This case study explores the use of Roy's Adaptation Model in caring for a 60-year-old male patient diagnosed with post-infarct seizure and cerebrovascular accident. Utilizing the nursing process and Roy's model, the study assessed alterations in the patient's adaptive modes of physiologic needs, self-concept, role function, and interdependence. The study concluded that CVA patients experience adaptive problems in all four modes and recommended the use of Roy's model to guide nursing care and promote adaptive responses to improve patient outcomes.
Some slides are taken from different textbooks of medicine like Davidson, Kumar and Clark and Oxford, and some from other presentations made by respected tutors. I'm barely responsible for compilation of various resources per my interest. These resources are free for use, and I do not claim any copyright. Hoping knowledge remains free for all, forever.
There are various theories proposed by nursing theorist. among those, Orem is one who gave self care deficit theory. She proposed three interrelated concepts viz. theory of self care, theory of self care deficit , and theory of nursing system.
Martha Rogers’s Science of Unitary Human Beings...simplified...with a case sc...Karen V. Duhamel
This PowerPoint is a comprehensive overview of Martha Rogers's abstract conceptual model of the Science of Unitary Human Beings, with a simplified description of her model, including a case scenario illustrating key conceptual principles.
Goal attainment theory by Imogene.M.KingChithraValsan
Theory is set of interrelated concepts,definitions,and prepositions that explains or predicts events or situations by specifying relations among variables.Theory can be used to guide the research process by generating or testing the area of interest.The primary purpose of theories in nursing profession to improve the practice by positively influence the health and quality of life of individul, family or community.
Some slides are taken from different textbooks of medicine like Davidson, Kumar and Clark and Oxford, and some from other presentations made by respected tutors. I'm barely responsible for compilation of various resources per my interest. These resources are free for use, and I do not claim any copyright. Hoping knowledge remains free for all, forever.
There are various theories proposed by nursing theorist. among those, Orem is one who gave self care deficit theory. She proposed three interrelated concepts viz. theory of self care, theory of self care deficit , and theory of nursing system.
Martha Rogers’s Science of Unitary Human Beings...simplified...with a case sc...Karen V. Duhamel
This PowerPoint is a comprehensive overview of Martha Rogers's abstract conceptual model of the Science of Unitary Human Beings, with a simplified description of her model, including a case scenario illustrating key conceptual principles.
Goal attainment theory by Imogene.M.KingChithraValsan
Theory is set of interrelated concepts,definitions,and prepositions that explains or predicts events or situations by specifying relations among variables.Theory can be used to guide the research process by generating or testing the area of interest.The primary purpose of theories in nursing profession to improve the practice by positively influence the health and quality of life of individul, family or community.
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.
UNIT-IV M.Sc I year THEORIES APPLIED IN COMMUNITY HEALTH NURSING.pptxanjalatchi
What are theories and models of nursing?
Image result for community health nursing theories and models
Four major concepts are frequently interrelated and fundamental to nursing theory: person, environment, health, and nursing. These four are collectively referred to as metaparadigm for nursing. Person, Nursing, Environment, and Health – the four main concepts that make up the nursing metaparadigm.
Week 4 School resourcesGrand TheoriesTheories can be classif.docxjessiehampson
Week 4 School resources
Grand Theories
Theories can be classified based on their levels of abstraction. The scope of grand theories is very broad and, therefore, they don't lend themselves easily to application and testing. Grand theories are less abstract than conceptual models, but the concepts that compose them are still relatively abstract and general, and the relationships cannot be tested empirically (Fawcett, 1995)1.
Let's begin our exploration of grand theories with Sr. Callista Roy's adaptation model. The principal premise behind this model is that individuals are adaptive systems that cope with change through adaptation, and nursing helps to facilitate this adaptation of individuals during health and illness.
Middle Range Theories
Middle-range theories originate from grand theories. They are less abstract and comparatively more focused and narrower in scope, which implies that they are made up of concepts and propositions that are testable. The development of the concept of caring as the central concept to nursing gave rise to several theories focused on caring. The most prominent of these caring theories is Madeleine Leininger's theory of culture care.
Madeleine Leininger: Culture Care: Diversity and Universality Theory
Culture plays an important role in every healthcare setting. Integrating culture with care is an effective way of guiding thought processes, actions, and decisions within that culture.
Leininger's theory takes into account the cultural beliefs and values of individuals and groups to provide satisfying and culturally congruent nursing care. Culture exhibits both diversity and universality. While diversity includes different ways of practicing care, universality refers to the common elements in care. While adopting this model, it is important to incorporate cultural differences into nursing assessments, interventions, and care plans.
