The self-care deficit nursing theory and allogeneic stem cell transplantation

Date

2012-09-07

Authors

Robinson, Tracy

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Abstract

The self-care deficit nursing theory (SCDNT) provides a foundation for the exploration of the relationship between nurses and people in need of self care. The aim of the SCDNT is to describe how nurses can assist people to meet self-care needs. Self-care is posited in this theory as a requirement of every person, thus, if self-care needs are not met or maintained, illness, disease, or death will occur (Orem, 1971). Self-care requisites, classified as universal, developmental, and health-deviation requisites (Orem, 2001), must be met to maintain and promote health and to prevent further illness or complications from illness according to the SCDNT. Adults who have undergone an allogeneic stem cell transplant (SCT) are presented with challenges that test their ability to meet these self-care requisites. As integral members of the SCT care team, nurses are well-situated to assist patients with identifying self-care needs related to, and beyond, the experience of SCT. In this paper, the concepts of self-care, self-care deficit, nursing systems, basic conditioning factors, self-care requisites, nursing processes, and self-care operations will be analyzed with a specific focus on the supportive-educative nursing process, as conceptualized within the SCDNT in the context of allogeneic stem cell transplantation. Limits of the SCDNT used to guide care of this patient population will be discussed and recommendations arising.

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Keywords

self-care, nursing theory, allogeneic stem cell transplantation, SCDNT, health promotion, illness prevention

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