Select one theory discussed during Topics 4 and 5. Does application of this theory differ based on the population focus (individuals, families, communities, and special populations)? Why or why not? Use examples from your current practice to illustrate differences or similarities.NUR 513 Topic 5 DQ 2 Re: Topic 5 DQ 2

Orem’s Self-care Deficit Theory was one of the theories I covered last week. Orem’s philosophy advocates for patient autonomy over self-care, with the ultimate goal of overcoming human constraints to self-care (Current Nursing, 2020). By emphasizing a person’s ability to execute self-care, maintain health, and general well-being, the individual is empowered to take responsibility for their own or others’ health (Shah, et. al, 2013). Because this idea can be extremely personalized from patient to patient or patient’s family, its applicability can vary widely depending on population focus.

This hypothesis, for example, would be implemented differently in adult and pediatric populations based on age and developmental stages. This hypothesis would most likely be mainly directed toward parent assistance and education in conducting care in pediatrics. Furthermore, this idea can change greatly depending on the exact ailment or disease state. NUR 513 Topic 5 DQ 2

For example, I work in a pediatric cardiovascular intensive care unit, where the patient’s defect, arrhythmia, or condition has a significant impact on their self-care needs. A baby who has not yet fully recovered from a congenital cardiac defect may require oxygen or tube feeding. In this case, much more emphasis would be placed on the parent’s ability to use/manipulate these new medical devices.

I may be caring for an adolescent on the same unit who has recently had a mechanical valve replacement. This patient may need full or partial care at first, and these limitations will change as the patient’s condition improves and he or she regains independence. This same patient may need anticoagulant therapy instruction; many adolescents have the physical and mental capacity to administer their own medications, so instruction and assistance would be provided in this scenario.