Dorothea Orem's System for Dependent Care of Older Adults with Hip Fracture
Keywords:
self care; caregivers; hip fractures; quality of life; nursing careAbstract
Introduction: The care of older adults with hip fracture relies mostly on the family primary caregiver; therefore, their timely preparation is of vital importance to improve the patient's quality of life.
Objective: To analyze the theoretical references that support the preparation for dependent care provided by primary caregivers of older adults with hip fracture.
Methods: A systematic literature review was conducted to develop a critical reflective analysis of the content of the bibliographies that constitute theoretical references for the study. Books, original articles, and review articles published between 2011 and 2025 in Spanish and English languages were considered. The search was carried out in PubMed/MEDLINE, LILACS/SciELO, CINAHL, and Google Scholar. Out of 66 references consulted, 24 were selected through a systematic search and screening process.
Development: The application of Orem's model allows structuring the nursing care process according to self-care requisites: universal, developmental, and health-deviation, adapted to the needs of older adults with hip fracture. In this way, care preparation transcends physical aspects and incorporates emotional support, risk prevention, and health promotion.
Conclusions: The analysis of theoretical references supports the preparation for dependent care provided by primary caregivers of older adults with hip fracture, grounded in Orem's theory and support-education system according to universal self-care requisites.
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