Theoretical Framework to Support Evidence-based Practice PowerPoint Presentation

Introduction

Dorothea E. Orem’s Self-Care Deficit Nursing Theory, also known as the Orem Model of Nursing, is known as a theory that can be applied to many different settings and nursing situations with a variety of different patients. Using the theory in a patient with diabetes can result in effective health outcomes and improved quality of care.

Identification of Orem’s Self-Care Deficit TheoryIssue/Concern related to Diabetes MellitusTheory as Framework for Evidence-Based PracticeConclusion

Orem’s self-care deficit theory

Based on the ability of patients to care for themselves as they desire Proves that the recovery process is quicker and more holistic whenever patients engage in self-carePeople are distinct individualsA person’s knowledge of potential health problems is required to promote self-care behaviors

Orem’s self care deficit theory and the relevance to the family nurse practitioner

The theory provides evidence that patients should be viewed as a whole and that they have the potential to engage in self-careOne of the primary responsibilities for the fnp is to teach patients to care for themselves to improve and maintain healthThe overall goal of providing care in the primary care setting is to increase the ability of patients to care for themselves which assists in enhancing patients’ personal health, development, and well-being.

Diabetes: a chronic disease that is self-managed and can be controlled through modified lifestyle changes

Diabetes was the 7th leaders cause of death and took the life of approximately 80,058 individuals in 2016 (Xu, Murphy, Kochanek, Bastian, & Arias, 2018). The number of adults with diabetes in the United States from 2013-2016 was 14% of the population. Out of that 14%, 9.7% were diagnosed whereas 4.3% were undiagnosed (Mendola, Chen, Gu, Eberhardt, & Saydah, 2018). Many times, individuals with diabetes are uneducated in the disease, and need excessive and follow-up education and direction on managing the disease to continue with their everyday lives.Individuals are unaware that simple, lifestyle changes may impact the way their disease process occurs and progresses.

Orem’s self-care theory as a framework for ebp

Those with DM require continuous education and information provided to them many times whenever abnormal episodes occur due to lack of knowledge. A simple change in lifestyle that may be educated by the FNP can make a big difference in the patient’s ability to maintain acceptable levels. Some lifestyle changes may include smoking cessation, dietary management, and increased physical activity. (Levesque, 2017).The role of the FNP according to Orem relates to encouraging the patient to be proactive in self-care.

Orem’s self-care theory as a framework for ebp

The encouragement of self-care benefits patients with quality nursing care, therefore, contributing to a better quality of life (Moura, et al., 2014).The goal of the management of diabetes is self-care and Orem’s self-care deficit theory can direct the provider or educator in guiding the patient in performing self-care activities that benefit and improve their health (Kumar, 2007).It is important to implement clinical prevention activities the improve the overall health of the population. Unhealthy lifestyle behaviors accounts for over half of the deaths of the population. Services provides must be patient-centered and culturally appropriate to ensure compliance by individuals, families, and communities.

conclusion

Unhealthy lifestyle behaviors accounts for over half of the deaths of the populationUtilizing dorothea orem’s self-care theory in a patient with diabetes enables the provider to:Provide information on self-management skillsPromote effective activities to prevent complications from diabetesEncourage the patient and empower them to engage in self-esteem to promote healthy lifestyle changesEncourage the patient to be pro-active in self-care

references

Kumar, C. (2007). Application of Orem’s Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman With Diabetes. International Journal of Nursing Terminologies and Classifications, 103-110.Levesque, C. (2017). Therapeutic Lifestyle Changes for Diabetes Mellitus. Glucose Regulation: Nursing Clinics of North America, 679-692.Mendola, N., Chen, T., Gu, Q., Eberhardt, M., & Saydah, S. (2018). Prevalence of Total, Diagnosed, and Undiagnosed Diabetes Among Adults: United States, 2013-2016. NCHS Data Brief, 1-8.Moura, P. C., Muniz Braga, L., Santana Domingos, C., Vilela Rodrigues, N., Lopes Correia, M. D., & Assunção Oliveira, L. (2014). Diagnoses and Nursing Interventions in Hypertensive and Diabetic Individuals According to Orem’s Theory. Revista da Rede de Enfermagem do Nordeste, 1039-1046.Xu, J., Murphy, S. L., Kochanek, K. D., Bastian, B., & Arias, E. (2018). Deaths: Final Data for 2016 National Vital Statistics Report. CDC: Centers for Disease Control and Prevention, 1-76.