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respond to Theory Discussion The self-care deficit nursing theory (SCDNT), developed and perfected by Dorothea Orem over a 40-year span, helps nurses assess patients’ capacity to care for self. The main ideas of SCDNT are the theory of self-care, the self-care deficit theory, and the theory of nursing systems. The theory of self-care centers around the ability and will a patient possess to perform activities on their own to enhance their well-being. The self-care deficit theory focuses on the limitations or incapability of a patient to perform self-care. The theory of nursing systems is described as when a patient is totally incapable of self-care and a nurse must intervene. Patients, or family members that care for a patient, should be knowledgeable, self-reliant, and desire to be responsible for their well-being to reduce hospitalization (Hartweg & Metcalfe, 2022). Application and Evolution of Theory in Practice A very important role of the nurse is to educate patients to care for self and promote self-care behaviors to decrease the need for hospitalization. Since COVID, the world of healthcare has drastically changed. Patients and family members are choosing to partner with healthcare professionals to learn how to self-manage health conditions more efficiently at home. In my current role, I educate diabetic patients on how to change their lifestyles to prevent the condition from worsening. I educate patients on glycemic management including diet, exercise, and medications. I also teach patients how to use glucometers or continuous glucose monitors. I encourage all patients, regardless of diagnosis, to cease smoking and alcohol consumption. Additional one on one diabetes education rather than just usual care has been shown to decrease Hemoglobin A1C levels (Wexler, 2023. Para. 6). Self-care deficits are identified when patients are non-compliant due to barriers such as low will power or the inability for family members to assist. The SCDNT allows nurses to assess patients’ limitations and try to reduce self-care deficits
SCIENCE
HEALTH SCIENCE
NURSING

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