This implies that the professional nurse provides not only ordinary but extraordinary care and support to enable these individuals to meet their self-care needs. Furthermore, the professional nurse participates judiciously and collaboratively in the individual's health care provided by the doctor. Dorthea Orem understood that individuals possess the natural ability to care for themselves and that nurses have a duty to place emphasis on enhancing that ability. Nurses providing direct care can support these skills by offering learning opportunities and teaching methods that enhance self-care activities, thus contributing to a positive and encouraging influence on the quality of care of individuals and caregivers.