Self-Care Strategies
Self-care is a widely acknowledged aspect of Counseling. Through research, studies and hard-earned self-knowledge, experts have defined personal attributes, strategies such as mentoring, and qualities that can lead to development of the therapeutic self. Due to differing experiences and results, experts may differently name those attributes, strategies and qualities but all are focused on taking care of the self as the counselor takes care of his/her clients and other people in his/her personal and professional life.

hich attributes of the self-care do you think are most important to success in the counseling relationship?

The most effective approach to self-care involves understanding the "Five Areas of ellness" discussed by Dr. Eugenia Curet in Mental Health and Self-Care for Counselors, and ensuring that each of those areas is satisfied with one or more specific activities. The "Five Areas" are: Cognitive; Emotional; Physical; Spiritual and Social (Curet, 2010). The Cognitive area can be satisfied…...

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Works Cited

Bohorquez, E. (2007, July 15). Working with the therapeutic self. Retrieved on April 10, 2012 from Thoughwareprograms Web site:  http://thoughtwareprograms.blogspot.com/2007/07/working-with-therapeutic-self.html 

Chamberlin, J. (2005). Sticky situations in mentorshis. Retrieved on April 10, 2012 from American Psychological Association Web site: http://www.apa.org/gradpsych/2005/01/mentor-sticky.aspx

Curet, E. (2010, February). Mental health and self-care for counselors. Retrieved on April 10, 2012 from UTB.edu Web site:  http://www.utb.edu/sa/ci/Documents/CI%20-%20MENTAL%20HEALTH%20AND%20SELF%20CARE%20FOR%20COUNSELORS.pdf 

Dittmann, M. (2005). Building mentorships for success. Retrieved on April 10, 2012 from American Psychological Association Web site: http://www.apa.org/gradpsych/2005/01/mentor-success.aspx

Third stated by Scott is: "People who neglect their own needs and forget to nurture themselves are at danger of deeper levels of unhappiness, low self-esteem and feelings of resentment." (Scott, 2008) the risk of taking care of others and forgetting about ones' own needs is the risk of burnout "which makes it more difficult to care for others or themselves." (Scott, 2008) the work of Elaine Martin (2005) entitled: "Dorothea E. Orem's Theory" that the conceptual framework of self-care was presented by Dorothea Orem in 1959." Martin states that the theory of self-care "is the practice activities that individuals initiate and perform on their own behalf in maintaining life, health and well-being." (2008) the explicit assumptions of Orem's theory include:
1) Nursing is a deliberate, purposeful helping service performed by nurses for the sake others over a period of time, 2) Persons (human agency) are capable and willing to…...

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Bibliography

Self-Help: Self-Care (2008) the University of Texas at Dallas. Online available at  http://www.utdallas.edu/counseling/self-help/self-care.html 

Determining Your Ideal Weight (2008) Rush University Medical Center

 http://www.rush.edu/rumc/page-1108048103230.html 

Blood Pressure Chart (2008)

Of the respondents, 74% were taking antiretroviral medications. Although the sampling for the study was not large, it did have a suffciently similar composition to the typical patient a nurse practitioner might service in an outpatient setting. The average age of the respondents was 43 years, 78% were male.
The questionnaire listed a total of 776 self-care strategies grouped into eight different categories including other medications, solitary means of comfort, complementary treatments, daily thoughts and activities, changes in diet, seeking help from others, exercise, and spiritual care. 90% of the respondents felt that spiritual care and exercise were at least somewhat helpful in reducing their symptoms, as was seeking help from others and themselves. Such sources of help from others included not only the treatment information from healthcare providers but aid from the support networks of the community, personal aid from friends and family, and self-directed aid and research regarding…...

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Works Cited

Chou FY, Holzemer WL, Portillo CJ, Slaughter R. (2004) Self-care strategies and sources of information for HIV / AIDS symptom management. Nursing Research. Sept./Oct. 2004. 53(5), 332-339. Retrieved from Mediscape 26 Jan 2005 at  http://www.medscape.com/viewarticle/494017_4

Universal care involves balancing activity and rest to prevent hazards to human life functioning and well being. It involves eating and breathing which are two things that these men can do on their own and are quite capable of doing.

