THEORY SYSTEM OF OREM

BY GROUP 3
AYSHA AMELIA
DZIKRA FITRIA AMITA
MUTHIAH TRI ZUHRIANI
RHIDA HAYATI
RAHIMAH FEBRIALISSA

Lets see Orems biography

 Born 1914 in Baltimore, US

Earned her diploma at Providence Hospital
Washington, DC
1939 BSN Ed., Catholic University of America
1945 MSN Ed., Catholic University of America
She worked as a staff nurse, private duty nurse, nurse
educator and administrator and nurse consultant.
Received honorary Doctor of Science degree in 1976.
Theory was first published inNursing: Concepts of
Practicein 1971, second in 1980, in 1995, and 2001.

 Dorothea E. Orem nursing school education at Providence Hospital in

Washington DC. Bachelor graduated in 1930.
In 1939 graduated Master of nursing education.
In 1945 1970 worked at the Catholic University in the United States
during the course of his career he has worked as a staff nurse, private
duty nurse, educator, nursing administration and as a consultant.
Year 1958- 1959 as a consultant at the Ministry of Health in the
education welfare and participate in nursing training project.
In 1959 the concept was first published Orem care.
In 1965 joining the Catholic University in the US to form a theoretical
model of community nursing.

In 1980 published a second book that contains the first edition

was expanded to families, groups and communities.
In 1985 published a second book that contains three theories,
namely; Theory self-care, self-care deficit theory, system
theory of nursin

Theory of Self Care

"An implementation of activities
initiated and conducted by the
individuals themselves to meet the
need to maintain life, health and
well-being according to the
circumstances, whether healthy or
sick" (Orem's, 1980)

In addition, the theory of self-care can not be separated from the

requirement of self-care (self-care requisites), which is the aspect that
determines the degree of realization of self-care. Self-care requisites
consists of three categories:

1. Universal self-care requisites

2. Developmental self-care
requisites
3. Health deviation self-care

The Theory of Self-Care Deficit

Orem's Self-care Deficit theory is an
important part of treatment is
generally where all the planning of
nursing care is given when needed.
Self-care Deficit explain the
relationship between a person's
ability to act / move with the
demands on self-care.

Orem identified five methods that can

be used in helping self-care:
Actions or do something for someone
else.
Provide guidance and direction
Provide physical and psychological
support
Provide and maintain an environment
that supports personal development
Education

The Theory of Nursing System

Nursing system is part of the

consideration of nursing practices
performed by nurses based on
coordination to achieve the needs of
the patient self-care (self-care
demand) and to protect and control
the training / development of the
patient's ability to self-care (self-care
agency). (Orem, 2001)

Wholly Compensatory System

NARRATION
Applications Orem Nursing Model, can be seen from
the following case:
Mr. J (50 years), diagnosed with diabetes mellitus type 2.
He had a history of hypertension and he was a heavy
smoker (30 cigarettes per day). Treatment can be given
epada Mr. J is based on the model of nursing Orem is:
1. Water (educative / supportive). Nurses must be able to
provide information on the relationship of hypertension
with smoking.
2. Water (educative / supportive). Nurses should be able to
convince the presence of sufficient hydration-risk of
polydipsia which triggers hyperglycaemia (high sugar
levels in the blood)

 3. Food (partial compensatory). Nurses give yan suitable diet for

hypertension and diabetes, as well as control blood sugar after a
meal.
4. Elimination (educative / supporif). Clients in need of monitoring.
5. Activity and Rest (adecative / supportive). Nurses inform
patients about activities suitable for patients with diabetes.
6. Solitude and Social Interaction (partial compensatory). Social
interaction with nurses can provide behavior interaction and social
change.
7. Hazard Prevention (partial compensatory). Nurses provide
education to patients about the advantages andshortage of
medicine to be taken by the patient.
8. Promote normality (partial compensatory). Nurses are expected
to help the patient to return the patient's lifestyle, so it became
normal again.

Conclusions
By studying the concept model or nursing
theory as presented upfront, it can be
concluded that the nurse must understand
what must be done properly and
accurately so that the client can obtain its
rights appropriately and correctly. With the
selection of nursing care or nursing theory
concept model in accordance with the
characteristics of the client can provide
the relevant nursing care.