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“Nursing is an art that renders a personal service to patients” (McLaughlin Renpenning & Taylor, 2003, p. 3), regardless of age, sex, race, culture etc. Children are diagnosed everyday with diseases that cause chronic illness forcing these children to mature much faster in order to become an active participant in the care and maintenance of their illness. Take Diabetes Mellitus for example. Children who are newly diagnosed with this usually adapt quickly in knowing they need to stay on top of proper maintenance. They learn very quickly how they feel when they are sick and how they feel when they are well. “When [Diabetes Mellitus] has its onset in childhood, assisting children to develop a sense of responsibility for self-management is a primary concern” (Dashiff, McCaleb, & Cull, 2006, p. 222). This is most successfully accomplished through patient teaching at a gradual rate appropriate for the child in question. It is very important to use Dorothea Orem’s self-care model so that these children are taught from the beginning about the importance of proper care and control in maintaining healthy blood sugar levels.
A case that comes to mind is a young girl, 9 years of age. This child is now very aware of her illness. This young girl was diagnosed with Diabetes Mellitus at the age of 3. Since then, she has been on a roller coaster with her illness. She has been in and out of hospital several times over the past 6 years. 3 years after her diagnosis, she had a major setback when she lost her mother to cancer. Now she has become so aware of her own body and the differences between being well and being unwell, that she is afraid to go anywhere for an extended period of time without her dad. She is afraid that other people will not b...
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Blanson Henkemans, O. A., Hoondert, V., Schrama-Groot, F., Looije, R., Alpay, L. L., & Neerincx, M. A. (2012). “I just have diabetes”: children’s need for diabetes self-management support and how a social robot can accommodate their needs. Patient Intelligence, 51-61. http://dx.doi.org/http://dx.dol.org/10.2147/PI.53847
Dashiff, C. J., McCaleb, A., & Cull, V. (2006, June). Self-care of young adolescents with type 1 diabetes. Journal of Pediatric Nursing, 21, 222-232. http://dx.doi.org/http://dx.doi.org/10.1016/j.pedn.2005.07.013
McEwen, M., & Wills, E. M. (2011). Theoretical basis for nursing (3rd ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
McLaughlin Renpenning, K., & Taylor, S. G. (Eds.). (2003). Self-care theory in nursing: Selected papers of Dorothea Orem. New York, NY: Springer Publishing Company.
This entails that the professional nurse provide not only ordinary but extraordinary care and support to make it possible for these individuals to achieve their requirements for self-care. Furthermore, the professional nurse judiciously and collaboratively partakes in the individual’s health care provided by the medical doctor. Dorthea Orem understood that individuals possess the natural capability of self-care, and nurses have a duty to place emphasis on enhancing that capability. Nurses who deliver direct care can support these capabilities by offering learning opportunities and teaching methods that enhance self-care activities, therefore contributing a positive and encouraging influence on the individuals and caregivers quality of
This approach is based on four principles which are; to teach patients to assume their responsibility, to be well informed about their prevailing health issues, make them realize that their cooperation and willingness in treatment and prevention plan is in their own benefit and, let them take their own decisions. As narrated by Taylor (2006), Dorothea E. Orem's Self-care deficit theory of nursing emphasize that "People should be self-reliant and responsible for their
Taylor, C. (2011). Introduction to Nursing. Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
With the current literature research diabetes a growing among patients across the world. There several ways nursing can educate their patients on this disease that is killing their patients day to day. Educating their patients on getting physically active, changing their diet, and not smoking our some
Hood, J. (2010). Conceptual bases of professional nursing. (7th ed. ed.). Philadelphia: Lippincott Williams & Wilkins.
Polit, D. F., & Beck, C. T. (2010). Essentials of Nursing Research (7th ed): Lippincott, Williams & Wilkins.
McEwen, M., & Wills, E. M. (2011). Theoretical basis for nursing (3rd ed.). Philadelphia, PA: Wolters Kluwer Health Lippincott Williams & Wilkins.
Walker, L. O., & Avant, K. C. (1995). Strategies for theory construction in nursing (3rd ed.). Norwalk, CT:
Thorne, S. (2010). Theoretical Foundation of Nursing Practice. In P.A, Potter, A.G. Perry, J.C, Ross-Kerr, & M.J. Wood (Eds.). Canadian fundamentals of nursing (Revised 4th ed.). (pp.63-73). Toronto, ON: Elsevier.
Orem’s theory is based on self-care requisites, which are basic needs of individuals at all stages of life. The ability or lack of ability of a patient to provide these self-care requisites for himself determines the self-care deficit (Black, 2014). The ability of a patient to provide his own self-care is dependent on factors such as age, gender, current state of health, and sociocultural factors (Caetano & Pagliuca, 2006). The self-care deficit Is then used to design a nursing plan that meets the patients’ needs (Black, 2014). Self-care requisites can be divided into three categories...
Marriner-Tomey, A., & Alligood, M. R. (2006). Nursing theorists and their work. St. Louis, Mo: Mosby/Elsevier.
Walker, L. O. & Avant, K. C. (2011). Strategies for theory construction in nursing. Upper Saddle River, NJ: Pearson Education, Inc.
McEwen, M., & Wills, E. (2011). Theoretical Basis for Nursing (3 ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Tomey, A.M., & Alligood, M.R. (2006). Nursing theorists and their work (6th ed.). St. Louis, MO: Saunders Elsevier.
Diabetes care in the school and day care setting. (2011). The 'Standard' of the 'Standard'. Retrieved from http://care.diabetesjournals.org/content/29/suppl_1/s49.