complete introduction of theorist , model & application of the model with example

1. 02/09/17 ROY'S ADAPTATION MODEL 1

2. GROUND RULES
 Be attentive
 Please switch off your laptops
 Don’t talk & leave the room during
presentation
 Ask questions without any hesitation at the
end of presentation
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3. ROY’S ADAPTAION
MODEL
Presented By: N/C Sana Sultan
Faculty: Maj. Shagufta Parveen
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4. Objectives
At the end of this presentation learner will be able
to:
Introduction
Describe biographical sketch of Callista Roy
Explain evolution of theory
Explain assumptions of the theory
Describe Roy’s Adaptation Model (RAM)
Explain metaparadigm of RAM
Describe types of stimuli
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5. Objectives Contd…
 Explain coping mechanism
 Describe adaptive modes of RAM
 Elaborate application of RAM
 Identify strength & weaknesses of RAM
 Describe application of theory in practice /
education & research
 Elaborate the implementation of RAM in
Rheumatoid Artritis
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6. Introduction
 Nursing is establishing itself as a scientific
discipline
 The nursing models provide the basis for
selecting knowledge to be transmitted in nursing
education
 It is the framework for nursing practice and the
direction for nursing research
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7. Biographical Sketch Of Callista Roy
 Born on 14th
Oct ,1939
 Bachelors of arts in nursing
 Masters of science in nursing from University of
California, LosAngeles1966
 Masters of arts(M.A) in sociology
 Associate professor and chairperson of the
department of nursing at mount Saint Mary’s
college until 1982
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8. Biographical Sketch Of Callista Roy
Cont…
 1983-1985 she was Post Doctoral fellow at
Robert Wood Johnson at University of California,
as a clinical nurse scholar in neuroscience.
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9. Evolution Of Theory
 Concept of the theory was developed when Roy
was graduate student
 Challenged by another nurse theorist Dorothy
E.Johnson to develop a theory of nursing
 Operationalizing in 1968
 Literature debut in 1970
 Model presentation in 1977
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10. Assumptions
 Scientific assumptions
 Philosophical assumptions
 Assumptions from humanism
 Assumptions based on veritivity
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11. Assumptions Contd…
Scientific assumptions:
Systems of matter and energy
Self and environmental awareness
Human decisions
Thinking and feeling
System relationships
Persons and the earth relationships.
Person and environment transformations
Integration of human and environment
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12. Assumptions Contd…
Philosophical assumptions:
Mutual relationships
Human meaning
God is intimately revealed in the diversity of
creation
Persons use human creative abilities
Persons are accountable for sustaining and
transforming the universe
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13. Assumptions Contd…
Assumptions from humanism:
Creativity
Purposefulness
Holism
Interpersonal process
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14. Assumptions Contd…
Assumptions based on veritivity:
Purposefulness of human existence
Unity of purpose of humankind
Activity & creativity for common goods
Values & meaning of life
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15. Roy’s Adaptation Model (RAM)
“Nursing is to help the person adapt to change in
physiological needs, self-concepts, role function
and interdependent relations during health and
illness”
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17. Metaparadigm Of RAM
 Human being
 Environment
 Health
 Nursing
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18. Metaparadigm Of RAM Contd…
Human being:
 The Person viewed as a adaptive system,
their health, and their environment
 Interchanging with the environment
 Person also refers to families, groups,
communities and the whole society
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19. Metaparadigm Of RAM Contd…
Environment:
 All conditions, circumstances and influences
that surround and affect the development and
behavior of the person
 A change acts as a stimulating and causes
adaptive responses.
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20. Metaparadigm Of RAM Contd…
Health:
 It is a process where he or she is striving to
achieve their maximum potential
Nursing:
 Nursing acts to enhance the interaction of the
person with the environment to promote
adaptation.
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21. Types Of Stimuli
Focal Stimuli:
Immediately confront the individual in a
particular situation. Focal stimuli for a family
include needs and changes within the family
members, among the environment.
Contextual Stimuli:
Are those other stimuli that influence
the situation
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22. Types Of Stimuli Contd…
Residual Stimuli:
Include the individual’s beliefs or attitudes
that may influence the situation. Contextual
and residual stimuli for a family system
include nurturance, socialization, and support.
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23. Types Of Stimuli Contd…
Example: Smoking
Focal:
 Nicotine addiction
Contextual:
 Belief that smoking is enjoyable, relaxing, part
of routine
Residual stimuli:
 Beliefs about body image, and weight gain with
smoking cessation
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24. Coping Machanism
Regulator:
Primarily used as a mechanism to cope with
physiological stimuli
Cognator:
used mainly as mechanism to cope with
psychological stimuli dealing primarily in area of
cognition, judgment and emotion
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25. Adaptive Modes Of RAM
 Physiological Mode
 Self concept mode
 Role function mode
 Interdependent mode
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26. Adaptive Modes Of RAM Contd…
Physiological:
Oxygenation, nutrition, elimination,
activity, rest, and protection
Self Concept:
Psychological and spiritual elements
Role Function:
primary, secondary, and tertiary roles the
person performs in society
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27. Adaptive Modes Of RAM Contd…
Interdependence:
coping mechanisms arising from close
relationships
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30. Application Of RAM
To Promote Behavior:
 Served as a guide to assess each member's
level of adaptation
 Identify actual or potential adaptation
problems
 examining the stimuli that influence those
problems
 management of stimuli to promote adaptation
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31. Application Of RAM Contd...