The culture care theory stresses the importance of cultural care and the need to be sensitive to the role of culture in health and healing. Consider this case. A South East Asian female patient admitted to a U.S. hospital for gynecological complaints felt that she was in a hostile healthcare environment, in the midst of caregivers who were not friendly or sensitive to her needs. Everything, starting from the admission procedure, routine questioning, and physical assessment to the diet she was served, sent out negative signals to the patient. Had the attending nursing and other healthcare professionals been sensitive to her cultural differences and taken the trouble to make her feel comfortable, this turn of events could easily have been avoided. Culturally competent nurses can create positive environments where patients feel accepted and their cultural norms, beliefs, and practices are respected.
This model is relevant to education, research and practice.
Education
Research
Practice
Leininger's model is helpful to nurse educators to teach the importance of transcultural nursing to stud ...
Appraise the component of various nursing theories; description, purpose, concepts, definition.
Discuss the application of nursing theories in nursing practice.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
1. Cebu Normal University
Graduate School
Osmeña Blvd., Cebu City
___________________
Roy’s Adaptation Model: Care for Patient
with Cerebrovascualr Accidents
______________________
In Partial Fulfillment in MSN 4001
PHILOSOPHICAL-THEORETICAL NURSING
____________________
Dave Jay S. Manriquez RN.
October 2008
2. INTRODUCTION
Nursing is a scientific way of providing care to a client in any health care setting.
Man as the client is the recipient of all the nursing care activities in an effort to assist
him adapt to the changing environment and maintain an optimal level of functioning.
Today inspite of modernization in the medical field, CVA still plays a major role in
the morbidity of the Filipino population. This could be attributed to the highly stressful
living environment we are in, plus the westernized dietary habits we have come to
acquire as well as man’s indulgences in these modern times.
Cerebrovascular Accident (CVA) or stroke is the most common disease of the
nervous system, ranking third among the leading causes of death in the United States.
CVA refers to the sudden and dramatic development of neurologic deficits that result
when cerebral blood vessels are occluded or ruptured causing interruption of blood
supply to a portion of the brain.
Man is a biopsychosocial being who has the innate capacity to adapt to agent
and environment stimuli. In order to promote health, the nurse and members of the
health team facilitate man’s favorable adaptation to the multifactorial stimuli through
their caring and curing interventions.
Armed with these facts, the investigator would like to know how best to assist his
client, who had Cerebrovascular Accident, adapt to the changes occurring both within
himself and in his immediate environment. Utilizing Sr. Callista Roy’s Adaptation Model
is the most appropriate in the care of the client with Cerebrovascular accident.
3. SUMMARY OF LITERATURE
This study explores and utilizes Roy’s Adaptation Model of Nursing as a
theoretical approach in caring for a client with Cerebrovascular Accident.
Roy’s view man as biopsychosocial being in constant interaction with a changing
environment. To cope with the changing environment, man has certain innate and
acquired mechanisms which are biologic, psychologic and social in origin. Some are
genetically determined, some are common to the species while some are acquired
through such processes as learning. Man’s positive response to a changing
environment is known as the process of adaptation. Man’s ability to respond positively
or to adapt depends upon the degree of the change taking place and the state of the
person coping with the change. There are eight basic assumptions of the Roy
Adaptation Model.(Riehl and Roy, 1974).
1. Man as a bio-psycho-social being.
2. Man is in constant interaction with a changing environment.
3. To cope with a changing world, man uses innate and acquired mechanisms,
which are biologic, psychologic and social in origin.
4. Health and illness are one inevitable dimensions of man’s life.
5. To respond positively to environmental changes, man must adapt.
6. Man’s adaptation is a function of the stimulus he is exposed to and his
adaptation level.
7. Man’s adaptation level is such that it comprises a zone which indicates the
range of stimulation that will lead to a positive response.
8. Man is conceptualized as having four modes, physiologic needs, self-concept,
role function and interdependence relation
The researcher adopted Sister Callista Roy’s concept of the nursing process
while assessing, observing, collecting, organizing, identifying, delineating, analyzing and
validating the health needs and teaching guide of stroke patients.
4. The four essential elements of the Roy Adaptation Model are of the following: the
person who is the recipient of the nursing care; the concept of the environment; the
concept of health; and the concept of the goal of nursing.
The Concept of Adaptation. The adaptation system has input of stimuli and
adaptation level, outputs as behavioral response that serve as feedback and control
processes known as coping mechanisms. The inputs o stimuli are classified into three
focal, contextual and residual stimuli. These three stimuli combile and create a widw
range of responses of the individual at a particular point in time.
Outputs of the person as system are the behaviors of the person. Output
behaviors can be both external and internal. Roy categorized these outputs into
adaptive and ineffective responses.
Adaptive responses promote the integrity of the person and the goals of
adaptation, which are survival, growth, development and mastery. Ineffective responses
neither promote integrity nor contribute to the goals of the adaptation response to
change by the person maybe processed predominantly in a simple adaptive model.
More often, the response is processed simultaneously in more than one mode.
According to Roy” Health is state and process of being and becoming an
integrated and whole person.” Health is the reflection of how successfully an individual
has adapted to environmental stimuli. The nurse manipulates the stimulus response
process in the four adaptive models.
