RELATED NURSING THEORY
Self-Care Deficit Theory by Dorothea Orem
The Self-Care Deficit Theory focuses on each individual’s ability to perform self-
care, defined as “the practice of activities that individuals initiate and perform on their
own behalf in maintaining life, health, and well-being. (Gonzalo, 2019)
Premature rupture of membranes increases the risk of infection, so it is important
the mother knows how to manage her condition and provide self-care especially on the
recognition of PROM. This may include initiating hospitalization and limiting mobilization
as it can cause more of the amniotic fluid to leak which may lead to oligohydramnios.
Adaptation Model by Sr. Callista Roy
Developed in 1976, the Adaptation Model of nursing aims to explain that
adaptation occurs when people respond positively to environmental changes, and it is
the process and outcome of individuals and groups who use conscious awareness, self-
reflection, and choice to create human and environmental integration. (Petiprin, 2016)
Given PROM can cause a lot of risks, this may also cause anxiety to the mother.
In application of Roy’s model, the mother adapts to her condition and sees it as a
normal occurrence in pregnancy. Adapting to the situation, the mother will administer
corticosteroids as indicated, to reduce neonatal complications, and antibiotics which are
effective for increasing the latency period and reducing the risk of infection.
Care, Cure, Core Theory by Lydia Hall
Contains three independent but interconnected circles: the core, the care, and
the cure. The core is the patient receiving nursing care. The core has goals set by him
or herself rather than any other person, and behaves according to his or her feelings
and values. The cure is the attention given to patients by medical professionals. Hall
explains in the model that the cure circle is shared by the nurse with other health
professionals, such as physicians or physical therapists. These are the interventions or
actions geared toward treating the patient for whatever illness or disease he or she is
suffering from. The care circle addresses the role of nurses, and is focused on
performing the task of nurturing patients. This means the “motherly” care provided by
nurses, which may include comfort measures, patient instruction, and helping the
patient meet
his or her needs when help is needed. (Petiprin, 2016)
Client JM is the core. The cure is the attention given to JM by the resident doctor,
the nurses and by the student nurses. Under the cure is the administration of
isoxsuprine to the client as indicated by the physician in order to manage preterm labor.
This also includes the regulation of her intravenous fluid by the student nurses so she
can get the most of the medication. The care is the monitoring of JM’s condition. This
can include taking the fetal heart tone to detect irregularities, securing the side rails,
regular changing of linens, administering medications at the right time, providing
emotional support and performing nursing interventions.