Relatives of chronic patients have many difficulties. I think it is better their problems should be considered as like as their patient. Most of nursing theories notice the patients more than their relatives. But you know their relatives needs more nursing care.How can we help relatives of chronic patients based on nursing theories like Orem's?
Dear coleague
We must develop disability index according to disease and if prescribed disability is not there according toDSM.It has to develop according patients condition.After oriented career about disabilities, caregiver can take decisions types of help and support they have to provide, partial or total or minimal
Hopefully I answered your question
Regards
I believe the focus is on a wellness model. With over 20 years experience in case management, I have seen family as pivotal in decision making/care path decisions. We need to implement a disease management/wellness model that focuses on "Self Help" . No one knows chronically ill patients better than family & the patient. Family /Patients need to lead care with key decisions in prevention/wellness to accentuate areas of life where patient is doing well in addition to where they need more help. This will be the true key to preventing readmissions & holistic health management.
Hey!
In your question is an assumption that the Orem theory works. You can very well use Orem theory as a starting point, but then you must also be prepared to conduct the research process critically. It is a very tedious process and you should have other senior researchers with you. I have another suggestion; a colleague has done research about support groups for relatives in palliative care. Maybe you can use the method?
Henriksson, A., Benzein, E., Ternestedt, B. M., & Andershed, B. (2011). Meeting needs of family members of persons with life-threatening illness: a support group program during ongoing palliative care. Palliative and Supportive Care, 9(03), 263-271.
Sincerely
Elisabeth Bergdahl
Dear coleague
The elderly requires an effective transdisciplinary care, including not only the recovery but also the promotion of health, family life. It is in this general context that the nurse must give their specific contribution complementing the science of healing. From the theoretical view of Orem, important to identify the capabilities and potential of adult self-care, self-care deficit identify and demand, that is the goal of nursing, as well as providing educational support. So your action depends on whether the attention will be totally compensatory, partially or only support or education.
In addition to managing care should consider the structure of care, which highlights the underlying values, the environment and the health system itself.
I hope I have given an answer to your concern.
Sarita Caro
Hello and thank you!
Your answer leads me to understand that you do not really have in mind a methodological answer. However, you mix normative assumptions, theory and practice. If you are going to start a intervention, you need to start with reality. What you want to accomplish, if I understand you correctly, is to give the elderly a good comprehensive care that includes family. That is what we all want.
Best Regards
Elisabeth Bergdahl
The Orem's theory is limited to what one knows and can do about helping him/herself ,beyond which an expert or family is needed to support. In the previous posting there was a suggestion on support for care givers, please explore that. It is always helpful to ask for direction or support. Thank you.
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