The goal of nursing therefore, is to help the person achieve adaption by helping
the person survive, grow, reproduce and master. Adaptation leads to optimum health,
well-being to the highest quality of life possible and to die with dignity. Adaptation
enables the person to find meaning and purpose in life and to become an integrated
whole.
5. SUMMARY:
The foregoing case study is about a 60 year old, male, married, patient who is
diagnosed as post-infarct seizure, status post Cerebrovascular Accident. The case was
an attempt to apply the concepts of Roy’s Adaptation Model in the case of Mr.B.E.
The case study sought to answer the specifically the following questions: using
Roy’s theory what alterations in the adaptive modes were evident in Mr.B.E’s case in
terms of physiologic mode, self-concept mode, role function mode, and
interdependence mode and what factors influence the adaptive modes of Mr.B.E. in
terms of focal stimuli(immediately confronting the client); contextual stimuli (all other
stimuli present; and) residual stimuli (such as beliefs, attitudes or traits which have a
indeterminate effect on the present situation
FINDINGS:
Utilizing the nursing process, the nursing history and assessment showed the
following alterations in the adaptive modes –
A. Physiologic Mode
1. Activity and rest
1.1 Impaired physical mobility
1.2 Activity intolerance
1.3 Self-care deficit- bathing, hygiene, toileting, grooming
2. Neurologic function
2.1 Knowledge deficit
3. Senses
3.1 Altered sensory-perceptual ability
B. Self-concept Mode
Disturbance in self-esteem
C. Role Function Mode
Altered Role Performance
6. D. Interdependence Mode
Dysfunctional independence
CONCLUSION:
Mr.B.E. , over fifty years old, hypertensive, diabetic and over stressed, this
is the scenario presented in this case study. Person fittinginto the above characteristics
among others are the likely candidates to suffer from stroke or CVA wherever one refers
it to.
The case study further revealed that Cerebrovascular Accident patients
like Mr.B.E. will have adaptive problems affecting the physiologic needs, self-concept
mode, role function and the interdependence mode.
A prompt management, emphasizing prevention of complication and
planned early rehabilitation may make it possible for some patients who survived CVA
to return to productive work. Roy’s Adaptation Model provides a good support system in
helping these patients return to normal life in their respective community.
The use of Roy Adaptation Model of Nursing enhances nursing care on a
CVA patient. Implementing this model in practice is perceived as having a positive
impact on personal sense of nurses as well as on the image of nursing profession as a
whole. The model is found effective in providing direction towards achieving patient
outcomes. According to the writer, the introduction of the model on a CVA patient made
a positive difference in quality of patient care, primarily due to the comprehensive
approach to assessment and planning. In the clinical care setting, the model concepts
were more easily incorporated in to practice than the actual language of the model. A
several stimuli which are affecting the person from the internal and external
environment in four different modes of adaptation are being managed by nursing
interventions. The stimuli are shown as aiming to affect person’s equilibrium, but with
appropriate nursing interventions, they are diverted away from the patient, and effective
adaptation is achieved. Overall, this model provides a structure for focusing, organizing,
and directing thoughts and actions related to patient care and for achieving, desired
patient outcomes efficiently and effectively
RECOMMENDATION:
7. Promoting Adaptive responses in situations of health and illness is the goal of
nursing. From this standpoint, the researcher strongly recommends the utilization of
Roy’s Adaptation Model to guide nurse practitioners in the care of clients in any health
care settings.
Further nursing research and field utilization of Roy’s Adaptation Model is also
recommended to continually adjust and validate the model for the improvement of
nursing practice
8. BIBLIOGRAPHY:
Black, Joyce M. and Jacobs, Esther M.,1993, Luckmann and Sorensen’s
Medical-Surgical Nursing: A Psychophysiologic Approach , 4th
Edition,
Pennsylvani: W.B.Saunders Co.
Roy, Callista,Sr.,1976, Introduction to Nursing: An Adaptation Model,
New Jersey; Prentice Hall, Inc.
Tomey, Ann.,1994, Nursing Theorists and Their Works, 3rd
Edition
Missouri; Mosby.
Lancaster, J. (1992). Conceptual Models of Nursing. MO: Mosby-Year Book.
Mitchell, J. and Pilkington, B. (1990). Theoretical Approaches in Nursing
Practice: A comparison of Roy and Parse. Nursing science quarterly, (5)1, 81-87.
Roy, C. (1991). An explication of the philosophical assumptions of Roy’s
adaptation mode. Nursing Science Quarterly, 1(1), 26-34.
Tiedman, M.(1996). Roy’s Adaptation Model. Conceptual models of nursing,
analysis and application (Third edition). Norwalk, Conn: Appleton-Century-Crofts.
Tolson, D. and McIntosh, J. (1996). The Roy Adaptation Model: A consideration
of its properties as a conceptual framework for an intervention study. Journal of
Advanced Nursing, 24(5), 981-987.