Page 265 - alligood 8th edition_Neat

246 UNIT III Nursing Conceptual Models

MAJOR CONCEPTS & DEFINITIONS—cont’d

Dependent-Care Demand also incorporates the capabilities of nurses to assist
The summation of care measures at a specific point persons who provide dependent care to regulate the
in time or over a duration of time for meeting the development or exercise of their dependent-care
dependent’s therapeutic self-care demand when his or agency.
her self-care agency is not adequate or operational.
(Taylor, Renpenning, Geden, et al, 2001, p. 40). Nursing Design
Nursing design, a professional function performed
Self-Care Agency both before and after nursing diagnosis and pre-
The self-care agency is a complex acquired ability of scription, allows nurses, on the basis of reflective
mature and maturing persons to know and meet practical judgments about existent conditions, to
their continuing requirements for deliberate, purpo- synthesize concrete situational elements into or-
sive action to regulate their own human functioning derly relations to structure operational units. The
and development (Orem, 2001, p. 522). purpose of nursing design is to provide guides for
achieving needed and foreseen results in the pro-
Dependent-Care Agency duction of nursing toward the achievement of
Dependent-care agency refers to the acquired ability of nursing goals; these units taken together constitute
a person to know and meet the therapeutic self-care the pattern that guides the production of nursing
demand of the dependent person and/or regulate the (Orem, 2001, p. 519).
development and exercise of the dependent’s self-care
agency. Nursing Systems
Nursing systems are series and sequences of deliber-
Self-Care Deficit ate practical actions of nurses performed at times in
Self-care deficit is the relation between an individual’s coordination with the actions of their patients to
therapeutic self-care demands and his or her powers know and meet components of patients’ therapeutic
of self-care agency in which the constituent-developed self-care demands and to protect and regulate the
self-care capabilities within self-care agency are in- exercise or development of patients’ self-care agency
operable or inadequate for knowing and meeting (Orem, 2001, p. 519).
some or all components of the existent or projected
therapeutic self-care demand (Orem, 2001, p. 522). Helping Methods
A helping method from a nursing perspective is a
Dependent-Care Deficit sequential series of actions that, if performed, will
Dependent-care deficit is a relationship that exists overcome or compensate for the health-associated
when the dependent care provider’s agency is not limitations of individuals to engage in actions to
adequate to meet the therapeutic self-care demand regulate their own functioning and development or
of the person receiving dependent care. that of their dependents. Nurses use all methods,
selecting and combining them in relation to the
Nursing Agency action demands on individuals under nursing care
Nursing agency comprises developed capabilities of and their health-associated action limitations, as
persons educated as nurses that empower them to follows:
represent themselves as nurses and within the frame n Acting for or doing for another
of a legitimate interpersonal relationship to act, to n Guiding and directing
know, and to help persons in such relationships to n Providing physical or psychological support
meet their therapeutic self-care demands and to n Providing and maintaining an environment that
regulate the development or exercise of their self- supports personal development
care agency (Orem, 2001, p. 518). Nursing agency n Teaching (Orem, 2001, pp. 55–56)