Self-Care Deficit Theory of Nursing

·Read chapter 14 about Dorotea Orem’s Theory: “Self-Care Deficit Theory of Nursing” and look for at least one article online about her theory. Give your own Opinion about her theory, provide your own definitions for: Self-Care, Dependent-Care, Self-care deficit and Dependent-Care deficit. Use APA7 format in your Word document. Provide at least two references, one of them must be your textbook. Minimum 300 words, no maximum.

Patient Complaint

Tired all the time; heavy menses

History

Susan is a 44-year-old white female who presents with a complaint of being tired and having low energy. She is a G3P3 mother of a 15-year-old, a 13-year-old, and a 10-year- old. She is 5 feet tall and weighs 145 pounds. Her blood pressure is 116/78 mm Hg and her heart rate is 82. Past medical history is unremarkable except for a history of heavy menses, which Susan reports seem to be getting heavier. Her menses are regular and last 5 or 6 days. Her husband of 18 years had a vasectomy, so she does not use any hormonal birth control. Screening for depression is negative.

Susan gets regular exercise, mostly walking. She walks every weekend with her friends, usually a 6-to-8-mile walk. Susan is concerned because she is noticing that she is short of breath going up even small hills and needs to rest after she gets back from her walks.

Susan considers her diet well rounded. She has been trying to lose weight, so she has cut back on high-fat foods such as meat. She eats mostly fish and chicken for her protein.

She drinks two glasses of skim milk a day and eats a lot of salad to fill her up. Her salads are made with iceberg lettuce and tomatoes. She does not take any medications. She does not take a multivitamin.

Assessment

Complete blood count (CBC) indicates a white blood cell (WBC) count of 9.6, red blood cell count (RBC) of 4.6, hemoglobin (Hgb) 11.1, hematocrit (Hct) 34%, mean corpuscular volume (MCV) 84, mean corpuscular hemoglobin concentration (MCHC) 31, and red blood cell distribution width (RDW) 14.5%, and platelets and WBC differential are unremarkable. Ferritin level is 13. Thyroid studies are within normal limits.

Briefly what would be your initial management plan?

Briefly what follow-up laboratory would you draw?

Fractured left femur and mild head injury

Jimmy, ten year fractured left femur and mild head injury.s old, was admitted to the pediatric intensive care unit after a fall from the second-story townhome were sustained a fractured left femur and mild head injury. Currently, Jimmy is two days post open reduction internal fixation of the left femur. Orders were updated to transfer Jimmy out of Intensive Care Unit (ICU) after being cleared by the neurologist. He has a long leg cast, indwelling foley catheter and will require neuro checks every two hours.

• What are two priority nursing diagnoses for this child?
• What are the priority nursing interventions for this patient after being transferred from the ICU?
• What are the risks of foley catheter placement?
• Does the patient still require an indwelling foley catheter? Provide a rationale to support your answer.

Discipline

Study daily 001

Directions

Locate a model from a different discipline (other than nursing) that you could apply to nurse. Models can be found in leadership, business, education, and technology

explain why you have chosen the model

apply the model to your advanced practice role – NP

Write the introduction

Insert a table

In the left column of the table, list the characteristics of the model you have chosen. Provide a source of support for each characteristic.

Note: Between 6 to 8 characteristics will be fine.

In the right column, in the top box, write your future role e.g., Family Nurse Practitioner.

In the right column, list an application to your advanced nursing practice role that corresponds with each characteristic. Include a source of support/s for each application.

After the table, you will provide a concluding paragraph.

 Analysis and Evaluation of Nursing Theory

Nurses in advanced roles have increased responsibility and accountability for their practice. Therefore, it is imperative that these nurses have a solid understanding of how to evaluate nursing theories for their appropriateness and utility.

Pick a nursing theory that you may use in your future role. Briefly describe the theory and then pick three (3) evaluation criteria questions from the following list and use them to evaluate your chosen theory.

Is the purpose of the theory clearly identified? What is it?

Are the major assumptions explained? What are they?

Are the major concepts clearly defined? What are they?

Are the major relational statements (propositions) clear? What are they?

Has the theory been tested? How?

Has the theory been used in nursing practice, education or leadership? How?