Universal health care needs as they relate to the movie family and the Orem theory include maintaining air, water and of course food. In addition the ability to excrete as well as balancing rest and activity. The final step of this part of the theory includes balancing solitude and social interaction.

Max and John both participate effectively and successfully in the Universal health care aspect of the Orem theory. They eat, rest, socialize and have alone time in healthy and acceptable amounts.

Developmental health care with regards to the Orem theory include the need to meet the changes in conditions that could affect human development and life in a negative manner. One classic…...

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REFERENCES

Dorothea Orem's Self-Care Framework

 http://library.stritch.edu/nursingtheroies/orem.htm 

Central Concepts of the Theory

http://dana.ucc.nau.edu/~jmg8/central_concepts_of_the_theory.htm

Health Care: Burnout, Self-Care and Unfinished Business
Health Care workers must deal with burnout, self-care and unfinished business for their patients, friends and families, and for themselves. My own self-care is physical, psychological, emotional, spiritual, professional and a balancing act. There are specific signs of being unable to cope in my own life. Once I recognize them, I use a combination of resources to regain my coping skills, though sometimes in an undisciplined manner.

Describe how you take care of yourself. What signals tell you that you are not coping effectively? What do you do about it?

I am quite aware of the importance of self-care and consciously try to take care of myself physically, psychologically, emotionally, spiritually, professionally and by balancing all the important areas of my life. I try to take care of myself physically by regular eating habits, exercise, taking preventive/medical care, taking time off, having fun activities, getting enough…...

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References

Curet, Eugenia. "Mental health and self-care for counselors." February 2010. UTB.edu Web site. Web. 21 April 2015. .

Drench, Meredith E., et al. Psychosocial Aspects of Health Care, 3rd Edition. Upper Saddle River, NJ: Pearson Education, Inc., 2012. Print.

Saakvitne, Pearlman & Staff of TSI/CAAP. "Self-care assessment worksheet." 1996. Counseling.org Web site. Web. 21 April 2015. .

Self-Care Coping Strategies in People With Diabetes: A Qualitative Exploratory Study
One of the greatest challenges of managing type 1 and 2 diabetes is that it is a lifestyle-related disease and as such must largely be monitored by the patient. "Diabetes self-care requires the patient to make many dietary and lifestyle changes" (Collins, Bradley, O'Sullivan, & Perry 2009). It can be extremely difficult for the patient to undertake such changes on a daily basis when returned to the environment which has many temptations to eschew eating healthfully and exercising. According to the study "Self-care coping strategies in people with diabetes: a qualitative exploratory study," there is a need to better understand what factors better promote self-care to prescribe more effective treatment regimens for sufferers.

Purpose and research questions

To better understand the degree to which patients may struggle with self-monitoring, this qualitative, exploratory study was undertaken using a sample of 17 patients from…...

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Reference

Collins, M., Bradley, C., O'Sullivan, T. & Perry, I. (2009). Self-care coping strategies in people

with diabetes: a qualitative exploratory study. BMC Endocrine Disorders 9:6 Retrieved from:  http://www.biomedcentral.com/1472-6823/9/6

Self-analysis: Application

Even from a personal perspective, I have found the Orem model useful to use, when evaluating the stressors in my own life. When a nurse is under stress, she or he must ask: what can I feasibly accomplish physically, by myself, without compromising patient care? Nurses often put their own needs aside, in deference to the needs of others, but to reduce nursing 'burnout' it is essential that nurses are realistic about understanding when they should ask for help, and when they can function autonomously. Both autonomous functioning and self-care can be beneficial: a patient can gain a sense of competence even simply walking to the bathroom unaided, if he or she is capable of doing so; a new nurse gains a sense of capability performing skills without supervision. However, there must also be awareness of when self-care is not possible. Sometimes this is physically obvious, but on other…...

