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This article describes Orem's Self-Care Theory (Orem, 1985) and applies it to the home setting. The purpose of the study was to identify how older adults manage self-care activities at home following discharge from a hospital. Results of the survey indicated that 66% of the clients reported self-care deficits after discharge. In addition, 15% reported inability to care for themselves totally after discharge. Analysis of the information indicated the lack of a supportive-educative system to promote self-care at home. The solution to the management of self-care is the rehabilitation nurse clinical specialist, who can provide nursing strategies that promote partnership with the older adult in planning self-care activities after hospitalization.