This document provides an overview of Sister Callista Roy and her Adaptation Model of Nursing. It discusses her background and career, the development and components of the Adaptation Model, and evaluations of the model. The model views the person as an adaptive system who is constantly interacting with a changing environment. Nursing aims to promote the person's adaptation through four modes: physiological, self-concept, role function, and interdependence. The model has been influential in nursing education and provides a framework for understanding clients' responses to health and illness.
The Roy Adaptation Model sees the person as a biopsychosocial being in continuous interaction with a changing environment. The environment includes focal, contextual and residual stimuli. A focal stimulus is the confrontation with one's internal and external environment.
The Roy Adaptation Model sees the person as a biopsychosocial being in continuous interaction with a changing environment. The environment includes focal, contextual and residual stimuli. A focal stimulus is the confrontation with one's internal and external environment.
Roy conceptualizes the human system in a holistic perspective, as holism stems from the underlying philosophic assumption of the model. Holism is the aspect of unified meaningfulness of human behaviour in which the human system is greater than the sum of individual parts.
The Roy Adaptation Model sees the person as a biopsychosocial being in continuous interaction with a changing environment. The environment includes focal, contextual and residual stimuli. A focal stimulus is the confrontation with one's internal and external environment.
This Slide Submitted in Partial Fulfilment of the Philosophy Subjects for the Degree of Master of Nursing (International Program) Prince of Songkla University 2020
Roy conceptualizes the human system in a holistic perspective, as holism stems from the underlying philosophic assumption of the model. Holism is the aspect of unified meaningfulness of human behaviour in which the human system is greater than the sum of individual parts.
The Roy Adaptation Model sees the person as a biopsychosocial being in continuous interaction with a changing environment. The environment includes focal, contextual and residual stimuli. A focal stimulus is the confrontation with one's internal and external environment.
This Slide Submitted in Partial Fulfilment of the Philosophy Subjects for the Degree of Master of Nursing (International Program) Prince of Songkla University 2020
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
2. nurse theorist, writer, lecturer,
researcher and teacher
Professor and Nurse Theorist at the
Boston College of Nursing in Chestnut
Hill
Born at Los Angeles on October 14,
1939.
Bachelor of Arts with a major in
nursing - Mount St. Mary's College,
Los Angeles in 1963.
Master's degree program in pediatric
nursing - University of California, Los
Angeles in 1966.
3. Master’s and PhD in Sociology in
1973 and 1977.
Worked with Dorothy E. Johnson
Worked as f faculty of Mount St.
Mary's College in 1966.
Organized course content
according to a view of person
and family as adaptive systems.
RAM as a basis of curriculum at
Mount St. Mary’s College
1970 - The model was
implemented in Mount St.
Mary’s school
1971- she was made chair of the
nursing department at the
college.
4.
5. Roy’s Adaptation Model for Nursing was derived
in 1964 from Harry Helson’s Adaptation
Theory – adaptive responses are a function of
the incoming stimulus and the adaptive level
Roy combines Helson’s work with Rapport’s
definition of system and views the
person as an adaptive system.
6. After the development of her theory, Roy developed
the model as a framework for nursing practice,
research, and education.
According to Roy, more than 1500 faculty and
students have contributed to the theoretical
development of the adaptation model.
The model uses concepts from AH Maslow to
explore beliefs and values of persons. Roy’s holistic
approach to nursing is based in humanism.
7. A pilot research study and a survey research
study from 1976 to 1977 led to some tentative
confirmations of the model.
From this beginning, the adaptation model has
been supported through research in practice and
in education.
8.
9. A set of units so related or connected as to form
a unity or whole and characterized by inputs,
outputs, and control and feedback processes.
10. A constantly changing point, made up of focal,
contextual and residual stimuli, which represent
the person’s own standard of the range of stimuli
to which one can respond with ordinary adaptive
responses.
11. The occurrences of situations of inadequate
response to need deficits or excesses.
Seen not as nursing diagnosis, but areas of
concern for the nurse related to adapting person
or group (Within each adaptive mode)
12. Focal Stimulus – the degree of change or stimulus most
immediately confronting the person and the one to which
the person must make an adaptive response, that is, the
factor that precipitates behavior
Contextual Stimuli – all other stimuli present that
contribute to the behavior caused or precipitated by the focal
stimuli
Residual Stimuli – factors that may be affecting
behavior but whose efforts are not validated
13. Regulator – subsystem coping mechanism
which responds automatically through neural-
chemical-endocrine processes.
Cognator - subsystem coping mechanism
which responds to complex processes of
perception and information processing,
judgment, and emotion.
14. Adaptive Responses – responses that
promote integrity of the person in terms of goals
of survival, growth, reproduction, and mastery
Ineffective Responses – responses that do
not contribute to adaptive goals, that is, survival,
growth, reproduction, and mastery
15. 1. Physiological Mode – involve the body’s basic
needs and ways of dealing with adaptation in
regard to fluid and electrolytes; exercise and rest;
elimination; nutrition; circulation and oxygen; and
regulation, which includes the senses, temperature
and endocrine regulation
2. Self-Concept Mode – the composite of beliefs
and feelings that one holds about oneself at a given
time. It is formed from perceptions, particularly of
other’s reactions, and directs one’s behavior.
