PLEASE help me! :(

i put in a search for orem here on allnurses and found many posts discussing orem. if you have already looked on allnurses maybe they are not what you are looking for.

a google search for orem revealed the following. you might try a google search with specific words found in these documents and maybe you will get better results.

here is a website for a book about orem

http://books.google.com/books?id=id3oxx2h5poc&pg=pa132&dq=orem+nursing+care+plans&lr=&as_brr=0&ei=edvfsqflbjpwzatn9mghbw#v=onepage&q=&f=false

here is a power point about orem

faculty.ucc.edu/nursing-gervase/orem%5b1%5d.pps

below is some of the content from the power point.

orem’s self care agency

l definition: the individual’s ability to perform self-care activities

l consists of two agents:

– self-care agent - person who provides the self-care

– dependent care agent - person other than the individual who provides the care (such as a parent)

orem’s nursing system theory

l refers to a series of actions a nurse takes to meet a patient’s self-care needs

l is determined by the patient’s self-care needs

l is composed of three systems:

– wholly compensatory

– partly compensatory

supportive-educative

i did not have to use orem and not sure what you are looking for exactly. try different search terms in google.

We did receive a handout for the nursing diagnosis which uses the issue of constipation to explain each one. So it says NANDA: constipation related to prolonged immobility as manifested by decreased frequency of stools, lack of appetite, c/o headache and abdominal pain. For the NOC: it says BOWEL ELIMINATION. The goal is: The patient will return to a normal pattern of bowel elimination. The NOC Indicators/expected outcome says: The patient will drink 2000ml in each 24 hr period.

My problem is I don't know how to apply this to Anxiety. My three issues are: Ineffective breathing pattern, Pain, and Anxiety. I understand the PES format and have mine finished but I am unsure how to make an Anxiety goal more specific. I put:

GOAL: The patient's anxiety level will decrease. Expected Outcome: The patient will demonstrate some ability to reassure self upon discharge.

Is this right?

I wasn't really sure how to make a decreased level of anxiety specific without making it an intervention. Then in addition they want rationales supported by a journal article. And the problem with all this is they just gave us our care plan patient last Friday, so I have only had a week to do this in addition to doing a research project and studying for exams.

Unfortunately they did not have us take a class on this. We did get a powerpoint packet on the nursing diagnosis but not a detailed one that really explains what we need. Our teacher handed us a guideline for nursing care plan which is an outline and states one sentence under each topic.

For the nursing diagnosis, it states:

A. select one problem and state a nursing diagnosis using the PES format. (I understand PES) Come up with 3 diagnoses for each care plan.

B. Self-care agency - include clients expected outcomes and broad goals

EX: fluid volume deficit - nursing diagnosis/ Goal: The client demonstrates evidence of adequate hydration.

Each outcome must have a subject, verb, and indicate the action performed with measurable terms expected of the client. Include a time frame.

C. Nurse agency - nursing actions

1. choose appropriate nursing system (THIS I UNDERSTAND)

2. state whether nursing actions are independent or dependent (THIS I UNDERSTAND)

3. Include rationale to justify nursing actions

4. use a journal article and highlight in NCP

5. identify the source and page number for each action and rationale

Daytonite and TLC.....I just wanted to thank you both for caring and trying to help me. I really do appreciate it so much! Daytonite, you reminded me of a sheet I had on OREM from last semester. I am going to try and dig it up and hopefully I still have it. I know the basics for each one and some of the topics that go under each one, it's just the specifics which I am unclear about.

Thank you again. If you have time and read the goal/expected outcome I listed and can tell me if that sounds okay, that would be wonderful!

Thank you!!!!

Here is a website to view an Anxiety care plan. This may help you get ideas for how to write yours.

http://www.rncentral.com/nursing-library/careplans/anx

Copy the above address and paste it in your address bar.

hello people, Im doing my nursing degree. How do i answer the question which asks for critically examining the back ground to the development of orems theory. Describe the key concepts and how the theory contributes to nursing knowledge