THE ROY’S ADAPTATION MODEL OF NURSING.pptx

NURSING FOUNDATION

1. THE ROY’S ADAPTATION MODEL OF NURSING PRESENTED BY :- RAMANPREET KAUR ROLL NO. - 23 POST BASIC BSC-1 ST YEAR

2. INTRODUCTION ABOUT CALLISTA ROY She was Nurse theorist, writer, lecturer, researcher and teacher. Sister Callista Roy was born on 14-October-1939.

3. BIOGRAPHICAL SKETCH She did her bachelors of arts in nursing from mount St. Mary’s college, Los Angeles in 1963 and masters of science in nursing from ,University of California , Los Angeles1966.

4. CONT..... She also received her masters of arts(M.A) in sociology from the same university in 1975 and Ph.D in sociology . Roy was an associate professor and chairperson of the department of nursing at mount Saint Mary’s college until 1982.

5. CONT..... From 1983 to 1985; she was Post Doctoral fellow at Robert Wood Johnson at University of California, as a clinical nurse scholar in neuroscience. In 1988 Roy began the newly created position of graduate faculty at, Boston school of nursing.

6. CONCEPTS OR MODES OF ROY’S MODEL Physiological Needs. Self-concept group identity. Role Function. Interdependent Relations.

7. CONT......

8. CONT.... All individual must adapt to the following demands: 1. Meeting basic physiological needs. 2. Developing a positive self-concept. 3. Performing social roles. 4. Achieving a balance between dependence and interdependence.

9. (1)PHYSIOLOGICAL MODE Physiological wholeness is achieved by adapting to changes in physiological needs. The regulator coping mechanism is primarily responsible for attaining and maintaining this integrity. other complex process that influences regulator activities are the senses, fluids and electrolytes, neurological function & endocrine function.

10. CONT.... Five primary needs have been identified as necessary for physiological integrity: oxygen, nutrition, Shelter Clothes security

11. (2).SELF CONCEPT MODE Self concept is one of the 3 psychosocial modes, the basic human need within modes in psychic integrity,which means people need to know who they are so that can exist with a sense of unity.

12. (3)ROLE FUNCTION MODE The basic need in the role function adaptive model is for social integrity . This means that people need to know who they are in relation to others so that they can act. All people have role in society. With each role there are expected behavior .Role have been divided into primary, secondary and tertiary

13. (4)INTERDEPENDENCE MODE Interdependence is a social adaptive mode, needs affection adequacy or the feeling of security in nurturing relationships. Interdependence means the close relationship of people that involves willingness & ability to love, respect & value others and to accept & responds to love, respect and value given by others. Loneliness as a common adaptation problem resulting from a disruption in the modes.

14. Those currently identified needs are listed below: (A) BASIC PHYSIOLOGICAL NEEDS- Exercise and rest Nutrition Elimination Fluid and electrolyte Oxygen Circulations Regulations

15. CONT... (B)SELF CONCEPTS: Physical self Personal self Interpersonal self (C) ROLE MASTERY: -Role failure -Role conflict

16. CONT...... (D)INTERDEPENDENCE: - Alteration , rejection , aggression , rivalry , hostility , loneliness. -The aspects of care which are examined in view of the model are: The nature of the people receiving nursing care. Cause of problems likely to require nsg intervention. Nature of assessment

17. CONT... Nature of planning and goal setting process The focus of nursing interventions during the implementation of the nursing care plan The nature of the process of evaluating the quality of effects of the care given.

18. CONT..... IT IS ROLE OF NURSE:- To find out demands which are causing problems for a client. To assess how well the client is adapting to them. Nursing care is then directed at helping the client to adopt.    

19. ASSUMPTIONS OF THIS MODEL The Adaptive Model makes following assumptions:- The person is a bio-psycho-social being. The person is in constant interaction with a changing environment.

20. CONT.... To cope with a changing world, a person uses coping mechanisms, both innate and acquired, which are biological, psychological, and social in origin. Health and illness are inevitable dimensions of a person’s life. In order to respond positively to environmental changes, a person must adapt.

21. CONT..... A 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.

22. CONT.... The person has four modes of adaptation: physiologic needs, self-concept, role function, and interdependence. Nursing accepts the humanistic approach of valuing others’ opinions and perspectives. Interpersonal relations are an integral part of nursing.

23. METAPARADIGM

24. PERSON The person is the human adaptive system ; defined as ‘ a whole with parts that function as a unity for some purpose. Human system include people, group, Organizations, communities, and society as a whole’

25. CONT.... Health -health has been defined as a “ state and process of being and becoming an integrate and whole person’’ Health is a process where by individuals are striving to achieve their maximum potentials.

26. ENVIRONMENT Environment is specifically defined by Roy as “ all conditions, circumstances influences surrounding and affecting the development and behavior of persons and groups . It has three components(stimuli):- -focal(internal and external) -contextual -residual

27. NURSING Nursing is the theoretical system of knowledge that prescribes a process of analysis and action related to the care of the ill persons. It is the science and practice that expands adaptive abilities and enhance person and environmental trasformation .

28. CONT....... The nursing process acc. to Roy’s model consists of six steps- (1)Acceptance of behavior (2)Acceptance of stimuli (3)Nursing diagnosis (4)Goal setting (5)Intervention (6)Evaluation

29. COPING MECHANISMS some coping mechanisms are inherited or genetic such as white blood defense system against bacteria seeking to invade the body. some are learned as use of antiseptics

30. CONT......... MECHANISMS ARE OF 2 TYPES: (1) Regulator is used primarily as a mechanism to cope with physiological stimuli. (2) Cognator used mainly as mechanism to cope with psychological stimuli dealing primarily in area of cognition, judgment and emotion. -Regulator and cognator mechanisms are linked through the process of perception.

31. NURSING PROCESS The Adaptation Model includes a six-step nursing process:- The first level of assessment, which addresses the patient’s behaviour. The second level of assessment, which addresses the patient’s stimuli. Diagnosis of the patient.

32. CONT..... Setting goals for the patient’s health Intervention to take actions in order to meet those goals Evaluation of the result to determine if goals were met

33. PROPOSITIONS Nursing promotes adaptive response. Nursing decreases ineffective responses. Nursing enhances interaction which promotes adaptation.

34. WEAKNESSES Inadequate definition of concepts and terms. Complete implementation of the model is perceived as the time consuming.

35. APPLICATIONS This theory is valuable in clinical practice , part of foundations of nursing practice, can be easily applied in many clinical situations. The theory is integrated in nursing curriculum , workshops. It provides direction to the nurses in many clinical settings.

36. CONT..... It follows the nursing process to help the patient adapt to the situation with changing environment. It is used as foundation for theory development and also used with other theories.

37. SUMMARIZATION INTRODUCTION BIOGRAPHICAL SKETCH CONCEPT OR MODES ASSUMPTIONS METAPARADIGM COPING MECHANISM NURSING PROCESS PROPOSITIONS WEAKNESS APPLICATIONS