(physical self and personal self)
16. 3. Role Performance Mode – role function is the
performance of duties based on given positions
in society.
4. Interdependence Mode – involves one’s
relations with significant others and support
systems. In this mode one maintains psychic
integrity by meeting needs for nurturance and
affection.
17.
18. The person is a bio-psycho-social being.
The person is in constant interaction with a
changing environment.
To cope with a changing world, person uses both
innate and acquired mechanisms which are
biological, psychological and social in origin.
Health and illness are inevitable dimensions of
the person’s life.
19. To respond positively to environmental changes, the
person must adapt.
The person’s adaptation is a function of the stimulus
he is exposed to and his adaptation level
The person’s adaptation level is such that it
comprises a zone indicating the range of stimulation
that will lead to a positive response.
The person has 4 modes of adaptation: physiologic
needs, self- concept, role function and inter-
dependence.
20. Nursing
• A “theoretical system of
knowledge which prescribes a
process of analysis and action
related to the care of the ill or
potentially ill person.”
• Roy differentiates nursing as a
science from nursing as a
practice discipline.
21. Person
• A “biopsychosocial being in constant
interaction with a changing environment.”
• The recipient of nursing care, as a living,
complex, adaptive system with internal
processes (cognator and regulator) acting
to maintain adaptation in the four
adaptive modes (physiological needs, self-
concept, role function, and
interdependence.)
• The person as a living system is “a whole
made up of parts of subsystems that
function as a unity for some purpose.”
22. Health
• A “state and a process of
being and becoming an
integrated and whole person.
Lack of integration
represents lack of health.”
23. Environment
• “all the conditions, circumstances,
and influences surrounding and
affecting the development and
behavior of persons or groups. ”
• The input into the person as an
adaptive system involving both
internal and external factors (may be
slight or large, positive or negative)
• Any environmental change demands
increasing energy to adapt to the
situation. Factors in the environment
that affect the person are categorized
as focal, contextual, and residual
stimuli.
24.
25.
26.
27. Outcome Theory - well articulated
conception of man as a nursing client and of
nursing as an external regulatory mechanism.
28. Both deductive and inductive
Deductive – derived from Helson’s Theory. Helson developed the
concepts of focal, contextual, and residual stimuli, which Roy defined
within nursing to form a typology of factors related to adaptation
levels of persons. Roy also uses other concepts and theory outside
the discipline of nursing and relates these to her adaptation theory.
Inductive – she developed the four adaptive modes from research
and practice experiences of herself, her colleagues, and her students.
Roy built on the conceptual framework of adaptation and as a result
developed a step-by-step model by which nurse use the nursing
process to administer nursing care to promote adaptation in
situations of health and illness.
29.
30. Useful for it outlines the features of the discipline and
provides direction for practice
The model considers goals, values, the client, and
practitioner interventions
Using Roy’s six-step nursing process, the nurse:
1. Asesses behaviors
2. Asseses stimuli
3. Diagnosis
4. Sets goals to promote adaptation
5. Nursing interventions
6. Evaluation
31. The model is a valuable tool to analyze overlap
and distinctions between the professions of
nursing and medicine.
Throughout the 1970’s and 1980’s, Roy’s model
has been implemented as a basis for curriculum
development in associate degree diploma,
baccalaureate, and higher degree programs in
many countries.
32. The model does generate many testable
hypothesis related to practice and theory.
33. Middle range theories have been derived from RAM
› Samarel, N., Fawcett, J., Krippendorf, K., Piacentino, J.C., Eliasof, B., Hughes,
P., Kowitski, C., and Ziegler, E. (1998). Women's perception of group
support and adaptation to breast cancer. Journal of Advanced Nursing.
28(6), 1259-1268.
› Yeh, C. H. (2001). Adaptation in children with cancer: research with Roy's
model. Nursing Science Quarterly. 14, 141-148.
› Zhan, L. (2000). Cognitive adaptation and self-consistency in hearing-
impaired older persons: testing Roy's adaptation model. Nursing Science
Quarterly. 13(2), 158-165.
34. Clarity - logical; claims to follow a holistic view
but leaves out “spiritual, humanistic, and
existential aspects of being a person”
Simplicity – has several major concepts and
subconcepts and numerous relational
statements; complex
35. Generality – generalizable to all settings in nursing
practice, but is limited in scope because it primarily
addresses the concept of person-environment
adaptation and focuses primarily on the client
Empirical Precision – Testable hypothesis have been
derived from the model
Derivable Consequences – has a clearly defined
nursing process and can be useful in guiding clinical
practice; capable of generating new information
through hypothesis-testing