Addressing Physical Health Needs of Individuals With Schizophrenia Using Orem’s Theory

Abstract

People with schizophrenia have increased morbidity and mortality rates associated with poor physical health that requires a holistic and comprehensive nursing approach. Dorothy Orem's self-care deficit nursing theory (SCDNT) has made a substantive contribution to nursing by focusing on people as whole entities who engage with their environment to sustain health. We offer an expanded view of the SCDNT by showing how it is a useful framework for nurses to integrate interpretive, empirical, and critical theoretical perspectives for addressing both the physical and mental health needs for people with schizophrenia. Understanding patient needs through different theoretical lenses will help nurses integrate high-quality, evidence-based care with patients' realities, needs, and values while considering the influence of the broader sociopolitical context. We demonstrate how the SCDNT allows nurses incorporate a critical perspective for critiquing the influence of societal barriers on individual's health and advocate for initiatives to address the complex sociopolitical, economic, and contextual factors that affect the physical well-being of individuals with schizophrenia.

Self-Care Assistance Approach to Dorothea Orem Theory on Activity Daily Living Capabilities of Schzophrenic Patients at Atma Husada Mahakam Psychiatric Hospital, Samarinda

“…14 The level of patient dependence is based on the patient's environmental factors, poverty, social support, and fragmented health care services for patient self-care. 15 The level of patient dependence is in line with research conducted by nurses in recovery, increasing the ability of schizophrenic patients with ADL schedules to significantly improve the level of dependence of schizophrenic patients in self-care.…”

Investigation of the Relationship Between Disability and Self-Care Agency in Patients with Schizophrenia: Descriptive Study

“…Ayrıca hemşirelerin, bireyler ile sürekli iletişim hâlinde olmaları önem teşkil etmektedir. 20,22,28 Öz bakım gücünü desteklemede ise hemşireler, öz bakım gereksinimlerini (banyo yapma, giyinme, beslenme, alışveriş yapma, tıraş olma, taranma vb. bakım ihtiyaçları) karşılamada başarılı olamayan bireylere küçük sorumluluklar ve öğretici talimatlar vererek, motive ederek, sonucunda da pozitif dönütler yaparak şizofreni tanılı bireylerin öz bakım güçlerini artırmada önemli roller üstlenmektedirler.…”