Application of Nursing Theory Guidelines
Applicationof Nursing Theory Guidelines
Applying a theory on a nursing problem often provides theprofessional guidance that the nurses will need in getting a propersolution. In this case, most of the nursing theories are based on thescholarly arguments that offer the physicians the steps they need indealing with the issue. The Self-Care Deficit Nursing Theory that wascreated by Dorothea Orem is one of the most essential ones in thenursing field. It focuses on the deficit areas that need self-careand offers the appropriate measures that should be implemented inpreventing the severity of the illness in question.
The theory reminds the patients of being self-reliant and using theguidance of the nurses and physicians to plan the appropriateprocedures. In fact, the theory needs the clinical officer to collectdata on the person’s health status, the perspective of the patientand the physician to determine the health goals (O`shaughnessy,2014). Looking at the current lifestyle and the medical history helpin showing the deficient areas and the capacity of the patient inperforming the self-care required (O`shaughnessy, 2014). From thatpoint, the nurse will help the patient in implementing the measuresthat will reduce the symptoms and provide the necessary patientoutcomes.
The paper will focus on Patient A that has Rheumatoid arthritis andneeds assistance in dealing with the aspects that require the medicalassistance. The Self-Care Deficit Nursing Theory will identify thedeficient areas such as the less nutritious food, insufficientphysical activities, joint pains, and lastly the physical hazardsthat can result in the falls and injury. It will also discuss theappropriate measures to be implemented while dealing with thechallenges that the patient is facing. This essay will reveal how theSelf-Care Deficit Nursing Theory is quite appropriate in assistingthe patients that have Rheumatoid arthritis since it urges them toinitiate the quality care.
Descriptionof the Concern
In this scenario, the nurses had an elderly Hindu married woman thatwill be referred to as Patient A, and she had complained of thestiffness as well as joint pains. The intense back pains haveinterfered with her posture and that has made it difficult toundertake some of the common household tasks that one is expected todo. At first, she seemed malnourished and she did not understand thereason why she had such complications instead. It is clear that herfood was not nutritious enough, and she did not have time to restbecause of the intense joint pains. The diagnosis showed that she hadRheumatoid arthritis and the lack of formal education showed that shewas unaware of the condition that she was experiencing at that time.Patient A used drugs such as the T. Valus SR OD and T. Tramazac 50 mgOD, but, they did not have any impact on reducing the symptoms thatshe had. Her husband, daughter, and nephew are the only people thatcan assist her in dealing with the challenges that she was facing.
The nursing profession should be concerned about the problem thatPatient A faces because they are the ones supposed to provide thequality care to assist her with the challenges. In this case, thenurses and the physicians need to have proper knowledge on theillness and provide the necessary assistance needed. The existingnursing literature shows various options that can be used in treatingthe illness. However, they suggest the medication and therapy that isfacilitated by a physician rather than the patient. The stakeholdersaffected by the illness include the patient and the family membersthat rely on the patient and also consider her well-being as animportant aspect.
Applicationof Self-Care Deficit Nursing Theory to the Concern
Applying the Self-Care Deficit Nursing Theory that was designed byDorothea Orem will be ideal in seeking the solutions that will reducethe symptoms and provide the right medication. First, the theory isuseful in a place where the demand of self-care seems to surpass theability of a person to meet such expectations (Seed & Torkelson,2012). The deficit in the self-care will result in the patientseeking nursing care because she will not deal with the complicationsalone. The nurse will have a role in identifying the specific areaswhere the patient can assist in improving her well-being and reducingthe self-care deficit (Riegel, Jaarsma, & Strömberg, 2012).Rehabilitation and the primary care include some of the areas thatneed more emphasis so that Patient A can get the necessary helpneeded. The theory will undertake the nursing diagnosis, ascertainthe outcomes, and identify the control operations to be implementedand lastly the evaluation. The first deficient area is food and thepatient does not have ideal nutrition needed, and that shows how sheneeds to seek enough balance diet that has proper ironsupplementation to make sure that she has stronger bones and joints(Desbiens, Gagnon & Fillion, 2012). The patient will find thefoods that are rich in iron, and such measures will assist her indealing with her situation. Lack of physical activities is alsoanother deficient area that the nurse will need to address. Forinstance, she could not dress or even visit the toilet because of therestricted joint movements. The patient will be expected to undertakethe passive and active exercises to facilitate mobility. She can wearloose fitting clothes that will help her in the undressing processand make the scenario quite easier.
Pain control is a deficient area that will need the nurse to identifya specific way of handling the issue. She should specify theintensity, location, and frequency so that the nurse can understandthe type of approach to be used. The patient will be expected to userest to the joints so that she can avoid any manipulations that canincrease the pain. Using the appropriate prescription of T. Ultracetand Tab Diclofecac will also reduce the severity of the pain (Dale,Söderhamn, & Söderhamn, 2012). Engaging in light exercises andplacing them in warm water might seem like a proper suggestion aswell. Prevention of hazards is another field that the patient needsto understand to avoid any falls and injury that will complicate thesituation. First, the patient should often ask the other familymembers for assistance while moving from one point to another. Thepatient should make sure that she stays in a safe environment that isfree from sharp objects that can be dangerous and facilitate anyfalls (Altay & Çavuşoğlu, 2013). In summary, following thedetailed procedure of identifying the deficient areas and revealingthe measures to be taken shows how the Orem’s theory is quitesufficient in dealing with such challenges. In the future,researchers can determine whether the self-care refers to the patientalone or the entire family helping the patient to deal with thechallenges he or she is facing.
In conclusion, applying the Self-Care Deficit Nursing Theory on apatient with Rheumatoid arthritis will most likely have positiveoutcomes. In this case, the patient had various deficient areas suchas the inadequate nutritious food, joint pains, physical activities,joint pains as well as the physical hazards. Hence, the theoryaddressed each of these aspects and ensuring that the patient getsthe necessary help needed. The research has proved that a patient isself-reliant and he or she can engage in activities that willfacilitate the recovery process. However, a nurse should guide thepatient in undertaking some of the measures that will minimize thesymptoms.
Altay, N., & Çavuşoğlu, H. (2013). Using Orem`s self‐caremodel for asthmatic adolescents. Journal for Specialists inPediatric Nursing, 18(3), 233-242.
Dale, B., Söderhamn, U., & Söderhamn, O. (2012). Self‐careability among home‐dwellingolder people in rural areas in southern Norway. Scandinavianjournal of caring sciences, 26(1), 113-122.
Desbiens, J. F., Gagnon, J., & Fillion, L. (2012). Development ofa shared theory in palliative care to enhance nursing competence.Journal of advanced nursing, 68(9), 2113-2124.
O`shaughnessy, M. (2014). Application of Dorothea Orem`s theory ofself-care to the elderly patient on peritoneal dialysis. NephrologyNursing Journal, 41(5), 495.
Riegel, B., Jaarsma, T., & Strömberg, A. (2012). A middle-rangetheory of self-care of chronic illness. Advances in NursingScience, 35(3), 194-204.
Seed, M. S., & Torkelson, D. J. (2012). Beginning the recoveryjourney in acute psychiatric care: Using concepts from Orem`sself-care deficit nursing theory. Issues in mental health nursing,33(6), 394-398.
No related posts.