What Should the Nurse Do?
In a busy medical-surgical unit, Nurse Rodriguez is assigned to care for Mr. Suarez, a 65-year-old patient admitted with a complex medical history, including diabetes and heart failure. Mr. Suarez has been experiencing difficulty managing his medications at home, leading to frequent hospital admissions. He appears frustrated and overwhelmed.
As Nurse Rodriguez begins her shift, she recognizes the need for a holistic approach to Mr. Suarez’s care, considering not only his physical health but also his emotional and social well-being. Applying Dorothea Orem’s self-care deficit nursing theory, Nurse Rodriguez assesses Mr. Suarez’s ability to engage in self-care and identifies areas where he may need assistance.
During their interactions, Nurse Rodriguez encourages Mr. Suarez to share his challenges and concerns. She involves him in the development of a personalized care plan, emphasizing self-care strategies that align with his capabilities and preferences. Drawing from Orem’s theory, Nurse Rodriguez collaborates with the healthcare team to address Mr. Suarez’s deficits in self-care, providing education on medication management, diet, and lifestyle modifications.
Throughout the shift, Nurse Rodriguez continuously evaluates Mr. Suarez’s response to the care plan, adjusting interventions based on his feedback and observed progress. By the end of the shift, Mr. Suarez expresses gratitude for the personalized approach to his care, and Nurse Rodriguez reflects on how the application of Orem’s theory facilitated a person-centered and empowering care experience.