Sister Calista Roy Adaptation Model

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Roy Adaptation Theory in Nursing

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Sister Calista Roy Adaptation Model

  1. 1. Roy Adaptation Model By: Sathish Rajamani M.S c (N) Lecturer, BKIN – Daudhar.
  2. 2. Humanism <ul><li>Philosophy and psychology that recognizes the person and subjective dimensions of the human experience as central to knowing and valuing. </li></ul>
  3. 3. Discuss the relationship of systems theory to Roy Model. <ul><li>Based on assumptions of von Bertalanffy’s General Systems Theory </li></ul><ul><li>Based on assumptions of Helson’s Adaptation-Level theory </li></ul><ul><li>Humanism </li></ul><ul><li>Veritivity </li></ul>
  4. 4. Veritivity <ul><li>Principle of human nature that affirms a common purposefulness of human existence, activity and reactivity for the common good and value and meaning of life. </li></ul>
  5. 5. Discuss the concepts of adaptation model. <ul><li>Adaptive: Human system has the capacity to adjust effectively to changes in the environment and affects the environment. Promote survival, growth, reproduction & mastery. </li></ul>
  6. 6. System <ul><li>Set of parts connected to function as a whole for some purpose and through the interdependence of the parts. Input--Through put--Output--Feedback </li></ul>
  7. 7. <ul><li>Changing Point influenced by the demands of the situation and the person’s internal resources, including capabilities hopes, dreams, aspirations, motivations. </li></ul><ul><li>Represents the persons ability to respond. </li></ul>Adaptive Level
  8. 8. Adaptive Level <ul><li>The response (output) or behavior is a function of the input stimuli and the adaptation level. </li></ul><ul><li>It is adaptive or ineffective. </li></ul>
  9. 9. Identify the environment as a significant concept of adaptation. <ul><li>Stimuli are environmental influences. </li></ul><ul><li>3 type: focal contextual, or residual. </li></ul>
  10. 10. Focal Stimuli <ul><li>Internal or external stimulus most immediately confronting the person </li></ul>
  11. 11. Contextual Stimuli <ul><li>All other stimuli present that contribute to the focal stimuli. </li></ul><ul><li>Influence how the person can deal with the focal stimulus. </li></ul>
  12. 12. Contextual Stimuli
  13. 13. Residual Stimuli <ul><li>Factors whose effect in the current situation is unclear. </li></ul><ul><li>No clear data. </li></ul><ul><li>Based on theory or experience of the nurse. </li></ul>
  14. 14. Residual Stimuli ? ? ? ? ? ?
  15. 15. Coping Mechanisms <ul><li>Innate or acquired ways of responding to the changing environment. </li></ul><ul><li>Innate are genetically determined or common to the species and automatic processes. </li></ul><ul><li>Acquired are developed through learning and other process. </li></ul>
  16. 16. Coping Mechanisms <ul><li>Regulator </li></ul>
  17. 17. Regulator Subsystem <ul><li>Automatic responses through neural, chemical and endocrine coping processes. </li></ul>
  18. 18. Coping Mechanisms <ul><li>Regulator </li></ul><ul><li>Cognator </li></ul>
  19. 19. Cognator Subsystem <ul><li>Perceptual/information processing, learning, judgment, and emotion </li></ul>
  20. 20. Perceptual/information Processing Examples: <ul><li>Selective Attention </li></ul><ul><li>Coding </li></ul><ul><li>Memory </li></ul>
  21. 21. Learning <ul><li>Imitation </li></ul><ul><li>Reinforcement </li></ul><ul><li>Insight </li></ul>
  22. 22. Emotion <ul><li>Defenses are used to seek relief from anxiety </li></ul>
  23. 23. Emotion <ul><li>Make affective appraisal and attachments. </li></ul>
  24. 24. Identify the modes & submodes of the Roy Adaptation Model <ul><li>Adaptive Modes--Behaviors </li></ul><ul><ul><li>Physiological </li></ul></ul><ul><ul><li>Self-concept </li></ul></ul><ul><ul><li>Role function </li></ul></ul><ul><ul><li>Interdependence </li></ul></ul>
  25. 25. Physiological-Physical Mode Needs of physiological integrity <ul><li>Oxygenation </li></ul><ul><li>Nutrition </li></ul><ul><li>Elimination </li></ul><ul><li>Activity & Rest </li></ul><ul><li>Protection </li></ul><ul><li>Senses </li></ul><ul><li>Fluid, electrolyte, and Acid-Base Balance </li></ul><ul><li>Neurologic Function </li></ul><ul><li>Endocrine Function </li></ul>
  26. 26. Self-Concept Mode <ul><li>Psychological and spiritual aspects of the person. </li></ul><ul><li>Need for psychic integrity </li></ul>
  27. 27. Self-concept <ul><li>Composite of beliefs and feelings that a person holds about him or herself at a given time. </li></ul>
  28. 28. Self Concept <ul><li>Physical Self </li></ul><ul><ul><li>Body Sensations </li></ul></ul><ul><ul><li>Body Image </li></ul></ul>
  29. 29. Self Concept <ul><li>Personal Self </li></ul><ul><ul><li>Self-consistency </li></ul></ul><ul><ul><li>Self-ideal </li></ul></ul><ul><ul><li>Moral-ethical-spiritual self </li></ul></ul>
  30. 30. Role Function Mode <ul><li>Role is a set of expectations about another </li></ul><ul><li>Need for social integrity </li></ul><ul><li>Role classification: Primary, Secondary, Tertiary </li></ul>
  31. 31. Role Function Behaviors <ul><li>Instrumental (task) </li></ul><ul><li>Expressive (emotional) </li></ul>
  32. 32. Interdependence Mode <ul><li>Interactions related to the giving and receiving of love, respect, and value. </li></ul><ul><li>Need is for affectional adequacy. </li></ul>
  33. 33. Interdependence Behaviors <ul><li>Receptive </li></ul><ul><li>Contributive </li></ul>
  34. 34. Behaviors <ul><li>Adaptive </li></ul><ul><li>Ineffective </li></ul>
  35. 35. Identify the goal of nursing according to Roy <ul><li>Promote ADAPTATION in each of the four modes. </li></ul>
  36. 36. Discuss the nursing activities in the Roy Adaptation Model <ul><li>What affects adaptation behavior? </li></ul><ul><li>Stimuli </li></ul><ul><li>If you want to change behavior, change stimuli. </li></ul>

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