Le-2 Roper–Logan–Tierney Model of Nursing.ppt

This model serve as guide to conduct assessment

1. Model for Nursing Assessment
Roper Logan & Tierney Model
Gordon’s Functional Health Pattern
RahmatUllahNI/P
ShaukatKhanumMemorial Hospital, Lahore

2. Roper–Logan–Tierney Model of
Nursing
By
Rehmatullah
Nursing Instructor/Practitioner
SKMCH& RC-Lahore

3. Introduction
•Theorists: Nancy Roper, Winifred W. Logan and
Alison J. Tierney
•One of the widely used nursing model in the
United Kingdom
•Also referred as a Human Needs Model
•The theoritcalsource for this model is Virginia
Henderson theory
•A model of nursing care based on activities of daily
living (ADLs).

4. Activities of Living (ALs)
•These activities, outlining both the norm for the patient as well
as any changes that may have resulted from current changes in
condition
•are assessed on admission onto a ward or service, and are
reviewed as the patient progresses and as the care plan evolves.
•To provide effective care, all of the patient's needs must be met
as practicably as possible through
–supporting the patient to meet those needs independently or
–by providing the care directly, most preferably by a combination of the
two.

5. Activities of Living (ALs)
There are 12 activities, some of which are essential such as breathing
and others that which enhance the quality of life.
1.Maintaining a safe environment
2.Communication
3.Breathing
4.Eating and drinking
5.Elimination
6.Washing and dressing
7.Controlling temperature
8.Mobilisation
9.Working and playing
10.Expressing sexuality
11.Sleeping
12.Death and dying

6. Basic ADLs
Basic ADLs (BADLs) consist of self-care tasks, including
•Personal hygiene and grooming
•Dressing and undressing
•Self feeding
•Functional transfers (getting into and out of bed or
wheelchair, getting onto or off toilet, etc.)
•Bowel and bladder management
•Ambulation (walking with or without use of an assistive
device (walker, cane, or crutches) or using a
wheelchair)

7. Instrumental activities of daily living
(IADLs)
are not necessary for fundamental functioning, but they
let an individual live independently in a community:
•Housework
•Taking medications as prescribed
•Managing money
•Shopping for groceries or clothing
•Use of telephone or other form of communication
•Using technology (as applicable)
•Transportation within the community

8. Factors influencing activities of living
•Biological
•Psychological
•Sociocultural
•Environmental
•Politico-economic

9. Biological factor
•The impact of overall health, of current illness
or injury
•the scope of the individual's anatomy and
physiology all are considered under this
aspect.
•For example:
–how having diabetes mellitus causes the person's
nutritional activities to differ from those of a
person without diabetes.

10. Psychological factors
•The impact of not only emotion, but cognition,
spiritual beliefs and the ability to understand.
•Roper explained this was about "knowing,
thinking, hoping, feeling and believing".
•For example:
1.how having paranoid thoughts might influence
independence in communication;
2.how lack of literacy could impact independence in
health promotion.

11. Socio-cultural factor
•the impact of society and culture experienced by the
individual.
•Expectations and values based on (perceived or actual) social
class or status, or related to the individual's perceived or
actual health or ability to carry our activities of daily living.
•Culture within this factor relates to the beliefs, expectations
and values held by the individual both for themselves and by
others pertaining to their independence in and ability to
carry out activities of daily living.
•For example
1.when caring for an individual of advanced age and how societies
expectations and assumptions about infirmity and cognitive
decline, even if not present in the individual, could influence the
delivery of care and level of independence permitted by those
with sufficient authority to curtail it.

12. Environmental factor
•The environment impact on the activities of
daily living, & the impact of the individual's
ADLs also impact on the environment.
•For example
1.if damp is present in one's home how that might
impact independence in breathing (as damp can
be related to breathing impairments)
2.how dressings that are soiled with potentially
hazardous fluids should be disposed of after
removal.

13. Politico-economic factors
•This is the impact of government, politics and the economy
on ADL's.
•Issues such as funding, government policies and
programmes, state of war or violent conflict, availability
and access to benefits, political reforms and government
targets, interest rates and availability of fundings(both
public and private) all are considered under this factor.
•For example
–how becoming eligible for housing benefit might impact a
person's independence, especially if the current housing is poor
or inadequate;
–another example is how living in a place where violence and
conflict are the norm would impact the ability to self care.