Application of Orem’s Self-Care Deficit Nursing Theory to the Long-Term Care Setting
Olivet Nazarene University
Theoretical and Professional Foundations of Nursing
MSN 52 NRSG 653
September 30, 2012
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Application of Orem’s Theory to the Long-Term Care Setting
The decision to place a loved one in a long-term care facility is difficult and typically stems from the resident’s inability to adequately perform basic self-care tasks. Although many patients in the long-term care setting are dependent upon the nursing staff for the majority of their care, nurses are in an important position to encourage the retention of as much self-care ability as possible. Previous research has suggested that self-care ability is correlated with feelings of health and well-being, a lower incidence of depression, and increased feelings of self-worth (Blair, 1999; Faucett, Ellis, Underwood, Naqvi & Wilson, 1990; Sacco-Peterson & Borell, 2004).
A commonly held behavior in healthcare is to label the passive patient as “good” or cooperative. If nurses perceive the residents as having a passive role in their care, and are therefore reluctant to allow residents to make their own decisions, dependence is inadvertently encouraged. Using Dorothea Orem’s Self-Care Deficit Nursing Theory (S-CDNT), this paper will outline an implementation plan in the long-term care setting that emphasizes self-care plans tailored to individual resident needs. Potential barriers and challenges to implementation will be discussed,...