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This 5 page paper is based on an assessment of Dorothea Orem's Self-Care Model. This model is based on the assertion that individuals can provide a level of self-care. Orem argues, then, that self-care deficits in the care setting often occur as a result of environmental situations. This paper outlines the basis for this model and its application. Bibliography lists 5 sources.
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5 pages (~225 words per page)
File: MH11_MHNurOre.rtf
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of environmental situations (Mayo, 2001). In considering the basic structure and application of this model, it is necessary to relate the context and views of the professional nursing
model and the principles that are the basis for the distinction in models. There are essentially 3 types of systems that exist in any professional nursing model:
compensatory systems, in which the nurse provides all of the care; partially compensatory systems, in which the nurse and patient work together to share responsibility for care; and the educate-development
system, in which the patient has the greatest responsibility for care, and the nurse provides support for self-care (Mayo, 2001). This third model shares the greatest similarities with elements
of Orems Theory on Self-Care. Orems theory, which is the basis for the need for nursing care, states that nursing care is only needed when an individuals capacity
for self-care is less than the self-care needs to determine therapeutic outcomes (Roberson and Kelly, 1996). Multicultural and transcultural views have been applied to Orems theory because there is
evidence that suggests that if individuals do not perceive the need for carative support, or if their cultural background supports opposition to nursing care, then the interactions between the nurse
and the patient are often unproductive (Roberson and Kelly, 1996; Hanna, 1997). Understanding the basis for this cultural perception, then, and supports the integration of cultural factors in the
defining of a nursing approach. Before the development of Orems Self-Care Model, it was recognized that nurses should support the rights of patients to be active participants in their care
(Mayo, 2001). Self-care has been argued as one of the most important requirements "for sustaining and enhancing life and health. Competence in self-care determines quality of life and has
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