Implementation Plan The implementation plan targets to educate congestive heart failure (CHF) patients proficiently by applying Dorothea Orem’s theory of self-reliance and self-care management to reduce incidences of re-hospitalization. This plan is for the patients who are recently treated in a facility and now are ready for discharge from the hospital. The main purpose of this program is to teach CHF patients that how positive lifestyle changes can improve their health conditions and help them to avoid frequent re-hospitalization. Various studies and research (Naylor et al 1999, Shepperd et al 2013, Wahba et al 2015, Williams 2015) are made and a few are in progress to find out effective methods to promote self-care management teachings. Dorothea Orem's Self-Care theory emphasizes on importance of patient’s realization of self-reliance and their acceptance that ‘love for life’ can do miracles. The patients should be self reliant in following their medical and natural lifestyle regimen, and must willingly ready to participate in the treatment process. This will not only help them but also those around them who are suffering from the same problem(s). Methods for Obtaining Approval …show more content…
If we look into the details of the plan from stakeholders perspective, we find that this plan has more positive effects on patients' outcomes. It increases patients' understanding of the disease. This also helps them to take part in the treatment process whole heartedly and change their lifestyle pattern on healthy side. It is proved through various researches that patient's cooperation and willingness is very important in obtaining positive results in any treatment pathways (Ågren et al 2012, Benbow 2009 and Ditewig et al,
The NHS Outcomes Framework has five standard domains which is set out to improve the quality and outcome of care and services that is being delivered to the patients and service users (National Quality Board, 2011). As such, this project plan is focused on domain 2 as it has been mentioned before, is based on improving the quality of people with long term conditions. Nurses will give cardiac discharge advice to patients on self care, thus identifying how to improve and manage their condition so that they can continue with their normal lifestyle. Furthermore patients will be advised on how to overcome stress and depression which will help them in maintaining the activities of living (DoH, 2013).
Jeon, Y., Kraus, S. G., Jowsey, T., & Glasgow, N. J. (2010). The experience of living with chronic heart failure: a narrative review of qualitative studies. BMC Health Services Research. doi:10.1186/1472-6963-10-77
... Through the demonstration of these values on a daily basis, the nurse is able to not only take better care of his or her patients, but is also able to take care of his or herself. Through self-care, the nurse is able to better understand the phenomena of the client, and is able to provide better client-centered care.
This paper will also talk about the importance of self –care and what I would do, or things I could do to mitigate those biases and difficult reactions to clients and people that I am working with in a treatment team so that I am fully aware and not distracted by my personal reactions, to a case.
Congestive Heart Failure is when the heart's pumping power is weaker than normal. It does not mean the heart has stopped working. The blood moves through the heart and body at a slower rate, and pressure in the heart increases. This means; the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body or by becoming more stiff and thickened. This only keeps the blood moving for a short while. The heart muscle walls weaken and are unable to pump as strongly. This makes the kidneys respond by causing the body to retain fluid and sodium. When the body builds up with fluids, it becomes congested. Many conditions can cause heart failure, and they are Coronary artery disease, Heart attack, Cardiomyopathy, and conditions that overwork the heart.
World Health Organisation. 2009. Self-care in the Context of Primary Health Care. Report of the
According to the Healthy People Database, in 2010 the aging population was estimated at 40 million, this number is expected rise to nearly 70 million by the year 2030 (National Center for Health Statistics, 2000). At the forefront of health concerns for this aging population will be the intervention, management and treatment of chronic diseases. This increase in both this specific population as well as the required medical care will place a significant amount of stress on an already distressed healthcare system, which in turn will affect the availability of recourses and costs. Including patients in their self care with strategic health promotion such as encouragement and education geared towards specific socioeconomic groups will be more cost effective and beneficial in the management of chronic disease. Studies indicate that patients involved in self management of disease processes often have better patient outcomes.
