). Retrieved from


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