Question

NURSING: Answer this question: Using Dorothea Orem's Self-care deficit theory, what are following caregiver and patient goals for this scenario?

List and explain caregiving and patient goals after reading the scenario and then pertain these goals to self care deficit and building the ability to do self care tasks.

The Scenario:

• Patient is a 25-yr old construction worker, lives with his fiancé who is 8 months pregnant with their first child. He has a younger brother who lives with their parents.
• Motorcycle head-on collision, was wearing his helmet
• Treated at local ER Trauma Hospital
• Taken to surgery for emergent surgical procedure to repair lacerated liver, kidneys and pancreas, with massive internal bleeding.
• Fractured right leg, pins placed on R leg, on orthopedic leg traction
• Extensive surgery done to save right foot
• Taken to Surgical ICU (SICU) post operatively, sedated, on mechanical ventilator (respirator), with multiple IV drips to maintain blood pressure, on dialysis for acute kidney failure, on a special orthopedic bed with traction.

Answer 1

Ans) According to Dorothea Orem's Self-care deficit theory:

Nursing diagnosis

Based on self care deficits

Outcome

Nursing goal and objectives

Design of nursing system

Appropriate method of helping

Nurse- patient actions to

- Promote patient as self care agent

- Meet self care needs

- Decrease the self care deficit.

1. Effectiveness of the nurse patient action to

-Promote patient as self care agent

- Meet self care needs

- Decrease the self care deficit.

2. Effectiveness of the selected nursing system to meet the needs.

3) Pre- intra and post op nursing care.