One of the theories of nursing is Dorothea Orem’s self-care theory, also called the self-care deficit theory. Nursing theories are important for several reasons. The profession is strengthened when knowledge is built on sound theory (Black, 2014). Theory is important for reasoning, thinking, decision-making, and supporting excellence in practice (Black, 2014). Dorothea Orem’s theory is a conceptual model that provides a structure for critical thinking in the nursing process (Black, 2014). A conceptual model provides a comprehensive and holistic perspective of nursing (Black, 2014). Orem published her theory in 1959 and continued to develop her model, eventually formalizing three interrelated theories: theory of self-care, theory of self-care deficit, and theory of nursing system (Black, 2014). The focus of Orem’s model is the patient’s self-care capacity. The process helps to design a nursing process specific to each patient that will provide for the self-care deficit of the patient (Black, 2014). Self-care deficits exist when the patient has limitations and the self-care requirement is greater than he patient’s capacity (Manzini & Simonetti, 2009).
Nursing as a profession is constantly changing and in need of nurses who are able to adapt with these sudden modifications. Nursing is considered as science as well as an art. Many people who have been experts in nursing have contributed in able to provide the best care for patients as well as their family. One of the well-known nursing theorists who influenced how we care for patients today is Dorothea Orem. She developed the Self-Care Deficit Nursing Theory (SCDNT) which concentrates on patient’s self-care necessities.
Orem’s general theory of nursing consisted of three related parts of self-care, self-care deficit, and nursing systems. The first was the concept of self-care which is the practice of activities that persons perform independently to promote and maintain personal well-being, healthful functioning, and continuing development throughout life (Masters, 2011). Self-care agency is the ability to engage in self-care. This is conditioned by age, life experience, health, developmental state, and available resources. Orem describes self-care requisites as activities of daily living that are common to all individuals. The universal requisites include air, water, food, elimination, activity, rest, social interaction/solitude, prevention of hazards to
Punjani, N. S. (2013). Comparison and contrast of Orem 's self-care theory and Roy’s adaptation
The concept of this theory is grounded in the notion that all persons are capable of caring and is focused on the necessity to support persons through a lived experience in caring, while growing individually as caring persons. (Smith & Parker, 2015). When applied to the nursing situation of E.H., I recalled approaching him with options to make choices and I viewed his needs and opinions as a priority for his situation. I felt that my approach was necessary to help him attain acceptance and understanding of his illness and upcoming
Influenced by a variety of factors to include age, gender, available resources, environmental factors, and sociocultural factors, the person must acquire the ability for self-care (Alligood, 2018). This particular study relied on the findings of previous studies regarding self-care behaviors in relation to basic conditioning factors. Previous studies support the relationship between conditioning factors, ability, and self-care. Furthermore, the study included the Adolescent Dysmenorrhic Self-Care Scale (ADSCS) which assessed the adolescent’s self-care behaviors towards dysmenorrhea, the Exercise of Self-Care Ability Scale (ESCAS) which assessed the self-care ability of the adolescent, and a demographic information sheet (Wong, Ip, Choi, & Lam, 2015). By including the above-mentioned scales, the application of Orem’s Theory is apparent.
Self-care is a necessary practice in everyone’s life. This practice allows people to relax and replenished themselves. The first time I heard of this term was in during one of my social work classes. As we began to discuss self-care it became clear, that without proper self-care people, not just social workers are doing themselves a disservice. Self-care encompasses more than general rest. Self-care deals with emotional wellbeing, good health and spiritual wellbeing. All of these areas are key to having good self-care. The reading provides a good description self-care, it stated that self-care is achieving an equilibrium across our personal school and work lives. Achieving equilibrium in my personal life will only increase my ability to support and help others.
Throughout history the idea of what it means to be human has developed from simply a physical body to include the body, mind, emotion and spirit of a person. Each of these aspects of humanity as well as the environment in which healing takes place needs to be evaluated to promote optimal healing. In addition, emphasis cannot be exclusive to the patient but must also include the provider’s sense of wholeness. From the first day of nursing school, it is ingrained that to be an effective nurse one must evaluate one’s own opinions and beliefs as they relate to the patient situation before we enter the caregiver role. This idea of self-awareness can facilitate the care process and enhance the human