In Education:
 Nursing education
 Geriatric Nurse-Practitioner Program
 University of Ottawa School of Nursing
 Mount Saint Mary’s College, Los Angeles
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32. Application Of RAM Contd...
In Administration:
 A Nursing Philosophy
 Mission Statements
 Standards of Practice
 Job Descriptions
 Planning and Appraisal
 Quality Monitoring
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33. Strength Of RAM
 Use to analyze diverse health care related
issues
 Analyzes the individual from a broad perspective
 Identify the factors affecting the individual and
his community
 Provide opportunity to understand whole human
being
 Includes the spiritual aspect of nursing
assessment
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34. Weaknesses Of RAM
 Inadequate definition of concepts and terms
 Complete implementation of the model is
perceived as time consuming
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35. Areas Of Practice In Term Of Medical
Condition
 Cancer patients
 Amputations
 AIDS management
 Alzheimer disease
 Anxiety
 Chronic pain
 Cardiomyopathy
 Chronic sorrow
 Critical care
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36. Areas Of Practice In Term Of Medical
Condition Contd…
 Hypernatremia
 Intensive care
 Postpartum
 Leukemia
 Osteoporosis
 Pediatric
 Preoperative
 Polio survivor
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37. Areas Of Practice In Term Of Human
Development
 Adolescents
 Caregiver stress
 Cesarean section
 Emergency
 Gerontology
 Mental health
 Neonates
 Nursing administration
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38. Areas Of Practice In Term Of Human
Development Contd…
 Nursing children
 Nursing community
 Nursing families
 Nursing infants
 Palliative care
 Pregnancy
 Rehabilitation
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39. Areas Of Practice In Term Of Nursing
Intervention Condt…
 Breastfeeding
 Group therapy
 Nutrition
 Parenting
 Spiritual intervention
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40. Implementation of RAM in Rheumatoid
Arthritis
Ms. F was a patient suffering from Rheumatoid
arthritis for the past six years. Nursing assessment
using RAM based assessment tool , began during
her first visit to Rheumatology polyclinic of sultan
Qaboos Hospital , Salalah Omans.
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41. Implementation of RAM in Rheumatoid
Arthritis Cont…
Initial Assessment Of Physiological
Response Mode:
 Pain
 Poor appetite
 Difficulty in swallowing
 Difficult to arise in the morning due to joint
pain that lasts for 30 minutes
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42. Implementation of RAM in Rheumatoid
Arthritis Contd…
Initial Assessment Of Physiological
Response Mode:
 Felt extremely tired after daily activity
 Rated her pain on 10 point pain scale as 9
 Feel depressed and helpless sometime
 Difficult to carryout daily routine
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43. Implementation of RAM in Rheumatoid
Arthritis Contd…
Assessment of role function mode behavior:
 She was working in an insurance office
 In beginning changed her shift morning to
evening
 Resigned because of activity intolerance
 Currently unemployed
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44. Implementation of RAM in Rheumatoid
Arthritis Contd…
Assessment of interdependence mode
behavior:
 Good relationships with family and friends
initially
 Later she felt her self as burden on her family
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45. Implementation of RAM in Rheumatoid
Arthritis Contd…
Initial assessment of self-concept response
mode:
 Limited activity
 Bothered about her loss and upper extremity
deformities
 Think that other people took him a stranger
 Do not want to marry
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46. Implementation of RAM in Rheumatoid
Arthritis Contd…
Assessment of stimuli:
Focal:
 disease it self (Rheumatoid Arthritis)
Contextual:
 Difficulty in swallowing , fatigue , in ability to
do daily work
Residual:
 Personal belief , current health status
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47. Modes Nursing Diagnosis
Physiological
Response
Chronic pain r/t joint inflammation
as evidenced by facial expression
and verbalization
Self-care Body image disturbance r/t chronic
disease , long term treatment &
dependency as evidenced by social
isolation
Role function Altered role performance r/t fatigue ,
pain as evidenced by resigned to
her jod
interdependence Social withdrawal & isolation r/t
altered body image as evidenced by
unemployed status
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48. Conclusion
RAM identifies essential concepts relevant to the
nursing profession. The human adaptive system is
constantly interacting with internal and external
stimuli which affect individual’s health. It is the
responsibilities of nurses to manipulate specific
stimuli so as to help patient achieve optimal health.
it is useful in analyzing groups, individuals and
societies. It is the responsibility of nurses to
facilitate adaptation of groups and persons so as
to enhance their welfare wand well being.
•
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51. Refrences
 Retrieved from
https://sites.google.com/site/roysadaptationmodel/ho
on 25th Jan, 2017
 Retrieved from
https://sites.google.com/site/culpepperram/ on
25th
Jan , 2017
 Retrieved from
http://www.bc.edu/sites/nurse-theorist/the_roy_adapt
on 28th jan 2017
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52. Refrences Contd…
 Retrieved from
https://en.wikipedia.org/wiki/Adaptation_model_of_nu
on 30th
Jan , 2017
 Retrieved from
http://customwritingtips.com/component/k2/item/2118
on 30th
Jan , 2017
 Radhamaniamma Jayasree. Nursing care of
patient with rheumatoid Arthritis – An application
of Roy’s Adaptation model. journal of
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53. Refrences Contd…
Pharmaceutical & Biomedical sciences (J. pharma
biomed sci.)2013,27(27): 482-492. Article No.
11
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