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References

Hohdorf, Monika. (2010). Self-care deficit nursing theory in Ingolstadt -- an approach to practice development nursing care. Self-Care, Dependent-Care & Nursing. 18(1) 19-25.

Retrieved November 29, 2010 at  http://www.orem-society.com/images/stories/download/Journal/2010/Vol18_No01_Oct2010.pdf

Dorothea Orem and her Self-Care Model of Nursing Theory
Born in Baltimore, Maryland in 1914, Dorothea Orem went on to become a much-revered nursing leader in the United States, innovating, developing and teaching her self-care model up until her death in 2007. Her self-care model is in great use today and is the subject of this paper. Orem received her nursing diploma in 1939 (from Providence Hospital) and in 1945 she received her M.S. In nursing education from Catholic University of America (Sitzman, et al., 2010, p. 93). During her career, Orem worked as a staff nurse, a private duty nurse, a faculty member in a nursing college, a consultant and an administrator, Sitzman explains on page 93.

Orem's Self-Care Model

"Communication is the key to positive health results, particularly for patients with low literacy skills, yet few studies have examined patients' ability to converse about healthy information taught to them by providers…"(ilson,…...

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Works Cited

Callaghan, Donna. (2006). Basic Conditioning Factors' Influences on Adolescents' Healthy

Behaviors, Self-Efficacy, and Self-Care. Issues in Comprehensive Pediatric Nursing,

29(4), 191-204.

Current Nursing. (2011). Dorothea Orem's Self-Care Theory. Retrieved June 25, 2011, from  http://currentnursing.com /nursing_theory/self_care_deficit_theory.html.

Many of the same issues that arise in regards to diabetes, also apply to control of obesity as well (Tilghman, 2003).
Conceptual Model

The symptom-focused intervention model was developed by the University of California -- San Francisco Nursing Symptom Management Faculty Group (1994). It has been adapted for use in older African-American women that have been diagnosed with type 2 diabetes in rural areas of the Southeastern United States. These findings were derived from a series of pilot studies that indicated key symptoms and their affects on the lives of women with diabetes (Skelly, A., Leeman, J., & Carlson, J.(2008).

The study by Skelly and associates included three primary strategies of self-care for diabetes. These included physiologic (Medical), behavioral (Self-care practices), and sociopsychological (coping, stress reduction, etc.). Outcomes were measured by monitoring metabolic control, symptom distress, and the patient's self-reported quality of life as related to diabetes. It was found that symptom…...

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References

American Diabetes Association (2005). Diabetes 4-1-1 Facts, figures & statistics at a glance:

Who's getting diagnosed, why and what it means for society. Canada.

Brown, A., Ettner, S., & Piette, J. et al. (2004). Socioeconomic Position and Health among

Persons with Diabetes Mellitus: A Conceptual Framework and Review of the Literature.

Self-Care Assessment
Stress is an inevitable part of everyday life that affects everyone regardless of their socio-economic status. The inevitability of stress emerges from the fact that some days are harder than others and tensions tend to run high on those difficult days. Stress occurs on a day-to-day basis for most people to an extent that many don't even recognize that it is happening. It is important to know how to deal with that stress before it becomes too much to handle. For those who let stress to build on, it eventually turns into a state of burnout. According to the Merriam Webster, burnout is defined as, "exhaustion of physical or emotional strength or motivation usually as a result of prolonged stress or frustration" (Merriam Webster, n.d.). Burnout occurs in most people, but no one usually knows it is happening. I personally did not realize that I was at risk for…...

