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Self - Care Theories and Concepts and Middle Range Theory of Self Care, Slides of Nursing

Self care theories and concepts: self care, self care deficits, self care management, behaviors and regulations.

Typology: Slides

2021/2022

Uploaded on 03/31/2022

maya090
maya090 🇺🇸

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Self-Care theories and concepts

2

Terminology

  • Self-care
  • Self-care deficits
  • Self-management
  • Self-care management
  • Self-care behaviors
  • Self-regulation
  • Compliance
  • Adherence
  • Self-efficacy
  • Self-monitoring
  • Self-care maintenance

5

What is Self-Care?

  • The World Health Organization defines self-care as “activities individuals, families, and communities undertake [either separately or in collaboration with professionals] with the intention of enhancing health, preventing disease, limiting illness, and restoring health” (p. 2). World Health Organization. Health education in self-care: Possibilities and limitations. Geneva, Switzerland: World Health Organization; 1983.

More Definitions of Self-Care

  • A process in which a lay person acts on his/her own behalf in the promotion of health, disease detection, prevention and treatment (Levin, 1979; 1983)
  • An individual’s behavioral response to illness symptoms and basic coping strategies and action to maintain health (Dean et al, 1986)
  • A decision-making process; reactive behavioral response to symptoms of illness and everyday health needs (Haug et al,

The changing profile of the patient

  • Live longer
  • Have more comonbidities
  • Try to cope with their illness
  • Integrate in dialy life and work
  • Organized / Informed
  • ’Demand’ for self care / right to self-care

Self-Care and psychology: counselling, beliefs, barriers for self care

Characteristics of Self-Care

  • Situation and culture specific
  • Involves the capacity to act and make choices
  • Influenced by knowledge, skills, values, motivation,

locus of control, self-efficacy, etc.

  • Focuses on aspects of health care under an

individual’s control

Gantz, 1990; Hoy et al, 2007

Levels of Theory

  • Grand theory
    • Dorothea Orem’s self-care theory
  • Middle-range theory
    • Self-care of chronic illness (Riegel, Jaarsma, Strömberg, 2012)
  • Situation-specific theory
    • Situation-specific theory of heart failure self-care (Riegel & Dickson,
      Grand theory Middle range theory 

Situation specific theory

Conceptual Framework of Orem’s Theory

Orem’s Self-care Deficit Theory

  • The central focus of Orem’s Grand Theory of Nursing
  • Explains when nursing is needed
  • Describes and explains how people can be helped through nursing
  • Results when the self-care agent (patient) can’t meet her/his self-care needs or perform self-care
  • Nursing meets these self-care needs through acting for the person, guiding, teaching, supporting, manipulating the environment