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Wednesday 27 February 2019

Orem’s Theory and Family Health Nursing Essay

In the presentation of a theoretical discussion on the concept of self allot with particular considerations for family nursing fare, the concept of self- sustenance is chiefly known in Orems Self-Care Deficit Theory of nursing. Orems surmisal views the private as a self- pity agent with unique need which impart affect family wellness thereby providing support that health education and evaluation is the main single-valued function of nurses (Cody, 2006308). Nurses according to Cody believes that family models complement the nursing models to provide a more holistic and comprehensive perspective of clients and their concerns (2006308).Orems possibility has so a clinical applicability at home in the development demand for home-based health nursing services. The surmise has provided that practice allow be grounded in evidencebased clinical knowledge and skills within the example of family, home and fraternity concepts (Orem, 20012). Likewise, as self make do has been intr oduced and incorporated into the practice of community health a provision has involved the provision of care to families and different healthcare givers while giving utmost concern to the individual needs of patients and clients.Ali analyzed distinct models presented in 1990 which included Orems theory and decided that Orems self-care theory should encourage nurses to anticipate the potential problems which include family circumstances in family health pro redactning from which a care plan can be derived (Dolan and Holt, 20004). Such findings catapulted into evolution the support for Orems theory in the actual process of providing care for the patient and his family and the provision of a health continuum for everyone.Orems theory can be used to categorize, understand, cry and alter behavior of both sick and well individuals that is therapeutic in maintaining conduct and health and in the recovery from disease or injury, or in coping with their effects (Orem, 2001 82). This pre supposes that there is no limit on the provision of care while validating all perceptions that the family is included in the paradigm of care to promote self-care abilities of the patient. We cannot discount the involvement of the family that entirely affects the health status of the individual.A particular example in this case would localise to a hospitalized vehicular accident patient where after(prenominal) hospital give-and-take and rehabilitation is ordered to complete his recovery at home. Completing the full point of recovery at home necessitates his re-entry to his normal way of life prior to the accident. The family is therefore enhanced to effectively encourage the patient to attend to his self-care needs while staying on the sidelines yet supportively providing positive encouragement for the patients complete recovery. The effective role of nurses is providing family education for the benefit of adjustment to the transitory family role changes.Nurses at the same ti me bring to light the family models to counteract Orems nursing model and provide a more holistic approach to clients and their concerns (Cody, 2006 308). In this time of cost containment, nurses in a abandoned health care setting cannot lock horns with the Medicare illness models of home care that totally focuses on the individual patient alone (Harris, 2004 131). Maintaining health is a priority and an ethical requirement for nurses that include the family particularly in home-based care provision, where the absence of one deems the effort moot and academic.The applicability of Orems theory in family health is therefore enhanced as community based nursing practice seeks to resolve the responsibility of the patient and family to be included in the nursing care plan (Harris, 2004132). In the triage system, a problem-oriented approach encompasses assessment levels and Orems model can provide a framework for organized family nursing assessment, be after, intervention and evaluation (Dolan and Holt, 2000 4).Using Orems model while negotiating a holistic approach where the family plays an outstanding role is likewise seen in the above example where the family effectively participates in the planning of actions to uphold the patient effectively cope with his recovery while his self-integrity is keep or even enhanced. The nurse must therefore include in her assessment the familys perceptions toward the illness of a family member which is vital in the setting of goals as a means of promoting self-care to the ailing family member.This forget pose as a repugn to the nurse as family members individual ideas whitethorn vary relative to the patients condition. It cannot be ignored that ripened members of the family may feel overly protected to the patient because of the existing relationship. This challenge can be overcome by the nurse as she effectively provides a choice of promoting Orems theory that each family member will comfortably take part with a concise goal of promoting merciful integrity of structure and functioning (Orem, 2001522).Likewise, the individual needs of family members should also be looked into as the practice of activities are initiated and performed for the sick member to maintain life and health while promoting a sense of well-being for everyone (Orem, 2001 43). The family thus plays an important and essential role for the individual patient, whether sick or well which thereby boosts the importance of Orems theory in the family health nursing practice. As a helping art for holistic care, family circumstances in family health planning should therefore be included as the derivatives in the administration of a care plan.The individual concepts of each family member will help identify goals while entertaining individual or group limitations that will affect in the implementation and evaluation. A family model is selected for use after the nurse gathers preliminary data about the family and identifies its unique and c ommon patterns (Cody, 2006308). As an example, Cody cited that a nurse can use Orems theory for a 9 year old child affected with ear transmission and the mothers treatment of the child while asserting that other family models will complement Orems model to enhance understanding of the familys structure and functions (2006308).Orems theory therefore provides a common verbiage that enhance improved communication and consistency in the delivery of care while proposing that nurses play a key role in the work of self-care for which sophisticated communication skills, teaching skills and specialized knowledge and an awareness of the five-fold factors affect the provision of care and enhances the role of the family in the value of health for everyone.

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