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References

Merriam Webster. (n.d.). Burnout. Retrieved October 6, 2016, from  http://www.merriam-webster.com/dictionary/burnout 

Mind Tools Editorial Team. (n.d.). Avoiding Burnout: Maintaining a Healthy, Successful Career. Retrieved October 6, 2016, from  https://www.mindtools.com/pages/article/avoiding-burnout.htm

Grand Theory and Nursing PracticeIntroductionAdvanced nursing practice (ANP) and advanced practice registered nursing (APN) are both important in being able to deliver quality, patient-centered care in nursing. However, they are different in terms of what kind of (or rather the degree to which) care can be given, and this paper looks at these differences by applying Orems grand theory of nursing (self-care deficit theory), and discussing how this theory relates to the metaparadigm concepts of person/client, nurse, health, and environment. Also, this paper looks at how this theory applies in the different advanced nursing roles of practice, education, and research.Differences between ANP and APNANP refers to a higher level of nursing practice that involves applying advanced clinical skills, having professional autonomy, using leadership, making clinical judgments in patient care. Nurses in ANP roles work in clinical practice, policy-making, administration, and they apply evidence-based practice in their decision-making (York, 2023).APN refers…...

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ReferencesBoyle, D. K., & Baernholdt, M. (2021). Overview of the quality health outcomes model. In Nurses Contributions to Quality Health Outcomes (pp. 3-17). Springer, Cham.Cuccovia, B. A., Heelan-Fancher, L., & Aronowitz, T. (2022). A policy analysis of nurse practitioner scope of practice in Massachusetts. Journal of the American Association of Nurse Practitioners, 34(2), 410-417.Huffman, J. D. (2023). Improving New Nurses\\\\\\\\\\\\\\\' Well-Being Through Mindfulness. Xavier University.Mahmoudi, H., Jafari, R., Saffari, M., Koenig, H. G., Ameryoun, A., & Lin, C. Y. (2023). Factors Affecting Self-Care in Cardiovascular Patients: An Integrative Review Based on Orem’s Theory. Hospital Practices and Research, 8(1), 189-198.York, R. (2023). Perceptions and beliefs about the regulation of advanced nurse practitioners. Nursing Management, 30(3).

Wit and NursingIn the film Wit, Nurse Susie Monahan represents the concept of compassionate care. Her interactions with Vivian show how important empathy, kindness, and compassion actually are in nursing. Unlike other healthcare professionals in the film who often focus on Vivian as a case study or even as a guinea pig, Susie sees her as a person, not just a patient or an illness. This distinction gets to the heart of the difference between the art of nursing and the science of nursing. The art focuses on the human side; the science on the intervention side. What is needed, however, is a balance of the two.Key TakeawaysThe film shows the contrast between the compassionate care provided by Nurse Susie and the clinical detachment exhibited by Dr. Kelekian and Dr. Posner. Their focus on research and treatment outcomes, sometimes at the expense of patient comfort and dignity, represents some of…...

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ReferencesAkbari, A., & Nasiri, A. (2022, November). A concept analysis of Watson\\\\\\\\\\\\\\\'s nursing Caritas process. In Nursing Forum (Vol. 57, No. 6, pp. 1465-1471).Hellqvist, C. (2021). Promoting self-care in nursing encounters with persons affected by long-term conditions—a proposed model to guide clinical care. International Journal of Environmental Research and Public Health, 18(5), 2223.Yang, X. H., Wu, L. F., Yan, X. Y., Zhou, Y., & Liu, X. (2022). Peplau’s interpersonal relationship theory combined with bladder function training on patients with prostate cancer. World Journal of Clinical Cases, 10(9), 2792.

Future of NursingSignificance of the National Academy of Medicines ecommendations egarding Health EquityThe National Academy of Medicines (NAM, 2021) Future of Nursing 2020-2030 report makes a number of recommendations regarding the role of nurses and other stakeholders in achieving health equity. In particular, the report recommends that nurses should be leaders in addressing social determinants of health, improving access to care, and reducing health disparities. The report also calls for greater diversity among the nursing workforce, and for more investment in nursing education and research. These recommendations are significant because they highlight the vital role that nurses can play in promoting health equity. By addressing social determinants of health, improving access to care, and reducing health disparities, nurses can help to level the playing field and ensure that everyone has a fair chance at achieving good health. In order to make these recommendations a reality, however, it is essential that…...

