According to Orem, active participation in caring for self contributes to the behavior of self-care. Before an individual is able to care for oneself, however, many factors must be considered. This article is based on an alert, oriented 85-year old widow, known as EL, who was recently diagnosed with rectal cancer. With postoperative hypertension and sinus tachycardia, EL is having difficulty learning self-care. This article demonstrates a scenario where Orem’s self-care deficit theory of nursing assisted in developing an effective plan of self-care for an elderly woman who underwent an ileostomy.
Bekkers, M. J. T. M., Knippernber, F. C. E., Borne, H. W., & Berge-Henegouwen, G. P. (1996). Prospective evaluation of psychosocial adaptation to stoma surgery: The role of self-efficacy. Psychosomatic Medicine, 58, 183-191.
2.
Benor, E. E., Delbar, V., & Krulik, T. (1998). Measuring impact of nursing intervention on cancer patients’ability to control symptoms. Cancer Nursing, 21, 320-334.
3.
Benson, H. (1996). Commentary: Self-care, the three-legged stool, and remembered wellness. Journal of Cardiovascular Nursing, 10(3), 1-3.
4.
Bowen, R. C., Senthilselvan, A., & Barale, A. (2000). Physical illness as an outcome of chronic anxiety disorders. Canadian Journal of Psychiatry, 45, 459-464.
5.
Brickner, P. W., Kellogg, F. R., Lechich, A. J., Lipsman, R., & Scharer, L. K. (1997). Geriatric home health care: The collaboration of physicians, nurses and social workers. New York: Springer.
6.
Drossman, D. A., Leserman, J., Li, Z., Keefe, F., Hu, Y., & Toomey, T. C. (2000). Effects of coping on health outcome among women with gastrointestinal disorders. Psychosomatic Medicine, 62, 309-317.
7.
Fishel, A. H. (1998). Nursing management of anxiety and panic. Nursing Clinics of North America, 33, 135-151.
8.
George, J. A. (1995). Nursing theories: The base for professional nursing practice (4th ed.). Norwalk, CT: Appleton & Lange.
9.
Newell, R. (1991). Body-image disturbance: Cognitive behavioral formulation and intervention. Journal of Advanced Nursing, 16, 1400-1405.
10.
Orem, D., Taylor, S., & McLaughlin, K. (2001). Nursing concepts of practice (5th ed.). St. Louis, MO: Mosby-Year Book.
11.
Ost, L.G., & Breitholtz, E. (2000). Applied relaxation vs. cognitive therapy in the treatment of generalized anxiety disorder. Behaviour Research and Therapy, 38, 777-790.
12.
Piwonka, M. A., & Merino, J. M. (1999). A multidimensional modeling of predictors influencing the adjustment to a colostomy. Journal of Wound, Ostomy, and Continence Nursing, 26, 298-305.
13.
Soderhamn, O., & Cliffordson, C. (2001). The structure of self-care in a group of elderly people. Nursing Science Quarterly, 14, 55-58.
14.
Tomey, A. M., & Alligood, M. R. (2002). Nursing theorists and their work (5th ed.). St. Louis, MO: Mosby.
15.
Walsh, B. A., Grunert, B. K., Telford, G. L., & Otterson, M. F. (1995). Multidisciplinary management of altered body image in the patient with an ostomy. Journal of Wound, Ostomy, and Continence Nursing, 22, 227-236.
16.
Williams, R. B., Marchuk, D. A., Gadde, K. M., Barefoot, J. C., Grichnik, K., Helms, M. J., et al. (2001). Central nervous system serotonin function and cardiovascular responses to stress. Psychosomatic Medicine, 65, 300-305.
17.
Wilson, H. S., & Kneisl, C. R. (1996). Psychiatric nursing (5th ed.). Menlo Park, CA: Benjamin/Cummings Publishing Company.
18.
Wykle, M. L., Kahana, E., & Kowal, J. (1992). Stress and the health among the elderly. New York: Springer Publishing Company.