sister calista roy adaptation model

Roy Adaptation ModelRoy Adaptation Model

By: Sathish Rajamani M.S c (N)By: Sathish Rajamani M.S c (N)

Lecturer,Lecturer,

BKIN – Daudhar.BKIN – Daudhar.

HumanismHumanism

Philosophy and psychology that recognizes Philosophy and psychology that recognizes the person and subjective dimensions of the the person and subjective dimensions of the human experience as central to knowing human experience as central to knowing and valuing.and valuing.

Discuss the relationship of Discuss the relationship of systems theory to Roy Model.systems theory to Roy Model.

Based on assumptions of von Bertalanffy’s Based on assumptions of von Bertalanffy’s General Systems TheoryGeneral Systems Theory

Based on assumptions of Helson’s Based on assumptions of Helson’s Adaptation-Level theoryAdaptation-Level theory

HumanismHumanism VeritivityVeritivity

VeritivityVeritivity

Principle of human nature that affirms a Principle of human nature that affirms a common purposefulness of human common purposefulness of human existence, activity and reactivity for the existence, activity and reactivity for the common good and value and meaning of common good and value and meaning of life.life.

Discuss the concepts of Discuss the concepts of adaptation model.adaptation model.

Adaptive: Human system has the capacity Adaptive: Human system has the capacity to adjust effectively to changes in the to adjust effectively to changes in the environment and affects the environment.environment and affects the environment.Promote survival, growth, reproduction & Promote survival, growth, reproduction & mastery.mastery.

SystemSystem

Set of parts connected to function as a Set of parts connected to function as a whole for some purpose and through the whole for some purpose and through the interdependence of the parts.interdependence of the parts. Input--Through put--Output--FeedbackInput--Through put--Output--Feedback

Changing Point influenced by the demands Changing Point influenced by the demands of the situation and the person’s internal of the situation and the person’s internal resources, including capabilities hopes, resources, including capabilities hopes, dreams, aspirations, motivations.dreams, aspirations, motivations.

Represents the persons ability to respond.Represents the persons ability to respond.

Adaptive LevelAdaptive Level

Adaptive Level Adaptive Level

The response (output) or behavior is a The response (output) or behavior is a function of the input stimuli and the function of the input stimuli and the adaptation level.adaptation level.

It is adaptive or ineffective.It is adaptive or ineffective.

Identify the Identify the environmentenvironment as a as a significant concept of significant concept of

adaptation.adaptation. Stimuli are environmental influences.Stimuli are environmental influences. 3 type: focal contextual, or residual.3 type: focal contextual, or residual.

Focal StimuliFocal Stimuli

Internal or external stimulus most Internal or external stimulus most immediately confronting the personimmediately confronting the person

Contextual StimuliContextual Stimuli

All other stimuli present that All other stimuli present that contribute contribute to to the focal stimuli.the focal stimuli.

Influence how the person can deal with the Influence how the person can deal with the focal stimulus.focal stimulus.

Contextual StimuliContextual Stimuli

Residual StimuliResidual Stimuli

Factors whose effect in the current situation Factors whose effect in the current situation is unclear.is unclear.

No clear data.No clear data. Based on theory or experience of the nurse.Based on theory or experience of the nurse.

Residual StimuliResidual Stimuli

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Coping MechanismsCoping Mechanisms

Innate or acquired ways of responding to Innate or acquired ways of responding to the changing environment. the changing environment.

Innate are Innate are genetically determinedgenetically determined or or common to the species and automatic common to the species and automatic processes.processes.

Acquired are developed through Acquired are developed through learning learning and other process.and other process.

Coping MechanismsCoping Mechanisms

RegulatorRegulator

Regulator SubsystemRegulator Subsystem

Automatic responses through neural, Automatic responses through neural, chemical and endocrine coping processes.chemical and endocrine coping processes.

Coping MechanismsCoping Mechanisms

RegulatorRegulator CognatorCognator

Cognator SubsystemCognator Subsystem

Perceptual/information processing, Perceptual/information processing, learning, judgment, and emotionlearning, judgment, and emotion

Perceptual/information Perceptual/information Processing Examples:Processing Examples:

Selective AttentionSelective Attention CodingCoding Memory Memory

Learning Learning

ImitationImitation ReinforcementReinforcement InsightInsight

EmotionEmotion

Defenses are used to seek relief from Defenses are used to seek relief from anxietyanxiety

EmotionEmotion

Make affective appraisal and attachments.Make affective appraisal and attachments.

Identify the modes & submodes Identify the modes & submodes of the Roy Adaptation Modelof the Roy Adaptation Model

Adaptive Modes--BehaviorsAdaptive Modes--Behaviors

– PhysiologicalPhysiological

– Self-conceptSelf-concept

– Role functionRole function

– InterdependenceInterdependence

Physiological-Physical ModePhysiological-Physical ModeNeeds of physiological integrityNeeds of physiological integrity

OxygenationOxygenation NutritionNutrition EliminationElimination Activity & RestActivity & Rest ProtectionProtection SensesSenses Fluid, electrolyte, and Acid-Base BalanceFluid, electrolyte, and Acid-Base Balance Neurologic FunctionNeurologic Function Endocrine FunctionEndocrine Function

Self-Concept ModeSelf-Concept Mode

Psychological and spiritual aspects of the Psychological and spiritual aspects of the person.person.

Need for psychic integrityNeed for psychic integrity

Self-concept Self-concept

Composite of beliefs and feelings that a Composite of beliefs and feelings that a person holds about him or herself at a given person holds about him or herself at a given time.time.

Self ConceptSelf Concept

Physical SelfPhysical Self– Body SensationsBody Sensations– Body ImageBody Image

Self ConceptSelf Concept

Personal SelfPersonal Self– Self-consistencySelf-consistency– Self-idealSelf-ideal– Moral-ethical-spiritual selfMoral-ethical-spiritual self

Role Function ModeRole Function Mode

Role is a set of expectations about anotherRole is a set of expectations about another Need for social integrityNeed for social integrity Role classification: Primary, Secondary, Role classification: Primary, Secondary,

TertiaryTertiary

Role Function BehaviorsRole Function Behaviors

Instrumental (task)Instrumental (task)

Expressive (emotional)Expressive (emotional)

Interdependence ModeInterdependence Mode

Interactions related to the giving and Interactions related to the giving and receiving of love, respect, and value.receiving of love, respect, and value.

Need is for affectional adequacy.Need is for affectional adequacy.

Interdependence BehaviorsInterdependence Behaviors

ReceptiveReceptive ContributiveContributive

BehaviorsBehaviors

AdaptiveAdaptive IneffectiveIneffective

Identify the goal of nursing Identify the goal of nursing according to Royaccording to Roy

Promote ADAPTATION in each of the Promote ADAPTATION in each of the four modes.four modes.

Discuss the nursing activities in Discuss the nursing activities in the Roy Adaptation Modelthe Roy Adaptation Model

What affects adaptation behavior?What affects adaptation behavior? StimuliStimuli If you want to change behavior,If you want to change behavior,

change stimuli.change stimuli.