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ReferencesBraveman, P., & Gottlieb, L. (2014). The social determinants of health: it\\\\\\\\\\\\\\\'s time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19-31.Marmot, M. (2018). Just societies, health equity, and dignified lives: the PAHO Equity Commission. The Lancet, 392(10161), 2247-2250.NAM. (2021). Future of nursing 2020-2030 recommendations. Retrieved from   H., Kifner, H., Dawes, M. E., Wei, T. L., & Boyd, J. M. (2020). Self-care strategies to combat burnout among pediatric critical care nurses and physicians. Critical Care Nurse, 40(2), 44-53.https://nap.nationalacademies.org/resource/25982/Recommendations_Future%20of%20Nursing_final.pdf Wei,

Nurse BurnoutIntroductionAmong the various factors contributing to nursing shortages and high turnover, nurse burnout stands out as significant (McDermid et al., ). Indeed, burnout is a serious problem because it impairs individual nurses\\\' health, reduces their job satisfaction, and has wide-ranging repercussions on patient safety, healthcare costs, legal compliance within medical facilities (Jun et al., 2021; Kelly et al., 2021; Sullivan et al., 2022; Zakeri et al., 2021). This paper examines the various impacts of nurse burnout, discusses its consequences, and proposes evidence-based solutions that can reduce its prevalence and improve the state of nursing today.The IssueNurse burnout is a severe and pervasive issue characterized by emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment, leading to decreased effectiveness at work. This phenomenon is particularly prevalent among nurses, who face high-stress environments, long working hours, and frequent exposure to patient suffering and critical situations. Burnout affects the mental and…...

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ReferencesBartmess, M., Myers, C. R., & Thomas, S. P. (2021, July). Nurse staffing legislation: Empirical evidence and policy analysis. In Nursing forum (Vol. 56, No. 3, pp. 660-675).Jun, J., Ojemeni, M. M., Kalamani, R., Tong, J., & Crecelius, M. L. (2021). Relationship between nurse burnout, patient and organizational outcomes: Systematic review. International journal of nursing studies, 119, 103933.Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing outlook, 69(1), 96-102.Linton, M., & Koonmen, J. (2020). Self-care as an ethical obligation for nurses. Nursing ethics, 27(8), 1694-1702.McDermid, F., Mannix, J., & Peters, K. (2020). Factors contributing to high turnover rates of emergency nurses: A review of the literature. Australian critical care, 33(4), 390-396.Sullivan, V., Hughes, V., & Wilson, D. R. (2022). Nursing burnout and its impact on health. Nursing Clinics, 57(1), 153-169.Zakeri, M. A., Bazmandegan, G., Ganjeh, H., Zakeri, M., Mollaahmadi, S., Anbariyan, A., & Kamiab, Z. (2021). Is nurses’ clinical competence associated with their compassion satisfaction, burnout and secondary traumatic stress? A cross?sectional study. Nursing Open, 8(1), 354-363.

Type of Nurse I Want to BeAs a future Family Nurse Practitioner, I see myself as being the type of nurse who is very considerate, empathetic, compassionate, knowledgeable, and capable of giving quality patient-centered care. I want to be one who promotes preventive health, raise health literacy, spread health education, and trust. That is quite a lot but I believe it is all possible by learning now how to manage my time and energy. Nursing ultimately is a balance between the professional world of patient care, continuing education, and ones personal life of home and family (Ho et al., 2021).One way to manage my time is to have a schedule with realistic goals (Zimmerman et al., 2023). Sometimes people make schedules for themselves that they do not stick to because they put too many things in for themselves (or too few). One should be careful about planningknow how much time…...

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ReferencesHo, S. S., Stenhouse, R., & Snowden, A. (2021). ‘It was quite a shock’: A qualitative study of the impact of organisational and personal factors on newly qualified nurses\\\\\\\\\\\\\\\' experiences. Journal of Clinical Nursing, 30(15-16), 2373-2385.Roux, N., & Benita, T. (2020). Best practices for burnout self-care. Nursing management, 51(10), 30-35.Zimmerman, B. J., Greenberg, D., & Weinstein, C. E. (2023). Self-regulating academic study time: A strategy approach. In Self-regulation of learning and performance (pp. 181-199). Routledge.