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Dorothea Orem’s Self- Care Deficit Nursing Theory

How has the theory been used in research? Has it been used in
specific specialty areas? Can it be used at all levels of
prevention? Why or why not?

1 Answer

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Final answer:

Dorothea Orem's Self-Care Deficit Nursing Theory has been used significantly in research, particularly in specialties like chronic disease management, mental health, and geriatrics, and applies to all levels of prevention. Critiques of care theories highlight their potential basis in traditional women's roles. Orem's focus on patient autonomy aligns with modern healthcare approaches.

Step-by-step explanation:

Dorothea Orem’s Self-Care Deficit Nursing Theory has been widely utilized in nursing research, particularly within certain specialty areas such as chronic disease management, mental health, and geriatrics. The theory posits that when individuals are unable to meet their own self-care needs, a self-care deficit occurs, necessitating nursing intervention. This forms the basis for assessing patient needs and planning care.

Problems have been raised with care theories in general. For instance, some philosophers argue that the ethic of care is often derived from traditional women's values which were seen in roles characterized by silence, obedience, and service. Critics like Nel Noddings believe that a gender-free morality might be impossible to achieve because these conventional perspectives may have influenced care ethics.

Despite these theoretical debates, Orem’s theory has been applied across healthcare settings and specialties, proving versatile for guiding practice at all levels of prevention. Primary prevention includes health promotion and illness prevention, secondary prevention involves early diagnosis and treatment, while tertiary prevention focuses on rehabilitation. The theory's emphasis on patient autonomy and empowerment aligns with contemporary health philosophy, stressing personalized patient care and self-management which are important across all prevention levels.

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