Orem's Uncertainty Of Illness Theory

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continuous and efficient self-care (Orem, 1991). This part is essential for current POI since it talks about requisite conditions to be considered when analyzing disparity of health care. The theory recognized five techniques of support, such as helping, acting for, directing others, setting an environment that enhances personal improvement in correlation with subsequent demands, and training of others (Berbiglia, 2011).
The third part of Orem’s theory is about the concept of a nursing process that is relevant to understanding how health care disparity can be understood through advanced nursing practice. Therefore, the three parts of Orem’s theory are essential guiding constructs applicable in assessing the current POI since they tackle all …show more content…

There are many types of these theories, but their applicability narrows down to nursing interventions for health care resolutions. For this study, “Mishel’s 1984 Uncertainty of Illness Theory” was identified as the most appropriate middle range theory since the current POI talks about disparity health care and metabolic syndrome. Newcomer (2012) explains that Metabolic Syndrome is a phenomenon defined by various collections of symptoms, instead of a clear differential diagnosis. This condition necessitates usage of Orem’s Grand nursing theory but also requires a differential theory with specific …show more content…

The theory elucidates how persons cognitively articulate sickness-related inducements and construct implications and perspectives of these events. Uncertainty is observed as the incapability to edifice connotation and create the person’s mental meaning, as illustrated a “cognitive schema for illness events” (Mishel, 1988, p. 225). The initial recapitulation of this theoretical framework explains the ideas of stimuli frame, cognitive capacities, and structure providers that are associated with uncertainty. The first concept is about symptom pattern, phenomenon congruency event familiarity; the second concept is about mental concepts; and the third concept is about credible authority, social support, education. These three components of this theory correlate with Orem’s three components and the four-elements of Fawcett’s nursing meta-paradigms. However, this theory concentrates on the cognitive uncertainty that can be directly linked to psychiatric patients. In this theory, the other concepts include opportunity, assessment, implication, illusion, and, coping procedures that lead to adaptation. Later, the procedure of philosophy derivation was implemented to modernize and review the philosophy to handle concepts associated with long-lasting uncertainty (Mishel,

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