Theoretical Correlation Self-Care Deficit Theory -Comprises the practice of activities that maturing and mature persons initiate

and perform, within time frames, on their own behalf in the interest of maintaining life, healthful functioning, continuing personal development, and well-being through meeting known requisites for functional and developmental regulations. Self-care requisites -A self-care requisite is a formulated and expressed insight about actions to be performed that are known or hypothesized to be necessary in the regulation of an aspect(s) of human functioning and development, continuously or under specified conditions and circumstances. A formulated self-care requisite names the two elements: 1. The factor to be controlled or managed to keep an aspect(s) of human functioning and development within the norms compatible with life, health and personal well-being 2. The nature of required action- Formulated and expressed self-care requisite constitutes the formalized purposes of self-care. They are the reasons for which self-care is undertaken; they express the intended or desired results.

Universal Self-care requisites The universal self-care requisites are goals that are to be met through self-care or dependent care to fulfill the human structural and functionality at various stages of life cycle. It is indeed needed to maintain the human capacity to exhibit general or certain functions in which seen by physical function, social interaction, and of course, managing self-care by means of hygiene, etc. The following eight self-care requisites are needed to maintain to let the person perform optimal function as a human being, men, women, and children. Below of every self-care requisites are the self-care deficit as seen and observed at the patient. 1. The maintenance of a sufficient intake of air. -Due to CHF or Congestive Heart Failure, particularly to both sides affected by the medical condition by which the lungs have accumulated fluid within the interstitial spaces causing to have crackles on breath sounds and having shortness of breath.

2. The maintenance of a sufficient intake of food. -The patient is on low-salt, low-fat diet that normal nutritional requirements are partly met because the patient is limited to his diet due to his medical condition

3. The maintenance of sufficient intake of water. -Client is restricted to fluid because of fluid retention caused by CHF.

4. The provision of care associated with elimination processes and excrements. -Urine: Due to CHF, the patient take furosemide to increase the urinary output to decrease fluid retention caused by the problem in renal function. Feces: The patient takes lactulose due to decreased excretion factor due to weak GI function for an increased intake of nutritional or dietary requirements. 5. The maintenance of balance between activities and rest. -The patient is seen ambulatory, although at an effort pace, since the patient was diagnosed with CHF or Congestive Heart Failure, which some activities are noticed with fatigability that needs nurses participation like hygiene, administration of medications, and self-activities are limited to his condition. 6. The maintenance of balance between solitude and social interaction. -The patient is communicating normally but is only limited due to his illness and social interaction with other people needs effort since the patient is fatigued due to illness. 7. The prevention of hazards to human life, human functioning and human well-being. -Due to the patients condition, CHF, there is a threat on the patients life, functioning, and well-being. 8. The promotion of human functioning and development within social groups in accordance with human potential, known human limitations, and the human desire to be normal. -There is no seen or known deviations regarding with this matter. The patient acts normal, with some activities needed the help of the health care provider, but, the patient manages to perform well within social groups but in a limiting

In recognition to the patient, we correlated Dorothea Orems Theory Self -Care Deficit to this case because, as what we observed on our patient, needs of a partially-compensatory care because the patient is an adult that cannot perform fully the normal activities that some are needed with the assistance of a health care provider to prove some of the needs of the patient. The patient can do some of self-care requisites, while other self-care requisites needs assistance from the nurse or health care provider.

Performs some self-care measures for the patient Compensates for self-care limitations of patient Assists patient as required

Nurse Action

Performs some self-care measures

Regulates self-care agency Patient action Accepts care and assistance from nurse

Partly Compensatory System