Question

Lydia E. Hall theory vs Dorthea Orem theory compare and contrast 400 to 500 words,

Answer 1

Ans) Lydia Hall conceptualized the patient as a person, a body, and a disease, which she placed into overlapping, dynamic, and interactive circles of core (the person), care (the body), and cure (the disease). Her theory was honed over a period covering the latter half of the 1950s and the early 1960s.

- Nursing is concerned with all of these circles, with different parts of the model becoming the predominant nursing focus at different times.
Practically speaking, Hall believed that nursing is most crucial after the patient’s acute crisis has stabilized, when nurses should nurture, educate,
and assist the patient to make changes that will prevent a repeat of the original crisis.
- A central tenet of the care, core, and cure model is that intimate personal care such as bathing belongs exclusively to nursing and that nursing is need when an individual cannot take care of these bodily requirements unassisted.

- The professional nurse is able to perform personal care in such a way that it provides comfort but also engenders learning, growth, and healing. The nurse in this caring role is a nurturer, using these intimate interactions to take the client beyond cleanliness and comfort to health.

Orem’s Self-Care Deficit Theory of Nursing:
First published in an early form in 1959, three interrelated theories compose Dorothea Orem’s self-care deficit theory of nursing: theory of selfcare, self-care deficit theory, and theory of nursing systems. To understand her general theory, it is essential to grasp the six central concepts and one peripheral concept within the overarching theory:
1. Self-care is initiating and performing activities on one’s own behalf
to maintain life, health, and well-being.
2. Self-care agency is the individual’s ability to practice self-care.
3. Therapeutic self-care demand is the set of self-care activities needed
to meet self-care needs.
4. Self-care deficit is the gap between self-care agency and self-care demand, between the self-care activities the individual can do and the
self-care activities that are needed.
5. Nursing agency is the nurse’s ability to meet the therapeutic self-care demands of others.
6. The nursing system is the package of nursing responsibilities, roles, relationships, and actions that is organized to meet the client’s therapeutic
The self-care deficit nursing theory has been used extensively in nursing practice. As a general theory, it is relevant for guiding practice in any care setting or specialty area. Backscheider (1974) used Orem’s theory to organize nursing care in a diabetic nurse management clinic, structure.