THEORY SYSTEM OF OREM

BY GROUP 3AYSHA AMELIA

DZIKRA FITRIA AMITAMUTHIAH TRI ZUHRIANI

RHIDA HAYATIRAHIMAH FEBRIALISSA

Let’s see Orem’s biography

• Born 1914 in Baltimore, US• Earned her diploma at Providence Hospital – Washington,

DC• 1939 – BSN Ed., Catholic University of America• 1945 – MSN Ed., Catholic University of America• She worked as a staff nurse, private duty nurse, nurse

educator and administrator and nurse consultant.• Received honorary Doctor of Science degree in 1976.• Theory was first published in Nursing: Concepts of

Practice in 1971, second in 1980, in 1995, and 2001.

• Dorothea E. Orem nursing school education at Providence Hospital in Washington DC. Bachelor graduated in 1930.

• In 1939 graduated Master of nursing education. • In 1945 – 1970 worked at the Catholic University in the United States during the

course of his career he has worked as a staff nurse, private duty nurse, educator, nursing administration and as a consultant.

• Year 1958- 1959 as a consultant at the Ministry of Health in the education welfare and participate in nursing training project.

• In 1959 the concept was first published Orem care.• In 1965 joining the Catholic University in the US to form a theoretical model of

community nursing.• In 1980 published a second book that contains the first edition was

expanded to families, groups and communities.• In 1985 published a second book that contains three theories, namely;

Theory self-care, self-care deficit theory, system theory of nursin

Theory of Self Care

"An implementation of activities initiated and conducted by the individuals themselves to meet the need to maintain life, health and well-being according to the circumstances, whether healthy or sick" (Orem's, 1980)

In addition, the theory of self-care can not be separated from the requirement of self-care (self-care requisites), which is the aspect that determines the degree of realization of self-care. Self-care requisites consists of three categories:

1. Universal self-care requisites2. Developmental self-care requisites 3. Health deviation self-care

The Theory of Self-Care Deficit

Orem's Self-care Deficit theory is an important part of treatment is generally where all the planning of nursing care is given when needed. Self-care Deficit explain the relationship between a person's ability to act / move with the demands on self-care.

Orem identified five methods that can be used in helping self-care:

• Actions or do something for someone else.• Provide guidance and direction• Provide physical and psychological support• Provide and maintain an environment that

supports personal development• Education

The Theory of Nursing System

Nursing system is part of the consideration of nursing practices performed by nurses based on coordination to achieve the needs of the patient self-care (self-care demand) and to protect and control the training / development of the patient's ability to self-care (self-care agency). (Orem, 2001)

•Act of nursing to provide full compensation to patient due to the patient's inability to meet the nursing actions independently.

Wholly Compensato

ry System

•Namely nursing system to provide self-care to patients in partial

Partly Compensato

ry System

• Namely nursing actions that aim to provide support and education to patients able to perform self-care.

Supportive-Educative

System

NARRATION• Applications Orem Nursing Model, can be seen from the

following case: Mr. J (50 years), diagnosed with diabetes mellitus type 2. He had a history of hypertension and he was a heavy smoker (30 cigarettes per day). Treatment can be given epada Mr. J is based on the model of nursing Orem is:1. Water (educative / supportive). Nurses must be able to provide information on the relationship of hypertension with smoking.2. Water (educative / supportive). Nurses should be able to convince the presence of sufficient hydration-risk of polydipsia which triggers hyperglycaemia (high sugar levels in the blood)

• 3. Food (partial compensatory). Nurses give yan suitable diet for hypertension and diabetes, as well as control blood sugar after a meal.4. Elimination (educative / supporif). Clients in need of monitoring.5. Activity and Rest (adecative / supportive). Nurses inform patients about activities suitable for patients with diabetes.6. Solitude and Social Interaction (partial compensatory). Social interaction with nurses can provide behavior interaction and social change.7. Hazard Prevention (partial compensatory). Nurses provide education to patients about the advantages andshortage of medicine to be taken by the patient.8. Promote normality (partial compensatory). Nurses are expected to help the patient to return the patient's lifestyle, so it became normal again.

Conclusions

By studying the concept model or nursing theory as presented upfront, it can be concluded that the nurse must understand what must be done properly and accurately so that the client can obtain its rights appropriately and correctly. With the selection of nursing care or nursing theory concept model in accordance with the characteristics of the client can provide the relevant nursing care.